Shoes Research Articles

Incident rates of hallux valgus in female students college in Indonesia

Problems and Purpose. Hallux valgus is a common foot deformity. Hallux valgus is more likely to occur in individuals who frequently wear shoes with pointed toes, as this footwear can contribute to the development of the condition. This incident can affect college students. However, the incidence rate of hallux valgus among students in Indonesia has not been determined. This study was conducted to determine the incidence of hallux valgus in Indonesia. Materials and methods. This research is quantitative, using online questionnaires distributed through social media. A total of 160 female students from various regions of Indonesia participated in the study. Results. Out of 160 respondents there were 36 people used shoes with 1 toe, which were affected by grade 1 hallux valgus. Among those who wore type 1 shoes, 2 individuals had grade 2 hallux valgus, 5 had grade 3, and 1 had grade 4. Among the 37 people who wore type 2 shoes, 17 had grade 1 hallux valgus, 3 had grade 2, and none were affected by grade 4 hallux valgus. Among type 3 shoe users, 17 people had grade 1 hallux valgus, 16 had grade 2, 2 had grade 3, and 1 had grade 4. For type 4 shoe users, 1 person was affected by grade 1 hallux valgus, 1 by grade 2, 1 by grade 3, and 1 by grade 4. Conclusion. HV is a common foot deformity in Indonesia. Shoe type, genetics, and physical activity are associated with a high incidence of hallux valgus in the country.

Improving health behaviours and attitudes around podoconiosis in Northern Western Ethiopia: Implementation and intervention effectiveness.

Assessing how interventions are implemented is essential to understanding why interventions may or may not achieve their intended outcomes. There is little evidence about how interventions against Neglected Tropical Diseases (NTDs) are being implemented. Guided by the Context and Implementation of Complex Intervention (CICI) framework, we evaluated an ongoing intervention against the NTD podoconiosis to examine the implementation process and its effectiveness in terms of improving shoe wearing practices, increasing knowledge and reducing stigmatizing attitudes towards podoconiosis in rural Ethiopia. We employed an exploratory mixed methods approach, qualitative followed by quantitative, between April and July 2022 to assess implementation agents, theory, strategy, process and outcomes of the intervention. We conducted document analysis, observations, focus group discussions, in-depth interviews and key informant interviews for the qualitative phase. We administered a survey to 369 rural residents, of whom 42 were affected by podoconiosis. The implementers utilized government healthcare centers in a bid to mainstream podoconiosis services within local healthcare structures. The implementers provided training for health professionals and the public and distributed supplies to patients over a three-month period. The intervention reached 62% of patients, but female patients were less likely to participate than male patients. Only 18% of community members had participated in health education campaigns linked to the intervention. Involvement in the intervention resulted in improved shoe wearing practice and holding fewer stigmatizing attitudes. However, internalized stigma among patients was still rife; and the plan to utilize community assets to extend the intervention activities was not effective. Implementers must monitor the fidelity and progression of programs on a constant basis to make corrections. They also need to expand health education, provide psychosocial support and design economic empowerment programs for patients to reduce stigma. They must also collaborate with policy makers and international partners to sustain program activities at intervention delivery points.

An evaluation of a bespoke modified UCBL foot orthosis on subjects with flat foot using kinetic measurements and user comfort scores: A randomized controlled trial

AimThe purpose of this study was to assess and evaluate the effect of a bespoke Modified UCBL Foot Orthosis (MUFO) using both kinetic parameters (Centre of Pressure (CoP) and the Ground Reaction Force (GRF) pattern) and comfort scores in subjects diagnosed with flat foot. MethodThis study included thirty-four young adults with symptomatic flatfeet. Two Kistler force plates (100 Hz) were used to record the CoP sway and GRF pattern during four conditions; 1) an MUFO and standard-fit shoe; 2) the University of California-Berkley Lab (UCBL) insole and standard-fit shoe; 3) barefoot and 4) standard-fit shoe only. The magnitude of subject comfort with UCBL and MUFO also was measured by a 10 cm Visual Analogue Scale (VAS) during walking. ResultsThe MUFO decreased mean lateral displacement in the initial phase and midstance of gait compared to barefoot walking. During the propulsion phase use of the new MUFO produced more lateral excursion with a mean difference of 3 mm) P < 0.001(compared to barefoot walking and standard shoe wear. No significant difference in comfort rate was found between the MUFO and UCBL (P = 0.165). ConclusionThe MUFO produced effective pronation control and decreased the CoP displacement in all of stance phase.

A cross-sectional study on the prevalence and associated risk factors for intestinal parasitic infections among under-five aged children in Dabat primary hospital, north Gondar, Ethiopia.

Intestinal parasitic infections (IPIs) are the main public health problems in several developing countries, and under-five-aged children are the most vulnerable groups of the population. The current study aimed to determine the prevalence and associated risk factors of IPIs among under-five-aged children at Dabat primary hospital, northwest Ethiopia. A cross-sectional hospital-based study including 384 under-five-aged children was conducted from February to June 2022. A structured questionnaire was used to collect relevant information on risk factors, and stool samples were collected and examined using wet mount and sedimentation techniques to determine prevalence. Chi-square and logistic regression were used to evaluate the possible association and the strength of the association between dependent and independent variables. The overall prevalence of intestinal parasites was 32.81%. Ten species of intestinal parasites were identified. Entamoeba histolytica / dispar was the predominant intestinal parasite species, with a prevalence of 7.55%. Giardia lamblia and hookworm had prevalence of 6.77% and 5.47% respectively. Those children whose Mother/guardian do not wash their hand before feeding their child are more than five time infected than those who do wash (AOR = 5.26, CI = 2.28-12.2, p < 0.001). Children who do not wear shoe are more infected than who did (AOR = 14.5, CI = 5.77-36.5, p < 0.001). Several risk factors were identified in this study among these washing hands after toilet before touching child, washing hands before feeding their child, Child meal and habit of shoes wearing were the main predictors of IPI. Since the prevalence of IPI observed in this study is that of under-five-aged children; raising awareness of mothers/guardians about how to keep hygiene; transmission ways and health impacts of IPIs; and proper way of feeding their children to avoid risk is crucial.

The Effect of 3D-Printed Custom Insoles on Plantar Pressure for Obese Individual

ABSTRACT Introduction There are many types of insoles made for obese individuals. However, there is a need for studies on insoles produced with 3D printers using flexible materials and comparing and examining the effect of these on plantar pressure. Materials and Methods An obese individual with a body mass index (BMI) &gt; 35 recommended by physicians to use insoles was included in this study. The individual’s foot was scanned using a 3D scanner, and insoles were designed using CAD software. The insoles were produced with TPU-75A flexible filament on a 3D printer at different fill rates (5%, 10%, and 15%). The effects of the insoles on underfoot pressures were clinically compared. Results Custom insoles with different filling ratios were made for an obese individual using flexible filament in 3D printers. The most appropriate insole print filling ratio for minimum foot pain experienced by the obese patient during their daily activities has been determined. The results reveal that 3D-printed insoles distribute the plantar pressure more effectively with significantly reduced pressure in certain foot locations (i.e., heel, under the first metatarsal) as compared with the existing insoles. Conclusions Manufactured by additive manufacturing, these insoles are produced using a fully digitized scanning process that creates virtually no material wastage. The thermoplastic polyurethane was preferred due to its favorable properties. By changing the pressure structure and internal filling system, it allows producing personalized insoles in the desired contact areas of hard and soft. Clinical Relevance This study provides evidence that insoles produced in 3D printers with flexible materials are as effective as insoles produced with traditional methods in reducing plantar pressure. Therefore, it is an alternative to traditional methods due to less labor.

Caracterização dos acidentes por mordeduras por serpentes na província de Benguela, período 2019 – 2021

Introduction: Snakebites are a public health problem affecting tropical countries in Africa, Asia, and Latin America. In Angola there are no rigorous statistics or scientific studies that allow us to know the situation of the country. Objective: to characterize snakebite accidents in Benguela province, in the period 2019-2021. Material and Method: Observational, descriptive, cross-sectional, and prospective study. Universe made up of the total number of families in the municipalities with the highest incidence: Cubal, Lobito, Caimbambo and Chongoroi. The sample size was calculated with a 95% confidence level for a total of 124 households, represented by 1014 people. The residences were selected by simple random sampling. A structured interview was given to the head of the family, with prior informed consent. Data were analyzed in SPSS through absolute frequencies and percentages. Results: Of the heads of household, 73.3% are men, 76.6% work in the fields and 56% had primary education. Of the total number of people, 2.6% were bitten by snakes (26 people) and 3 died. Of the survivors, 13% had physical sequelae. Regarding knowledge, 64.5% identified it as the place with the highest incidence at home, 33.8% from 6 pm to 12 pm, 48.3% in the summer season, 100% applied traditional treatments, 94.4% correctly identified at least one, and 70.9% recognized bitis arietans. Regarding prevention measures, 49.1% do not know, although of the remaining 54.8% consider it better to wear shoes or boots. Conclusion: Angola needs to continue and increase community education programs to alleviate human suffering.

Physical and Numerical Study on Right Side and Front Side Gas Blowing at Walls in a Single‐Strand Tundish

The compromise between inclusions removal by small bubbles and proper agitation of fluid flow in tundish by gas blown is challenging. The single‐strand tundish without flow control devices (bare tundish) is used to study the effects of side‐wall gas blowing on the flow field. The water model, particle image velocity measurement and computational fluid dynamics simulation are used to study bubble behavior, fluid flow field, and tracer transport. A large horse shoe vortex and a short circuit flow at the bottom are formed in the bare tundish. Gas blowing at the outlet‐side wall of the tundish creates multiple vortices in the right‐side region, with blowing rate and position greatly influencing the surface flow within the tundish. Gas blowing at the front‐side wall creates a large spiral vortex, agitating the fluid in the tundish and improving the flow field. Increasing the blowing rate strengthens the vortex in the right region, but raising the blowing position affects surface flow and creates a counterclockwise flow toward the shroud. In all schemes, gas blowing at a low position on the front‐side wall with a small gas flowrate is the optimized scheme which shows the smallest dead volume and enhances surface flow.

Respectful Children's Shoes: A Systematic Review.

Child footwear, both in pathologies and in normal situations, can affect the foot in various ways depending on its characteristics. Below, some features of child footwear are described, and how they can influence the foot, including suitable size, shape and design, flexibility, and transpirable material; inadequate footwear includes situations with flat foot, equine foot, and hammer toes. It is important to highlight that each child is unique and may have different footwear needs. In case of specific pathologies or concerns, it is recommended to consult a specialist in podology or foot medicine for personalized assessment and recommendations. The present systematic review was conducted in accordance with the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Children's footwear must adapt to all stages of children's growth, starting from when they begin to walk, to promote the correct evolution of their musculoskeletal system. For up to six months, they do not need to wear shoes; socks and similar clothing are enough to warm your feet like a second skin. The flexibility of respectful footwear is essential between six months and three or four years. From that age onwards, the soles can be somewhat thicker, and the buttress can have a certain firmness, but the shoes should remain flexible. Eco-friendly footwear, which typically comes from small businesses and factories, is sometimes described as "ergonomic footwear". However, there is some reluctance towards this term. When choosing this type of footwear for children, it is important to not just look at the label; rather, one should verify that it meets all the necessary characteristics to be considered respectful.

LONG-TERM FOLLOW-UP OF COMPLEX CALCANEAL OSTEOMYELITIS TREATED WITH MODIFIED GAENSLEN APPROACH

BackgroundThe treatment of chronic calcaneal osteomyelitis is a challenging and increasing problem because of the high prevalence of diabetes mellitus and operative fixation of heel fractures. In 1931, Gaenslen reported treatment of hematogenous calcaneal osteomyelitis by surgical excision through a midline, sagittal plantar incision. We have refined this approach to allow successful healing and early mobilization in a modern series of complex patients with hematogenous, diabetic, and postsurgical osteomyelitis.MethodsTwenty-eight patients (mean age 54.6 years, range 20–94) with Cierny-Mader stage IIIB chronic osteomyelitis were treated with sagittal incision and calcaneal osteotomy, excision of infected bone, and wound closure. All patients received antibiotics for at least 6 weeks, and bone defects were filled with an antibiotic carrier in 20 patients. Patients were followed for a mean of 31 months (SD 25.4). Primary outcome measures were recurrence of calcaneal osteomyelitis and below-knee amputation. Secondary outcome measures included 30-day postoperative mortality and complications, duration of postoperative inpatient stay, footwear adaptions, mobility, and use of walking aids.ResultsAll 28 patients had failed previous medical and surgical treatment. Eighteen patients (64%) had significant comorbidities. The commonest causes of infection were diabetes ± ulceration (11 patients), fracture-related infection (4 patients), pressure ulceration, hematogenous spread, and penetrating soft tissue trauma. The overall recurrence rate of calcaneal osteomyelitis was 18% (5 patients) over the follow-up period, of which 2 patients (7%) required a below-knee amputation. Eighteen patients (64%) had a foot that comfortably fitted into a normal shoe with a custom insole. A further 6 patients (21%) required a custom-made shoe, and only 3 patients required a custom-made boot.ConclusionOur results show that a repurposed Gaenslen calcanectomy is simple, safe, and effective in treating this difficult condition in a patient group with significant local and systemic comorbidities.

Pattern and predictor of hookworm re-infection among schoolchildren in three districts of Amhara Region, northwest Ethiopia.

Despite integrated prevention and control measures, the prevalence of hookworm is still high in Ethiopia. The re-infection rates and predictors are poorly addressed. Therefore, this study aimed to determine the patterns of hookworm re-infection rates and predictors among schoolchildren in northwest Ethiopia. A prospective follow-up study was conducted among 86 schoolchildren from May to December 2022. Data on predictors was collected using a questionnaire. Stool samples were collected and processed via Kato-Katz, McMaster, and spontaneous tube sedimentation techniques. All hookworm-infected children were treated with albendazole and followed for six months. The re-infection rates of hookworm were checked in the 4th and 6th months. Data was entered into Epi-data version 3.1 and analysed using SPSS version 25. Descriptive statistics were used to compute the re-infection rate. The associations of predictors with hookworm re-infection rates were calculated by logistic regression. Variables with a p-value < 0.05 were considered statistically significant. Of the 86, 81 schoolchildren completed the study. The prevalence of hookworm re-infection in the 4th and 6th months was 23.5% and 33.3%, respectively. Living with family members greater than five (p = .017), poor utilization of latrine (p = .008), infrequent shoe wear (p = .039), and participating in irrigation (p = .020) were the predictors significantly associated with hookworm re-infections. The re-infection rate was high during the fourth and sixth months. Participating in irrigation, infrequent shoe wear, and poor latrine utilization were predictors of hookworm re-infection. Therefore, mass drug administration, regular shoe wearing, and health education should be advocated.

Comparison of Balance in Habitual High Heels Wearers and Flat Shoe Wearers by Star Excursion Balance Test

Background: The capacity to maintain a stable and upright posture, or balance, is influenced by footwear type. High heel shoes (HHS) alter foot alignment and weight distribution, potentially impacting balance and increasing fall risk. Despite the popularity of high heels, the balance effects compared to flat shoes remain underexplored. Objective: To compare the balance between habitual high heel wearers and flat shoe wearers using the Star Excursion Balance Test (SEBT). Methods: A cross-sectional study was conducted from July 2022 to January 2023, including 70 female participants aged 18-35 years. Participants were habitual wearers of high heels or flat shoes for at least six months. Individuals seeking medical care for lower extremity issues or with a history of lower extremity fractures or surgeries were excluded. Balance was assessed using the SEBT, which involves reaching in eight directions from a central stance. Each participant performed three trials per direction. Leg length was measured to normalize reach distances. Data were analyzed using SPSS version 25.0. The Mann-Whitney U Test was used to compare balance between groups, with a significance threshold of p&lt;0.05. Results: The mean age of participants was 23.83 years (SD = 3.43). For the anterior reach on the dominant side, flat shoe wearers had a significantly better balance with a mean rank of 38.93 compared to 27.50 for high heel wearers (p=0.031). No significant differences were observed in other directions: anterior reach non-dominant side (p=0.499), anteromedial reach dominant side (p=0.384), anteromedial reach non-dominant side (p=0.887), medial reach dominant side (p=0.174), medial reach non-dominant side (p=0.524), posteromedial reach dominant side (p=0.544), posteromedial reach non-dominant side (p=0.913), posterior reach dominant side (p=0.704), posterior reach non-dominant side (p=0.350), posterolateral reach dominant side (p=0.177), and posterolateral reach non-dominant side (p=0.934). Conclusion: Habitual high heel wearers and flat shoe wearers showed no significant differences in balance across most SEBT directions, except for a significantly poorer anterior reach in high heel wearers. These findings suggest that high heel use may specifically impact anterior balance, highlighting the need for further investigation into the biomechanical and physiological impacts of high heels on balance.

Modal analysis of a coupled ballastless railway track surrounding a horse shoe shape shield tunnel linked to a box-girder bridge with substructure using finite element method

Modal analysis of a coupled ballastless railway track surrounding a horse shoe shape shield tunnel linked to a box-girder bridge with substructure using finite element method

"We all think boots are meant for men": A community-based participatory assessment of rural women's barriers to preventing podoconiosis in Rwanda.

Podoconiosis is a debilitating neglected tropical disease (NTD) that is possibly caused by prolonged exposure to irritant alkaline clay soil. It is endemic to East Africa and disproportionately affects rural female farmers. The condition can be prevented through foot hygiene and regular wearing of protective shoes. In Rwanda, there is limited information on the factors impacting rural female farmers' access to and utilization of boots while farming. Therefore, this community-based participatory study was conducted to explore the cultural, economic, and ergonomic factors affecting rural farmers' use of protective footwear. Sixteen audio-recorded focus group discussions were conducted with female and male farmers in four villages with the highest podoconiosis prevalence across four provinces of Rwanda. Transcripts were coded inductively using Dedoose (version 9.0.86) and analyzed through thematic content analysis. Participants expressed that wearing shoes protects against diseases and injuries but ability to afford a pair of protective footwear was a major barrier to accessing and wearing them. There were differences in women and men's shoe-wearing behaviors while farming, largely driven by the fact that women who wear boots face rumors and backlash. Findings highlight barriers hindering effective podoconiosis prevention among rural female farmers in Rwanda. Opportunities exist to strengthen podoconiosis and NTD prevention programs, through the integration of gender into existing community-based interventions and the inclusion of local communities into the co-designing of contextualized interventions.

Soil-transmitted helminths and associated factors among pregnant women in Doreni district, Oromia region, Ethiopia: a cross-sectional study

BackgroundSoil-transmitted helminthiasis (STH) refers to a set of parasitic illnesses caused by nematode worms and spread to people through faeces-contaminated soil. It is highly prevalent in low- and middle-income countries due to a lack of environmental sanitation and personal hygiene. Pregnant women are among the risk groups for infection by soil-transmitted helminths. Former studies of the disease burden among pregnant women in Ethiopia didn’t indicate the intensity of parasitic infection. The aim of this study was to assess the prevalence and associated factors of soil-transmitted helminths among pregnant women.MethodsAn institution-based cross-sectional study was conducted among 416 randomly selected pregnant women. The data were collected using a structured interview-administered questionnaire and a laboratory test. The Kato-Katz technique was used to diagnose soil-transmitted helminthiasis and determine the intensity of the infection. The collected data were entered into Epi-Data version 4.6 and exported to SPSS version 25 for analysis. Multivariate logistic regression analysis was used to identify independent predictors of soil-transmitted helminths at a p-value < 0.05.ResultsThe overall prevalence of soil-transmitted helminths among pregnant women was 30%. (95%, CI: 26-34%). Living in a rural area (AOR = 3.35; 95% CI = 1.83–6.13), drinking from an unprotected water source (AOR = 2.52; 95% CI = 1.45–4.37), not washing one’s hand after the toilet (AOR = 2.75; 95% CI = 1.55–4.88), lacking health information (AOR = 1.70; 95% CI = 1.01–2.85), working as a daily labourer (AOR = 2.88; 95% CI = 1.01–8.20), and walking barefoot (AOR = 4.00; 95% CI = 2.29–7.00) were significantly associated with the presence of soil-transmitted helminths among pregnant women.ConclusionThe prevalence of STH was significantly moderate in the study area, where pregnant women were mostly affected by ascariasis and hookworms. Living in a rural area, being a daily labourer, walking barefoot, not washing hands after the toilet, drinking from an unprotected water source, and lacking health information were the determining factors. Interventions including health education, the expansion of pure drinking water sources, the promotion of personal hygiene, and the wearing of shoes are recommended to reduce the burden of soil-transmitted helminths in the study area.

Purge–Mainstream Interactions in a Turbine Stage With Rotor Endwall Contouring

Abstract Purge flows are prevalent in modern gas turbine design, allowing for increased turbine entry temperatures. The purge flow passes through a rim seal and interacts with the mainstream flow, modifying the blade secondary flow structures and reducing stage efficiency. These structures may be controlled using end wall contouring (EWC), though experimental demonstration of their benefit is seldom reported in the literature. The optically accessible turbine at the University of Bath was designed to directly measure and visualize the flow field within the blade passage for a rotor with EWC. The single-stage turbine enables phase-locked flow field measurements with volumetric particle image velocimetry (PIV). Purge flow was supplied to investigate a range of operating conditions in which the secondary flow structures were modified. The modular turbine rotor allowed for expedient change of a bladed ring, or bling, featuring non-axisymmetric EWC. The identified secondary flow structures were the pressure-side leg of the horse shoe vortex (PS-HSV) and an egress vortex (EV) of concurrent rotational direction. An increase in purge flowrate monotonically shifted the EV toward the suction-side (SS) of the adjacent blade. The migration of the PS-HSV toward the SS caused the two aforementioned vortices to merge. The EWC rotor design included a leading-edge (LE) feature to alter the PS-HSV and a trough to guide the EV low spanwise in the passage and maintain displacement from the adjacent suction-side. The EWC rotor was found to be effective at altering the formation and positioning of the secondary flow structures at a range of purge flow conditions.

Innovation of Custom-Made Silicone Insoles for Diabetic Patients

Diabetic foot ulcers, caused by diabetes-related nerve and blood vessel damage, can lead to amputations. Silicone insoles help prevent ulcers but are often expensive. Affordable, customized insoles are available, making prevention more accessible. This research aims to create affordable, locally manufactured silicone insoles for diabetic foot ulcers, reducing costs and improving accessibility. A six-month study at the Pakistan Rehabilitation Center assessed the quality of life in diabetic foot ulcer patients using the Foot Health Status Questionnaire (FHSQ). After four weeks of using silicone insoles, participants experienced significant improvements in foot health, pain relief, and mobility. They reported easier daily tasks and enhanced social interaction. Over four weeks, silicone insoles greatly improved foot health, reduced pain, and enhanced daily functioning and social interaction. The degree of improvement varied according to the initial severity of participants' conditions

Relationship between hand-foot skin reaction and external force on patients with hepatocellular carcinoma: A cohort study

PurposeHand-foot skin reaction (HFSR), a side effect of tyrosine kinase inhibitor (TKI) treatment, makes it difficult to walk and perform daily activities because of pain in the limbs. HFSR occurs predominantly in the sites where external forces (pressure and shear stress) are applied. This study aimed to determine whether pressure or shear stress induces the occurrence of HFSR. MethodsThis cohort study was conducted in patients who received TKI treatment for hepatocellular carcinoma. The external forces applied to the sole of the patients' foot while walking was measured, and its association with the occurrence of HFSR was examined. The degree of HFSR was assessed by the patient's response during the examination and by photographs of their feet. The patients' feet were divided into low (grade <2) or high (grade ≥2) HFSR foot group, and the differences in external forces between the groups were analyzed using t-test and Cox hazard analysis. ResultsAnalysis of the feet of 55 study participants (n = 110) showed no significant difference between the groups on t-test (p ≥ 0.05), however, Cox hazard analysis showed an increased risk of HFSR with higher peak shear stress values at the fifth metatarsal head (hazard ratio = 1.01, p = 0.047; 95% confidence interval = 1.00–1.02). ConclusionShear stress is possibly related to HFSR occurrence. Nurses should assess whether patients' shoes fit their feet before initiating TKI treatment. They should instruct patients to wear shoes that are fit of both diameter and width for their feet.

Features of anthropometric indicators of the feet of adolescents of Zhambyl region

The comfort of shoes is one of the main indicators of the quality of shoes, which ensures the normal functioning and development of the foot in the process of growth and in general. In turn, the normal functioning and development of the foot determines the normal state of the whole organism, since the appearance of deviations in the foot leads to disturbances throughout the body. In the work, measurements of the feet of young men of the Zhambyl region were carried out in order to develop a size range of shoes, design shoe lasts and shoes with rational dimensional indicators. The measurements of the young men's feet were carried out using both standard and modern 3D scanning methods. The measurements were carried out among schoolchildren and students of higher educational institutions aged 15 to 18 years. As a result of measurements of young men's feet, variational series of dimensional characteristics, statistical data, and correlation-regression equations were calculated. The analysis of the obtained data was calculated using the methods of mathematical statistics and programming. The results of the study of the size of the feet will improve the socio-economic situation, which is expressed in providing the population of Kazakhstan with comfortable shoes that would take into account the anatomical, physiological and psychological characteristics of young men in Kazakhstan. The given data on the size of the feet of young men can be used in shoe factories, organizations for the tailoring of orthopedic and special shoes.

'We no longer experience the same pain': a cross-sectional study assessing the impact of Heart and Sole Africa's podoconiosis prevention education program.

Podoconiosis is a non-infectious neglected tropical disease caused by long-term exposure to irritant volcanic soils. It results in severe physical, psychological and financial consequences. Heart and Sole Africa (HASA) is a non-governmental, community-based organization providing management to podoconiosis patients in Rwanda. We sought to analyze the impact of their program on the lives of patients. Quantitative surveys recorded the participants' demographics, adherence to HASA's management recommendations and changes in quality of life (QOL). Qualitative questions were used to gather respondent perspectives on HASA programming. We interviewed 127 patients from HASA's Musanze (n=47) and Burera (n=80) clinics. Almost all participants (98.4%) reported statistically significant (p<0.01) improvements in their QOL, and more than one-half (51.2%) had a favorable adherence score of >80%. Qualitative feedback identified specific challenges to adherence and recognition of program success in symptom management. Our study demonstrated the value of community-based podoconiosis programming in improving the lives of patients. Practices such as regular feet washing, emollient application, shoe wearing and limb raising can result in a marked reduction of morbidity. Our findings support the argument for scaling up these management practices across Rwanda.

Forensic measurement comparison of foot insole impressions

In forensic podiatry, footprints have been shown to provide a valuable source of discriminatory information. Footprints may be found in various forms, such as bare footprints, sock-clad footprints, or as impressions on insoles within footwear. This study utilized quantitative measures of foot impressions on pairs of insoles from shoes worn by the same person from a population of 31 adults. The measurements were determined by using the Reel method and comprised measurements from the heel to the tips of the toes and width of the ball. The purpose of the study was to assess the margin of error for these measurements to determine whether they were sufficiently accurate for forensic use.A secondary purpose of this study was to determine whether the analyst’s experience or lack thereof in forensic podiatry had an impact on the precision of measurement data. The insole foot impressions were assessed by two podiatrists with forensic podiatry experience in footprint analysis, footprint research, and in using the Reel method of footprint measurement, as well as by three students of podiatric medicine without any such experience. A statistical analysis of the data from the study was performed using SPSS v28 (IBM SPSS Statistics for Windows, Version 28.0. Armonk, NY: IBM Corp). The most reliable measurements were of forefoot width, heel to first toe, heel to second toe, and heel to fourth toe. The greatest variation occurred in the measurements of the heel to the third and fifth toes. The measurements of the forensic podiatrist analysts showed less variability than those of the podiatry students, suggesting that measurement precision is related to the experience of the analyst.