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Surgical management of the diabetic foot:The current evidence

World Journal of Orthopedics 2024年第5期15卷 404-417页

作者： Richard Henry Randall Roberts gareth rhys davies-jones James Brock Vaishnav Satheesh Greg AJ Robertson Department of Trauma and Orthopaedics Wrexham Maelor HospitalWrexham LL137TDUnited Kingdom Department of Trauma and Orthopaedics The Robert Jones and Agnes Hunt Orthopaedic HospitalOswestry SY107AGUnited Kingdom

The prevalence of diabetes mellitus and its associated complications,particularly diabetic foot pathologies,poses significant healthcare challenges and economic burdens *** review synthesises current evidence on the surgical management of the diabetic foot,focusing on the interplay between neuropathy,ischemia,and infection that commonly culminates in ulcers,infections,and,in severe cases,*** escalating incidence of diabetes mellitus underscores the urgency for effective management strategies,as diabetic foot complications are a leading cause of hospital admissions among diabetic patients,significantly impacting morbidity and mortality *** review explores the pathophysiological mechanisms underlying diabetic foot complications and further examines diabetic foot ulcers,infections,and skeletal pathologies such as Charcot arthropathy,emphasising the critical role of early diagnosis,comprehensive management strategies,and interdisciplinary care in mitigating adverse *** addressing surgical interventions,this review evaluates conservative surgeries,amputations,and reconstructive procedures,highlighting the importance of tailored approaches based on individual patient profiles and the specific characteristics of foot *** integration of advanced diagnostic tools,novel surgical techniques,and postoperative care,including offloading and infection control,are discussed in the context of optimising healing and preserving limb function.

关键词： Diabetes Diabetic foot Charcot Osteomyelitis Amputation Diabetic foot attack Conservative surgery

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NDI of Rail Squats and Estimating Defect Size and Location Using Lock-In Thermography

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Engineering（科研） 2013年第1期5卷 29-38页

作者： Daren Peng rhys jones Department of Mechanical and Aerospace Engineering Monash University Melbourne Australia

Rail squats are a form of near surface rolling contact fatigue damage found in rail heads. Currently, the most popular method to detect the rail squats is utilizing ultrasonic techniques to determine their presence and measure their depths. This technique needs to be direct contact between the probe and the rail head, with a coupling fluid in at the interface. Other weaknesses of these ultrasonic techniques include false detections as well as missed detections. Infrared thermography is a relatively new non-destructive inspection technique used for a wide range of applications but is not used for rail squat detection. Lock-in thermography is a non-destructive inspection technique that can be used for the detection of near surface defects. It utilizes an infrared camera to detect the thermal waves and then produces a thermal image, which displays the local thermal wave variation in phase or amplitude. In inhomogeneous materials, the amplitude and phase of the thermal wave carries information related to both the local thermal properties and the nature of the structure being inspected. This comparison is then used to determine the phase angle difference (Δf) between the input and the thermal response of the object. The aim of this paper is to determine whether lock-in thermography can be used to firstly locate squats in rails, and secondly measure their depths. It has demonstrated the feasibility for using such a technique in generating thermal responses that could be adequately utilized for the purpose of defect characterization.

关键词： Lock-In Thermography Phase Contrast Infrared Camera Squat Non-Destructive Inspection

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Finite Element Method Study on the Squats Growth Simulation

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Applied Mathematics 2013年第5期4卷 29-38页

作者： Daren Peng rhys jones Department of Mechanical and Aerospace Engineering Monash University Victoria Australia

A simplified finite element analysis on the squats growth simulation and the effect different contact stresses has been presented. This analysis is based on the element removal study to simulate squat growth in a rail track under cyclic loading. The major principal stress (maximum principal stress failure theory) has been used as failure criteria. Evolution strategies are derived from the biological process of evolution, to find squats growth path solution to a complex rail/ wheel contact problem.

关键词： FEM Squats Complex Crack Growth Genetic Algorithm

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Technical Design for Holistic Wireless Communication in Smart Buildings

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Transactions of Nanjing University of Aeronautics and Astronautics 2018年第S1期35卷 81-87页

作者： Sean rhys jones Mark Gillott Rabah Boukhanouf Gavin Walker David Tetlow Faculty of Engineering Department of Architecture and Built EnvironmentUniversity of Nottingham

This paper presents the design of a wireless building monitoring network implemented at the University of Nottingham's Creative Energy Homes test *** network is installed in seven smart buildings with the aim of holistically collecting energy *** will be used to inform a central control algorithm to optimise the energy flows between buildings,in turn promoting the smart cities *** and meters measuring temperature,humidity,CO_2,heat energy,power,and stratified tank temperature are ***,the communication protocols utilised are also discussed,which include wireless MBus and *** paper also covers the methods used for ensuring the reliability of data signals and the system controls.

关键词： smart cities smart buildings communication network building monitoring

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全球市场变革下的国际金融合作

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债券 2019年第11期 22-23页

作者： rhys Gordon-jones 英国驻华大使馆

金融危机引发监管变革2008年全球金融危机、欧元危机等都可最终归因于金融监管的失败,并由此引发了全球监管机构在监管方式、体系架构等方面的根本性变革。在英国,这一变革体现为监管体系的变化。有研究表明,由英国金融服务管理局(Finan... 详细信息

金融危机引发监管变革2008年全球金融危机、欧元危机等都可最终归因于金融监管的失败,并由此引发了全球监管机构在监管方式、体系架构等方面的根本性变革。在英国,这一变革体现为监管体系的变化。有研究表明,由英国金融服务管理局(Financial Services Authority,FSA)作为单一监管机构的做法并不可行。于是,英国将对金融行为的监管和对主要金融机构的审慎监管分开,设立了两个主要金融监管机构,其一是金融行为监管局(Financial Conduct Authority,FCA),其二是审慎监管局(Prudential Regulation Authority,PRA),它们都隶属于英格兰银行。

关键词：英格兰银行主要金融机构金融行为审慎监管金融监管金融危机监管体系

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Igniting the Statistical Spark in the Social Sciences—Abilities, Student Feedback and Teacher Observations

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Journal of Mathematics and System Science 2018年第6期8卷 153-174页

作者： rhys Christopher jones Room 316 Building 303 Science Centre University of Auckland Auckland 1010 New Zealand

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