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.

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.

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.

An Extreme Monsoonal Heavy Rainfall Event over Inland South China in June 2022: A Synoptic Causes Analysis

An extreme monsoonal heavy rainfall event lasted for nine days and recurred in the interior of northern south China from June 13 to 21, 2022. Using regional meteorological stations and ERA5 reanalysis data, the causes of this extreme monsoonal rainfall event in south China were analyzed and diagnosed. The results are shown as follows. A dominant South Asian high tended to be stable near the Qinghai-Tibet Plateau, providing favorable upper-level dispersion conditions for the occurrence of heavy rainfall in south China. A western Pacific subtropical high dominated the eastern part of the South China Sea, favoring stronger and more northward transport of water vapor to the northern part of south China at lower latitudes than normal. The continuous heavy precipitation event can be divided into two stages. The first stage(June 13-15) was the frontal heavy rainfall caused by cold air(brought by an East Asian trough)from the mid-latitudes that converged with a monsoonal airflow. The heavy rains occurred mostly in the area near a shear in front of the center of a synoptic-system-related low-level jet(SLLJ), and the jet stream and precipitation were strongest in the daytime. The second stage(June 16-21) was the warm-sector heavy rainfall caused by a South China Sea monsoonal low-level jet penetrating inland. The heavy rainfall occurred on the windward slope of the Nanling Mountains and in the northern part of a boundary layer jet(BLJ). The BLJ experienced five nighttime enhancements, corresponding well with the enhancement of the rainfall center, showing significant nighttime heavy rainfall characteristics. Finally, a conceptual diagram of inland-type warm-sector heavy rainfall in south China is summarized.

Causes of gastrointestinal bleeding in children based on endoscopic evaluation at a tertiary care center in Bahrain

BACKGROUND Gastrointestinal bleeding(GIB)is a serious health problem worldwide,particularly during childhood.This can be an alarming sign of an underlying disease.Gastrointestinal endoscopy(GIE)is a safe method for the diagnosis and treatment of GIB in most cases.AIM To determine the incidence,clinical presentation,and outcomes of GIB in children in Bahrain over the last two decades.METHODS This was a retrospective cohort review of the medical records of children with GIB who underwent endoscopic procedures in the Pediatric Department at Salmaniya Medical Complex,Bahrain,between 1995 and 2022.Demographic data,clinical presentation,endoscopic findings,and clinical outcomes were recorded.GIB was classified into upper(UGIB)and lower(LGIB)GIB according to the site of bleeding.These were compared with respect to patients’sex,age,and nationality using the Fisher’s exact,Pearson’sχ2,or the Mann-Whitney U tests.RESULTS A total of 250 patients were included in this study.The median incidence was 2.6/100000 per year(interquartile range,1.4-3.7)with a significantly increasing trend over the last two decades (P < 0.0001). Most patients were males (n = 144, 57.6%). Themedian age at diagnosis was 9 years (5-11). Ninety-eight (39.2%) patients required upper GIEalone, 41 (16.4%) required colonoscopy alone, and 111 (44.4%) required both. LGIB was morefrequent (n = 151, 60.4%) than UGIB (n = 119, 47.6%). There were no significant differences in sex (P = 0.710), age (P = 0.185), or nationality (P = 0.525) between the two groups. Abnormalendoscopic findings were detected in 226 (90.4%) patients. The common cause of LGIB was inflammatorybowel disease (IBD) (n = 77, 30.8%). The common cause of UGIB was gastritis (n = 70, 28%).IBD and undetermined cause for bleeding were higher in the 10-18 years group (P = 0.026 and P =0.017, respectively). Intestinal nodular lymphoid hyperplasia, foreign body ingestion, andesophageal varices were more common in the 0-4 years group (P = 0.034, P < 0.0001, and P = 0.029,respectively). Ten (4%) patients underwent one or more therapeutic interventions. The medianfollow-up period was two years (0.5-3). No mortality was reported in this study.CONCLUSIONGIB in children is an alarming condition, whose significance is increasing. LGIB, commonly due toIBD, was more common than UGIB, commonly due to gastritis.

Causes of Strong Sandstorm Weather on March 15,2021 in Ulanqab City

The severe sandstorm process in Ulanqab,Inner Mongolia on March 15,2021 was analyzed and discussed from the aspects of weather facts,weather causes and dynamic diagnosis.The results show that the strong cold air in West Siberia rapidly moved eastward,and the surface cold front moved eastward to Ulanqab with significant warming in the previous period,resulting in gale and sandstorm weather.This severe sandstorm process occurred in basically stable atmospheric stratification.During the strong sandstorm and extremely strong sandstorm process on March 15,the strong warming in the early period near the surface led to the surface thermal instability,and sand was generated by the upward movement of the Mongolian cyclone.Over the upper northwest air stream,barocline disturbance developed unsteadily,and the upper cold advection stimulated the secondary circulation of front perpendicular to the surface;the surface cyclone turned into strong cold front,and then strong sandstorm weather occurred in Ulanqab.

Causes of a Cold Wave Process Accompanied by Gale and a Drop in Temperature in Central Inner Mongolia

Based on the conventional high-and low-altitude and surface observation data,the weather analysis and diagnosis methods were applied to analyze the cold wave process of Ulanqab in January 2016 from the aspects of weather reality,circulation background,weather causes,and forecast test.The results show that strong cold air accumulated gradually near Lake Baikal and Central Siberia,affecting the city in a northwest path.During the cold wave process,the transverse trough moved southwards slowly at 500 hPa,and the ground cold high pressure was strong and stable.The cold air continued to move southwards,resulting in the strong cold wave and gale weather with a large impact range and long duration.The high-altitude jet at 300 hPa strengthened the cold wave pile,which was conducive to the outbreak of the cold wave.The intensity and location changes of the 500 hPa positive vorticity center,850 hPa cold advection region and 24-h ground pressure variation well showed the intensity of the cold wave process and the variation of the affected region.The influence of strong cold advection,ground positive pressure variation,and strong vertical wind shear were the main reasons for a strong drop in temperature and gale weather in this process.The test results of prediction reveal that the forecast value of the maximum temperature were relatively lower than the actual value,while the forecast of the minimum temperature was more accurate.The three warning signals were issued timely and accurately.The circulation pattern predicted by numerical models was more accurate in the early stage of the process,but there was an error in the late stage,and the forecast system moved slower than the actual situation.

Empowering women to combat osteoporosis:unveiling the causes,consequences,and control strategies

Osteoporosis is a common bone disease in women worldwide, leading to decreased bone density and an accelerated risk of fractures. The causes of osteoporosis in women include age (senile osteoporosis), menopause-associated hormonal changes, deficiencies in calcium and vitamin D, genetics, lifestyle factors, medical conditions, and some type of medications. The consequences of osteoporosis are colossal, consisting of fractures, decreased quality of life, psychological impacts, and economic burden. To effectively control the menace of osteoporosis in women, numerous strategies are advocated. Adequate calcium and vitamin D consumption through diet or supplements is vital. Regular weight-bearing activities and strength training that promote bone density. Maintaining a healthy life-style through avoiding smoking, limiting alcohol in-take and maintaining a wholesome body weight is essential. Hormone replacement therapy and some medications may be recommended in certain cases. Early detection through regular bone density and blood tests is crucial to lowering its impact. Creating a supportive network through educational programs and resources fosters awareness and empowerment. By engaging these strategies, women can be empowered to combat osteoporosis, reduce fracture risk, and build stronger bones for their overall well-being.

The Causes and Applications of Code Switching Between Chinese and English in Social Intercourse

This paper examines the phenomenon of code switching between Chinese and English in China.It explores the causes,types,and applications of code switching,as well as the public’s attitudes towards it.The paper distinguishes between pathological and non-pathological code switching,and analyzes the corpus of code switching in Hong Kong.It also discusses how English as a dominant language affects the perception and use of code switching.The paper suggests that code switching is not only a linguistic but also an emotional process,and that speakers and listeners should be aware of their audience group when using code switching.

Postpartum Hemorrhage: Incidence, Causes and Maternal Outcomes at Muhimbili National Hospital, Tanzania—A Retrospective Descriptive Hospital-Based Study

Worldwide obstetric hemorrhage remains the leading cause of maternal mortality, accounting for over one quarter of maternal deaths. Over half of these deaths occur in Sub-Saharan Africa with mortality rates of 500 - 1000 per 100,000 births, compared to approximately 5 - 10 in developed countries. Over decades in Sub Saharan Africa preventive measures and treatment protocols have been made to reduce maternal mortality caused by PPH. While rates of postpartum hemorrhage have continued to rise, there is a need to evaluate if its etiology and patterns have changed over time. Broad Objective: This study aims at describing trends in incidence, causes and maternal outcomes of Postpartum Hemorrhage at Muhimbili National Hospital for a period of 7 years. Methodology: This is a retrospective descriptive hospital-based study that has included all cases of postpartum hemorrhage at Muhimbili National Hospital, a tertiary hospital in Tanzania from 2014 to 2020. The data was analyzed using SPSS Version 26 and presented using frequency tables, figures and percentages. The trends of postpartum hemorrhage over time were determined using chi-square test and P-value where less than 0.05 was considered statistically significant. Results: Overall, the incidence of postpartum hemorrhage has been fluctuating over the years with minimum of 1.78% and maximum of 2.87% with no statistical significance. Out of 1113 enrolled cases of PPH, 422 (37.9%) were attributed to genital tears followed by uterine atony 285 (25.6%). A statistically significant increase in linear trend was observed in the postpartum hemorrhage cases due to uterine atony, uterine rupture and sub analysis on genital tears (cervical tear). Overall, there was a statistically significant change in trend of maternal outcomes throughout the years, with a P-value < 0.001 and likelihood of complications increasing over time. Conclusion: The trend in the incidence of postpartum hemorrhage has been fluctuating over the years during the study period. The leading cause of postpartum hemorrhage was genital tears, followed by uterine atony with a significant increase in adverse maternal outcomes over the years. Continuous health education to medical personnel to improve timely and proper diagnosis of women in danger of PPH and timely referral, thus improve maternal morbidity and mortality.

A Study on the Causes of Students'Poor Learning Attitudes and the Social Psychological Countermeasures to Change Them

At this stage,with the continuous improvement of the quality of life and education,students at all levels of education are facing great pressure of learning and competition in life.If these pressures are not relieved orsolved in a timely manner,the lighter they affect daily life and learning,the more serious they cause mental health problems such as depression and anxiety,and even the horrible idea of ending their lives prematurely.Therefore,educators must pay great attention to students'learning status and mental health,and if students are found to have bad learning attitudes,they must promptly understand the causes of their balearning attitudes and,on that basis,develop and implement effective psychologicalguidance and mental health education programs to alleviate students'learning stress and mental health problems.In social psychology,students'behavior is the main influencing factor of learning mental health,behavior and mental health have a close relationship,through student behavior patterns and changes in learning attitudes can understand the psychological characteristics and health status of students.Therefore,many educators analyze the causes of students'poor learning attitudes based on socialpsychology,and develop and implement effective mental health education countermeasures to improve and transform poor learning attitudes.

Age-specific causes of upper gastrointestinal bleeding in children

The etiology of upper gastrointestinal bleeding(UGIB)varies by age,from newborns to adolescents,with some of the causes overlapping between age groups.While particular causes such as vitamin K deficiency and cow’s milk protein allergy are limited to specific age groups,occurring only in neonates and infants,others such as erosive esophagitis and gastritis may be identified at all ages.Furthermore,the incidence of UGIB is variable throughout the world and in different hospital settings.In North America and Europe,most UGIBs are nonvariceal,associated with erosive esophagitis,gastritis,and gastric and duodenal ulcers.In recent years,the most common causes in some Middle Eastern and Far Eastern countries are becoming similar to those in Western countries.However,variceal bleeding still predominates in certain parts of the world,especially in South Asia.The most severe hemorrhage arises from variceal bleeding,peptic ulceration,and disseminated intravascular coagulation.Hematemesis is a credible indicator of a UGI source of bleeding in the majority of patients.Being familiar with the most likely UGIB causes in specific ages and geographic areas is especially important for adequate orientation in clinical settings,the use of proper diagnostic tests, and rapid initiation of the therapy. The fundamental approach to the management of UGIBincludes an immediate assessment of severity, detecting possible causes, and providing hemodynamic stability,followed by early endoscopy. Unusual UGIB causes must always be considered when establishing a diagnosis inthe pediatric population because some of them are unique to children. Endoscopic techniques are of significantdiagnostic value, and combined with medicaments, may be used for the management of acute bleeding. Finally,surgical treatment is reserved for the most severe bleeding.

Analysis of the Causes of the Intensity Enhancement of the Typhoon “Tiange”

This paper analyzes the causes of the offshore strength enhancement of Typhoon Tiange (No. 1713) from four aspects: high and low layer divergence, vertical wind shear, southwest monsoon transport, offshore sea temperature and weak cold air. The conclusions are as follows: The high-level airflow divergence enhancement and positive vorticity advection in the offshore, strengthen the middle rise movement of the “Tiange”, and the ascending movement enhances the strength of the “Tiange” by strengthening the lower layer convergence;The high offshore sea temperature and sea temperature are changing temperature, which also has a certain effect on the strengthening of “Tiange” in the offshore;The strengthening of the southwest warm and humid airflow provides sufficient water vapor and energy for the development of “Tiange”, which is beneficial to the maintenance of the typhoon warm heart structure;The intrusion of weak cold air, enhanced the radiation cooperation of the lower typhoon disturbance, which is beneficial to the enhancement of “Tiange”.

Analysis of Potential Causes of Safety Failure of New Energy Vehicle Power Batteries

The aim of this paper is to analyze the potential reasons for the safety failure of batteries for new-energy vehicles.Firstly,the importance and popularization of new energy batteries are introduced,and the importance of safety failure issues is drawn out.Then,the composition and working principle of the battery is explained in detail,which provides the basis for the subsequent analysis.Then,the potential impacts of factors such as overcharge and over-discharge,high and low temperature environments,internal faults,and external shocks and vibrations on the safety of the batteries are analyzed.Finally,some common safety measures and solutions are proposed to improve the safety of new energy batteries,in hopes of improving the safety of batteries for new-energy vehicle.

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.

On the Causes of the Violation of Cooperative Principle

Grice s Cooperative Principle places a great role in explaining how the human speech communication really does.Grice holds that the participants in a conversation should adhere to the Cooperative Principle.However,to our surprise,in actual speech communication,it is many phenomena of the violation of Cooperative Principle that there exist.In the light of Grice ' s Cooperative Principle,probing the causes of the violation of Cooperative Principle,the paper is to reveal some regular patterns of human language communication,to delve into the efficient models stimulating the development of a language,and to offer some research conclusions for promoting the tacit understanding of communication and the standardization of language.

Historical review of the causes of cancer

In the early 1900 s, numerous seminal publications reported that high rates of cancer occurred in certain occupations. During this period, work with infectious agents produced only meager results which seemed irrelevant to humans. Then in the 1980 s ground breaking evidence began to emerge that a variety of viruses also cause cancer in humans. There is now sufficient evidence of carcinogenicity in humans for human T-cell lymphotrophic virus, human immunodeficiency virus, hepatitis B virus, hepatitis C virus, human papillomavirus, Epstein-Barr virus, and human herpes virus 8 according to the International Agency for Research on Cancer(IARC). Many other causes of cancer have also been identified by the IARC, which include: Sunlight, tobacco, pharmaceuticals, hormones, alcohol, parasites, fungi, bacteria, salted fish, wood dust, and herbs. The World Cancer Research Fund and the American Institute for Cancer Research have determined additional causes of cancer, which include beta carotene, red meat, processed meats, low fibre diets, not breast feeding, obesity, increased adult height and sedentary lifestyles. In brief, a historical review of the discoveries of the causes of human cancer is presented with extended discussions of the difficulties encountered in identifying viral causes of cancer.