Analysis of the causes of primary revision after unicompartmental knee arthroplasty: A case series

BACKGROUND Unicompartmental knee arthroplasty(UKA)has great advantages in the treatment of unicompartmental knee osteoarthritis,but its revision rate is higher than that of total knee arthroplasty.AIM To summarize and analyse the causes of revision after UKA.METHODS This is a retrospective case series study in which the reasons for the first revision after UKA are summarized.We analysed the clinical symptoms,medical histories,laboratory test results,imaging examination results and treatment processes of the patients who underwent revision and summarized the reasons for primary revision after UKA.RESULTS A total of 13 patients,including 3 males and 10 females,underwent revision surgery after UKA.The average age of the included patients was 67.62 years.The prosthesis was used for 3 d to 72 months.The main reasons for revision after UKA were improper suturing of the surgical opening(1 patient),osteophytes(2 patients),intra-articular loose bodies(2 patients),tibial prosthesis loosening(2 patients),rheumatoid arthritis(1 patient),gasket dislocation(3 patients),anterior cruciate ligament injury(1 patient),and medial collateral ligament injury with residual bone cement(1 patient).CONCLUSION The causes of primary revision after UKA were gasket dislocation,osteophytes,intra-articular loose bodies and tibial prosthesis loosening.Avoidance of these factors may greatly reduce the rate of revision after UKA,improve patient satisfaction and reduce medical burden.

Distribution and Formation Causes of PM_(2.5) and O_(3) Double High Pollution Events in China during 2013–20

Fine particulate matter(PM_(2.5))and ozone(O_(3))double high pollution(DHP)events have occurred frequently over China in recent years,but their causes are not completely clear.In this study,the spatiotemporal distribution of DHP events in China during 2013–20 is analyzed.The synoptic types affecting DHP events are identified with the Lamb–Jenkinson circulation classification method.The meteorological and chemical causes of DHP events controlled by the main synoptic types are further investigated.Results show that DHP events(1655 in total for China during 2013–20)mainly occur over the North China Plain,Yangtze River Delta,Pearl River Delta,Sichuan Basin,and Central China.The occurrence frequency increases by 5.1%during 2013–15,and then decreases by 56.1%during 2015–20.The main circulation types of DHP events are“cyclone”and“anticyclone”,accounting for over 40%of all DHP events over five main polluted regions in China,followed by southerly or easterly flat airflow types,like“southeast”,“southwest”,and“east”.Compared with non-DHP events,DHP events are characterized by static or weak wind,high temperature(20.9℃ versus 23.1℃)and low humidity(70.0%versus 64.9%).The diurnal cycles of meteorological conditions cause PM_(2.5)(0300–1200 LST,Local Standard Time=UTC+8 hours)and O_(3)(1500–2100 LST)to exceed the national standards at different periods of the DHP day.Three pollutant conversion indices further indicate the rapid secondary conversions during DHP events,and thus the concentrations of NO_(2),SO_(2) and volatile organic compounds decrease by 13.1%,4.7%and 4.4%,respectively.The results of this study can be informative for future decisions on the management of DHP events.

Characteristics and Preliminary Causes of Tropical Cyclone Remote Precipitation over China

In this study,the characteristics and preliminary causes of tropical cyclone remote precipitation(TRP)over China during the period from 1979 to 2020 are investigated.Results indicated that approximately 72.42%of tropical cyclones(TCs)in the Western Pacific produce TRP over China.The peak months for TRP are July and August.The four key regions of TRP are the adjacent areas between the Sichuan and Shaanxi Provinces,the northern coast of the Bohai Sea,the coast of the Yellow Sea,and the southern coast area.The typical distance between the station with TRP and the TC center ranges from 1500 to 2500 km.Most of these stations are situated north to 60°west of north of the TC.The south–west water vapor transportation on the west side of the TC is crucial to TRP.TRP has a decreasing trend because of the decrease in the number of TCs that generate TRP.From the perspective of large-scale environmental conditions,a decrease in the integrated horizontal water vapor transport in China' Mainland,the weakening of upward motion at approximately 25°–35°N,which is inconducive to convection,and an increase in low-level vertical wind shear,which is unfavorable for the development of TC in areas with high frequencies of TRP-related TCs,are the factors that result in the decreasing trend of TRP.

The Impacts and Causes of Land Fragmentation on Farm Productivity: Case Review of East African Countries

This report provides an overall assessment of land fragmentation problems in East Africa. Many parts of East Africa have become highly fragmented, putting development systems and activities in these areas at risk of complete collapse. Land fragmentation occurs when land gets converted for agriculture, industrialization, or urbanization, invaded by non-local plants, or enclosed for individual use and by subdividing farmlands into subsequent smaller units called parcels with varying average farm sizes. Fragmentation results from inappropriate agricultural development processes and ineffective land use planning that fails to recognize how farmland is used, and the importance of its interconnected areas. Insecurity of tenure and resource rights are key factors in making this possible. Land fragmentation is one of the key reasons why the ability of most resources in East Africa becomes scarcer, and those remaining become “privatized” by more powerful community members—keen to maintain their access to them. Such individualistic attitudes are new and disadvantage the poorest even further by affecting the traditional customary safety nets and agricultural outputs. Neither the government nor customary governance systems effectively protect resource access for the poorest. This review summary report identifies the key causes, measures, and implications, government interventions, and the common remedies to land fragmentation problems in the East African Countries of Kenya, Uganda, Rwanda, and Tanzania including neighboring Ethiopia, and the Sudan. The findings indicated from 2005 to 2015, the population kept increasing for all the named countries in East Africa with Rwanda and Uganda having a substantial increase in population density. The study review further explores the trend in the performance of agriculture by average farm sizes within the intervals of five years by highlighting their strong linkages and found that the average farm size has declined drastically, especially for Kenya. This can only mean that small farms kept becoming smaller and smaller and that there were more small-scale farmers. The results further depicted that the major and commonly cultivated food crops among the East African countries include maize, sorghum, rice, cassava, sweet potatoes, bananas, Irish potatoes, beans, peas, etc., with maize yields (Mt/ha) in 2003 for Uganda being the highest (1.79 Mt/ha) and the lowest in Rwanda (0.77 Mt/ha) respectively. Therefore, from the review results, recommendations are being made as to how the negative impacts of land fragmentation on agricultural productivity can be reduced or mitigated. One way is by community sensitization and awareness about the importance of land consolidation and its proposition on farm productivity.

Prevalence and Causes of Neonatal Mortality at Chu-Mel, Cotonou in 2023

Introduction: Neonatal mortality represents a global health problem that has been at the core of programs developed by the World Health Organization (WHO) for more than 30 years. In our country, it represents a real scourge and remains high despite the efforts made by the Ministry of Health. The goal of this study was to investigate the prevalence and causes of neonatal mortality at CHU-MEL of Cotonou in 2023. Material and Methods: This was a cross-sectional and descriptive study with retrospective data collection, carried out in the neonatology unit of the Mother and Child Teaching Hospital of Lagune (CHU-MEL) in Cotonou over a period of six months from January 1, 2023 to June 30, 2023. All neonates, premature or full-term, born alive and who died during hospitalization in the unit were included. Results: 211 cases of neonatal deaths were recorded among the 2884 neonates hospitalized in the unit during the study period, representing a hospital prevalence of 7.31%. Early neonatal mortality represented 81.5% of cases. The average age at admission was 4.6 days ± 5.3. The average weight of deceased neonates was 1609.08 ± 798.35 g. The most frequent reasons for hospitalization were represented by prematurity (60.66%) and respiratory distress (23.22%), respectively. Prematurity was the leading cause of neonatal mortality (41.7%), followed by neonatal infections (29.4%) and perinatal asphyxia (10.9%). Conclusion: The prevalence of neonatal mortality in the neonatology unit of CHU-MEL is high. Efforts to improve the quality of perinatal care departments must be intensified to reduce this prevalence.

Eternal Climate Change Patterns and the Causes and Countermeasures of Global Climate Change

It is an objective fact that the weather is unpredictable.Even the famous meteorologist,Academician Chu Ko Chen,has only a partial understanding of the changing laws of wind and rain.Even though ancient people summarized the 24 solar terms by observing the annual activities of the sun for a long time,because they ignored the impact of the activities of the moon on the Earth’s climate change on a small scale,the 24 solar terms they summarized often could not accurately predict the change of the Earth’s climate.Therefore,the author studied the influence of lunar activities on the Earth’s climate change,finds out the law of the influence of lunar activities on the Earth’s climate change on a small scale,and summarizes the eternal climate change pattern determined by the activities of the sun and the moon.In addition,the author also reveals the causes and countermeasures of global warming and the frequent occurrence of extreme weather as well as environmental change.

Analysis on Current Situation,Formation Causes and Control Countermeasures of Acid Rain Pollution in China

Environmental problem is one of three major issues of common concern in the world today.Being a developing socialist country,the environmental problems in china are even more prominent,mainly in population expansion,sharp decrease of global forest areas,soil erosion,acid rain pollution,water pollution and so on.This essay is to introduce the present status,formation causes and hazardous condition of acid rain pollution in china.Some feasible and effective control measures are put forward according to the actual situation in China.

Analysis of Causes for An Unusual Cloudy-rainy Weather for Several Days in Autumn

Cloudy-rainy weather for several days in 2007 was featured with the longest duration and the most serious extent of injury since the time from which there was meteorology observation record in Shandong.The causes of this process were analyzed in this article in terms of general circulation,character of physical quantity and tropical cyclone.The result showed that the precipitation process was a long wave adjustment process and it took place during the transformation process of general circulation turning from the zonal to the radial.During the cloudy-rainy weather process,the Ural mountain ridge and the Western Pacific subtropical high were more abnormally strong and in the further north than that in any other years.The tropical cyclone in the south of the subtropical cyclone activity was more frequent.There was more shortwave in middle latitudes of Asian.The cold air masses Siberia went down south.The cold air masses joined with the current of air in the Lower Yellow River.This led to the lasting cloudy-rainy weather for several days in Shandong.

Rare causes of acute non-variceal upper gastrointestinal bleeding: A comprehensive review

Non-variceal upper gastrointestinal bleeding(NVUGIB)is a common gastroenterological emergency associated with significant morbidity and mortality.Gastroenterologists and other involved clinicians are generally assisted by international guidelines in its management.However,NVUGIB due to peptic ulcer disease only is mainly addressed by current guidelines,with upper gastrointestinal endoscopy being recommended as the gold standard modality for both diagnosis and treatment.Conversely,the management of rare and extraordinary rare causes of NVUGIB is not covered by current guidelines.Given they are frequently lifethreatening conditions,all the involved clinicians,that is emergency physicians,diagnostic and interventional radiologists,surgeons,in addition obviously to gastroenterologists,should be aware of and familiar with their management.Indeed,they typically require a prompt diagnosis and treatment,engaging a dedicated,patient-tailored,multidisciplinary team approach.The aim of our review was to extensively summarize the current evidence with regard to the management of rare and extraordinary rare causes of NVUGIB.

The Research on Development and Causes of Chinese Quadrangle Courtyards

After the illustration of the development of quadrangle courtyards,the paper has analyzed the emergence of square architectural form and the formation of axial symmetrical pattern with the hall in the front and room at the back and with wing rooms on the left and right side.It has analyzed the formation,development,climax,damage and inheritance of quadrangle courtyard,and considered that it could manifest Chinese traditional humanistic idea and aesthetic idea,and is in possession of profound cultural connotation and regional feature.On this basis,causes for quadrangle courtyards have been studied.The primary cause at the initial stage lies in human body structure theory and the perfection of quadrangle courtyards at later stage depends on ethic order theory.

Causes of Restocking Delays in Absence of Real Time Inventory Tracking of Airtel Airtime

The purpose of this research was to ascertain causes of Restocking Delays in a Distributor Company of Airtel Airtime (AA) that give justification for benefits of using Real Time Inventory Tracking (R.T.I.T) in an attempt to mitigate Restocking Delays. From a study out at the Private Marketing and Trading Services (PMTS) an Authorized Distributor of Airtel Products undertaken in 2017 evidenced by Airtime scratch card and Electronic, E-Recharge Airtime among other forms to encourage R.T.I.T among other products in Telecom Companies and other Business Enterprises. The research comprises of the following areas among which included a detailed focus on a Qualitative and Quantitative approach in obtaining different categories of Restocking Delays in form of Themes and Sub Themes encountered in the Distribution Supply Chain (SC) of AA that is contained in this paper. This research continues to capture an in-depth explanation of the Managerial and Operational causes of restocking delays in respect to AA. Similarly, fast consumer products and services other than AA require a solution to Restocking Delays through implementation of Real Time Inventory Tracking Model (R.T.I.T.M) of AA among Distributor Companies (DCs). This paper also elaborated on Literature, Methodology and Findings obtained from the study. The results were obtained from regression analysis by using the Statistical Package for Social Sciences (SPSS) that showed a higher significance of Stock Turnover Period and Airtime Denomination as a contributor to Restocking Delays whereas Messages from Airtel Head office to the Distributor had a non-significant contribution to restocking Delays as in Figure 9. The research recommends a Model for R.T.I.T in Telecom Distribution SC of AA and Omnichannel Inventory Management (OIM) as a significant contributor to timely reliable inventory restocking and promotes higher sales among DCs and retailers through minimized Restocking Delays. It shows that the forces of Demand and Supply change over time with different tastes and preferences of customers. The imbalance in AA stock levels changes at given times due to unforeseen forces of consumer demand experienced by DCs, explained by the “Bullwhip Effect” due to information distortion in the Supply Chain (SC).

Slightly Analyze the Historical Causes of Walt. Whitman's Democratic Poems

Walt·Whitman was one of the famous poets in American literary field. He is remembered by his masterpiece-Leaves of Grass, which composes a lot of his democratic ideas. His democratic poems and his writing styles have their historical background which helped form his democratic ideas.

Causes of the Disillusionment of Sister Carrie's American Dream

Theodore Dreiser’s novel Sister Carrie is the representative of studying the disillusionment of the American Dream.Since the publication of Sister Carrie,there have been many critics who commented on this work,and its main character Sister Carrie is a controversial person.Dreiser was criticized by critics and readers because he didn’t give any comment on her degener ation.This thesis tries to analyze the causes of this tragedy.In the end,the paper draws the conclusion:the American Dream looks beautiful,but to some extent it is not reliable,just like the foam of soap.It only gives people an illusion.So Carrie’s tragedy is in evitable.

An Analysis on Causes of Fossilization in Oral English of Vocational College Students

The main causes of the vocational college students' oral fossilization summarized in the thesis are as follows:negative transfer of the native language,overgeneralization,communication strategies blockage.

Analysis of Electrical and Non-electrical Causes of Variable Frequency Drive Failures

VFDs （variable frequency drives） are an integral part of many industrial plants and stations. Reliable operation and maintenance of these drives is vital to ensure sustained plant operation and availability. Understanding of the principles of operation of VFD systems as well as knowledge about their required operating environment is necessary for all operating personnel. Many times the operating personnel do not get involved with different technical issues until a complete failure has occurred. Hence, the awareness of the most dominant failure causes has a significant impact on assisting operators to avoid catastrophic failures and tremendous economic losses due to VFD shutdown. Proper plant design, accurate monitoring and data logging, following manufacturer preventive maintenance schedule, and choosing qualified team of operators can be the key to an efficient operation and a long lifetime for any VFD system. In this paper, we have analyzed the electrical and non-electrical causes of VFD failures based on a case study of a typical medium voltage VFD pumping station. Finally, recommendations are given from field analysis and observations.

Detection,Causes and Projection of Climate Change over China:An Overview of Recent Progress

This article summarizes the main results and findings of studies conducted by Chinese scientists in the past five years. It is shown that observed climate change in China bears a strong similarity with the global average. The country-averaged annual mean surface air temperature has increased by 1.1℃ over the past 50 years and 0.5-0.8℃ over the past 100 years, slightly higher than the global temperature increase for the same periods. Northern China and winter have experienced the greatest increases in surface air temperature. Although no significant trend has been found in country-averaged annual precipitation, interdecadal variability and obvious trends on regional scales are detectable, with northwestern China and the mid and lower Yangtze River basin having undergone an obvious increase, and North China a severe drought. Some analyses show that frequency and magnitude of extreme weather and climate events have also undergone significant changes in the past 50 years or so. Studies of the causes of regional climate change through the use of climate models and consideration of various forcings, show that the warming of the last 50 years could possibly be attributed to an increased atmospheric concentration of greenhouse gases, while the temperature change of the first half of the 20th century may be due to solar activity, volcanic eruptions and sea surface temperature change. A significant decline in sunshine duration and solar radiation at the surface in eastern China has been attributed to the increased emission of pollutants. Projections of future climate by models of the NCC （National Climate Center, China Meteorological Administration） and the IAP （Institute of Atmospheric Physics, Chinese Academy of Sciences）, as well as 40 models developed overseas, indicate a potential significant warming in China in the 21st century, with the largest warming set to occur in winter months and in northern China. Under varied emission scenarios, the country-averaged annual mean temperature is projected to increase by 1.5 2.1℃ by 2020, 2.3 3.3℃ by 2050, and by 3.9-6.0℃ by 2100, in comparison to the 30-year average of 1961-1990. Most models project a 10% 12% increase in annual precipitation in China by 2100, with the trend being particularly evident in Northeast and Northwest China, but with parts of central China probably undergoing a drying trend. Large uncertainty exists in the projection of precipitation, and further studies are needed. Furthermore, anthropogenic climate change will probably lead to a weaker winter monsoon and a stronger summer monsoon in eastern Asia.

Genetic causes of spermatogenic failure

Approximately 10%-15% of couples are infertile, and a male factor is involved in almost half of these cases. This observation is due in part to defects in spermatogenesis, and the underlying causes, including genetic abnormalities, remain largely unknown. Until recently, the only genetic tests used in the diagnosis of male infertility were aimed at detecting the presence of microdeletions of the long arm of the Y chromosome and/or chromosomal abnormalities. Various other single-gene or polygenic defects have been proposed to be involved in male fertility. However, their causative effects often remain unproven. The recent evolution in the development of whole-genome-based techniques and the large-scale analysis of mouse models might help in this process. Through knockout mouse models, at least 388 genes have been shown to be associated with spermatogenesis in mice. However, problems often arise when translating this information from mice to humans.

CAUSES AND CONTROL COUNTERMEASURES OF EUTROPHICATION IN CHAOHU LAKE, CHINA

Chaohu Lake, located in the central Anhui Province, is one of the five largest fresh lakes in China. Now it is one of the three most eutrophication lakes in China. The deterioration of its water quality has influenced the sustainable development of society, economy and environment of Hefei City, the capital of Anhui Province. A series of measures have been carried out to control its eutrophication, but it is still serious. On the basis of the lake water quality data from 1984 to 2003, the causes of the eutrophication of Chaohu Lake are analyzed. Studies indicated that the suitable natural conditions and human activities played a crucial role in the process of the eutrophication of Chaohu Lake. A great amount of industrial, agricultural and domestic sewage discharged into the lake is the main cause of eutrophication in the lake. Land use, soil erosion and shoreline collapse destroyed the watershed eco-environment and the terrestrial ecosystem of Chaohu Lake. And the building of Yuxi Gate extends the sluggish of the nutritious substance and speeds up the process of the eutrophication. From the view of systematic engineering and watershed ecology, a series of the countermeasures have been put forward to control the eutrophication.

New Evidences on the Climatic Causes of the Formation of the Spring Persistent Rains over Southeastern China

The spring persistent rains（SPR）over southeastern China（SEC）are a unique synoptic and climatic phenomenon in East Asia.A former study has found that the southwesterly flow which lies on the southeastern flank of the Tibetan Plateau（TP）is one of the deflected westerly flows of the TP,and it is suggested to be the direct climatic cause of SPR.This study found that the southwesterly flow is also highly correlated with the sensible heating of the southeastern TP in interannual variability,in addition to having a high correlation in seasonal variability.These facts suggest that the thermal forcing of the TP is another important climatic cause of SPR.Numerical sensitivity experiments further prove that the mechanical and thermal forcings of the TP are the climatic causes of the formation of the SPR.On the other hand,the Nanling Mountains and Wuyi Mountains（NWM）over southeastern China not only increase the SPR precipitation amount evidently,but also make the SPR rain belt move to the south by blocking the strong southwesterly flow.

Characteristics and Preliminary Causes of Tropical Cyclone Extreme Rainfall Events over Hainan Island

The characteristics of tropical cyclone（TC） extreme rainfall events over Hainan Island from 1969 to 2014 are analyzed from the viewpoint of the TC maximum daily rainfall（TMDR） using daily station precipitation data from the Meteorological Information Center of the China Meteorological Administration, TC best-track data from the Shanghai Typhoon Institute,and NCEP/NCAR reanalysis data. The frequencies of the TMDR reaching 50, 100 and 250 mm show a decreasing trend[-0.7（10 yr）^（-1）], a weak decreasing trend [-0.2（10 yr）^（-1）] and a weak increasing trend [0.1（10 yr）^（-1）], respectively. For seasonal variations, the TMDR of all intensity grades mainly occurs from July to October, with the frequencies of TMDR 50 mm and 100 mm peaking in September and the frequency of TMDR 250 mm [TC extreme rainstorm（TCER） events]peaking in August and September. The western region（Changjiang） of the Island is always the rainfall center, independent of the intensity or frequencies of different intensity grades. The causes of TCERs are also explored and the results show that topography plays a key role in the characteristics of the rainfall events. TCERs are easily induced on the windward slopes of Wuzhi Mountain, with the coordination of TC tracks and TC wind structure. A slower speed of movement, a stronger TC intensity and a farther westward track are all conducive to extreme rainfall events. A weaker northwestern Pacific subtropical high is likely to make the 500-h Pa steering flow weaker and results in slower TC movement, whereas a stronger South China Sea summer monsoon can carry a higher moisture flux. These two environmental factors are both favorable for TCERs.