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.

Individual differences determine the morphogenesis pattern and reproductive uniqueness of the invasive green macroalga,implications for its habitat adaptation

The marine green algae genus Chaetomorpha is a common source of“green tide”and is widespread on coasts around the world.In this study,based on invasive Chaetomorpha valida collected from the Shandong Peninsula,the morphogenesis and reproductive characteristics of two strains that are morphologically different from each other,were observed using experimental biology methods.The main results are as follows:(1)significant difference in the size of reproductive cells produced by Strains 1 and 2;(2)gametes produced by Strain 2 are isogamous and same gametangial during the binding process of gametes,whereas those of Strain 1 are isogamous but hetero-cystic;(3)progeny from Strain 1 has rhizoidal holdfast,whereas that of Strain 2 has discoid holdfast;(4)gametophytic“branching”was found in Strain 1.These results could validate the high phenotypic plasticity of macroalgae and offered an interpretation of habitat adaptation.Furthermore,this study innovatively provided fundamental research on the selection of macroalgal traits and explored competitive strategies for the dominant survival of macroalgae from a new perspective.

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.

Three-dimensional analysis of age and sex differences in femoral head asphericity in asymptomatic hips in the United States

BACKGROUND The sphericity of the femoral head is a metric used to evaluate hip pathologies and is associated with the development of osteoarthritis and femoral-acetabular impingement.AIM To analyze the three-dimensional asphericity of the femoral head of asymptomatic pediatric hips.We hypothesized that femoral head asphericity will vary significantly between male and female pediatric hips and increase with age in both sexes.METHODS Computed tomography scans were obtained on 158 children and adolescents from a single institution in the United States(8-18 years;50%male)without hip pain.Proximal femoral measurements including the femoral head diameter,femoral head volume,residual volume,asphericity index,and local diameter difference were used to evaluate femoral head sphericity.RESULTS In both sexes,the residual volume increased by age(P<0.05).Despite significantly smaller femoral head size in older ages(>13 years)in females,there were no sex-differences in residual volume and aspherity index.There were no age-related changes in mean diameter difference in both sexes(P=0.07)with no significant sex-differences across different age groups(P=0.06).In contrast,there were significant increases in local aspherity(maximum diameter difference)across whole surface of the femoral head and all quadrants except the inferior regions in males(P=0.03).There were no sex-differences in maximum diameter difference at any regions and age group(P>0.05).Increased alpha angle was only correlated to increased mean diameter difference across overall surface of the femoral head(P=0.024).CONCLUSION There is a substantial localized asphericity in asymptomatic hips which increases with age in.While 2D measured alpha angle can capture overall asphericity of the femoral head,it may not be sensitive enough to represent regional asphericity patterns.

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.

Sex differences in the association between the muscle quality index and the incidence of depression: A cross-sectional study

BACKGROUND Depression presents significant challenges to mental health care.Although phy-sical activity is highly beneficial to mental and physical health,relatively few stu-dies have conducted on the relationship between them.AIM To investigate the association between muscle quality index(MQI)and incidence of depression.METHODS The data used in this cross-sectional study were obtained from the 2011-2014 National Health and Nutritional Examination Survey,which included informa-tion on MQI,depression,and confounding factors.Multivariable logistic regre-ssion models were employed,while taking into account the complex multi-stage sampling design.A restricted cubic spline model was utilized to investigate the non-linear relationship between the MQI and depression.Additionally,subgroup analyses were performed to identify influential factors.RESULTS The prevalence of depression in this population was 8.44%.With the adjusted model,the MQI was associated with depression in females(odds ratio=0.68,95%confidence interval:0.49-0.95)but not in males(odds ratio=1.08,95%confidence interval:0.77-1.52).Restricted cubic spline adjustment of all covariates showed a significant negative non-linear relationship between depression and the MQI in females.The observed trend indicated an 80%decrease in the risk of depression for each unit increase in MQI,until a value of 2.2.Subsequently,when the MQI exceeded 2.2,the prevalence of depression increased by 20%for every unit increase in the MQI.Subgroup analyses further confirmed that the MQI was negatively associated with de-pression.CONCLUSION The MQI was inversely correlated with depression in females but not males,suggesting that females with a higher MQI might decrease the risk of depression.

Analyzing the Differences in the Concepts of Love Between Korean and American Women Using the Female Characters in Kim Ji-young,Born in 1982 and The Sun Also Rises as Examples

This paper scrutinizes the differences in the conceptualization of love between Korean and American women.Grounded in an analysis of literary figures,Brett and Kim Ji-young,the study unravels the intricate interplay of cultural,historical,and societal forces shaping these perspectives.The contrasting landscapes of the United States,driven by ideals of freedom and individualism,and Korea,entrenched in Confucian values and collectivism,serve as crucibles for forming women’s roles,self-perception,and societal expectations.The examination extends to communication styles,illuminating the directness of American expression versus Korea’s reliance on formalism.Through this exploration,the paper illustrates the profound impact of cultural contexts on the intricate tapestry of love,offering a nuanced understanding of divergent viewpoints within a global context.

The Impact of Urban and Rural Education Gap on Student Achievement Differences

With our country’s social development,the gap between urban and rural education has become increasingly obvious,especially the difference in student achievement.This study aims to explore the impact of the urban-rural education gap on student achievement.The study adopts a quantitative analysis method to collect and analyze the academic performance,learning resources,and social resources of urban and rural students.The results show that the unbalanced distribution of educational resources in urban and rural areas is the key factor leading to the gap in students’achievement.For example,urban education resources are abundant while rural education resources are relatively scarce.At the same time,the difference in social environment and family economic status also have a significant impact on student achievement.The differences between urban and rural areas,particularly in terms of family economic conditions and their ability to invest in education,further widen the gap between urban and rural education.The results of this study can provide a reference for reducing the gap between urban and rural education and improving the academic performance of rural students.A fair education policy is essential to narrow the gap between urban and rural education resources distribution,so as to improve the equality of education in society.

Comparative Analysis of Differences among Northern,Jiangnan,and Lingnan Classical Private Gardens Using Principal Component Cluster Method

This paper investigates the design essence of Chinese classical private gardens,integrating their design elements and fundamental principles.It systematically analyzes the unique characteristics and differences among classical private gardens in the Northern,Jiangnan,and Lingnan regions.The study examines nine classical private gardens from Northern China,Jiangnan,and Lingnan by utilizing the advanced tool of principal component cluster analysis.Based on literature analysis and field research,273 variables were selected for principal component analysis,from which four components with higher contribution rates were chosen for further study.Subsequently,we employed clustering analysis techniques to compare the differences among the three types of gardens.The results reveal that the first principal component effectively highlights the differences between Jiangnan and Lingnan private gardens.The second principal component serves as the key to defining the types of Northern private gardens and distinguishing them from the other two types,and the third principal component indicates that Lingnan private gardens can be categorized into two distinct types as well.

Pore structure differences of the extra-low permeability sandstone reservoirs and the causes of low resistivity oil layers: A case study of Block Yanwumao in the middle of Ordos Basin, NW China

The influence of pore structure difference on rock electrical characteristics of reservoir and oil reservoir was analyzed taking Triassic Chang 6 reservoir in Block Yanwumao in the middle of Ordos Basin as an example. The relationship between the pore structure difference and the low resistivity oil layer was revealed and demonstrated through core observation, lab experiments, geological research, well log interpretation and trial production etc. The results show that there were two kinds of oil layers in Chang 6 oil layer set, normal oil layer and low resistivity oil layer in the region, corresponding to two types of pore structures, pore type mono-medium and micro-fracture-pore type double-medium; the development of micro-fracture changed greatly the micro-pore structure of the reservoir, and the pore structure difference had an important influence on the rock electrical characteristics of the extra-low permeability sandstone reservoir and oil reservoir; the normal oil layers had obvious characteristics of pore-type mono-medium, and were concentrated in Chang 61, Chang 6232 and Chang 62; the low resistivity oil layers had obvious characteristics of micro-fracture-pore type double-medium, which were mainly distributed in Chang 612 and Chang 63. The mud filtrate penetrated deep into the oil layers along the micro-cracks, leading to sharp reduction of resistivity, and thus low resistivity of the oil layer; the low resistivity oil layers had better storage capacity and higher productivity than the normal oil layers.

Intraseasonal variability of the surface zonal current in the equatorial Indian Ocean:Seasonal differences and causes

Using observations and numerical simulations,this study examines the intraseasonal variability of the surface zonal current(u ISV)over the equatorial Indian Ocean,highlighting the seasonal and spatial differences,and the causes of the differences.Large-amplitude u ISV occurs in the eastern basin at around 80°–90°E and near the western boundary at 45°–55°E.In the eastern basin,the u ISV is mainly caused by the atmospheric intraseasonal oscillations(ISOs),which explains 91%of the standard deviation of the total u ISV.Further analysis suggests that it takes less than ten days for the intraseasonal zonal wind stress to generate the u ISV through the directly forced Kelvin and Rossby waves.Driven by the stronger zonal wind stress associated with the Indian summer monsoon ISO(MISO),the eastern u ISV in boreal summer(May to October)is about 1.5 times larger than that in boreal winter(November to April).In the western basin,both the atmospheric ISOs and the oceanic internal instabilities contribute substantially to the u ISV,and induce stronger u ISV in boreal summer.Energy budget analysis suggests that the mean flow converts energy to the intraseasonal current mainly through barotropic instabilities.

The Causes of Individual Differences in Autism Spectrum Disorder

Autism spectrum disorder(ASD)is characterized by various symptoms including impaired social interactions,unusually repetitive behaviors,and highly restricted interests etc.People with ASD differ significantly on their clinical profiles and the causes of such individual difierences are not yet folly understood.The present paper provides an overview of the causes of individual differences in ASD from three different perspectives:genetic,environmental,and neurobiological perspectives.The present paper also describes one study design in detail within each perspective(i.e.,classical twin design,epidemiological case-control design,and magnetic resonance imaging),and explains how each study design is informative about the causes of ASD.

A Contrastive Analysis of Chinese and Japanese Homographs and a Study on the Causes of Differences

Since ancient times,China and Japan have had a close relationship in cultural exchanges,and there are words borrowed and influenced by each other in terms of words.Therefore,there are a large number of words in the languages of China and Japan that are identical or similar in appearance,but differ in meaning or usage.As Learners of Japanese,it is necessary for us to make a comparative study of homomorphic words.This paper tries to analyze and discuss the characteristics and causes of homomorphic words based on the classification of homomorphic words from the perspective of lexicology.

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.

Analysis of the Causes of Continuous Cropping Obstacles for Atractylodes macrocephala Koidz in Pingjiang County and Its Control Methods

First at all, it introduced the concept and the damages of continuous cropping obstacle. Then, it analyzed the causes of continuous cropping obstacles for Atractylodes macrocephala Koidz. In the end, in order to provide guidance for pro- moting sustainable development of Atractylodes macrocephala Koidz industry in Pingjiang County, it put forward some control methods for eliminating continuous cropping obstacles of Atractylodes macrocephala Koidz, including breeding varieties with high resistance; applying rotation cropping and intercropping reasonable; rational fertilization and soil disinfection; introducing antagonistic bacterial and eliminating au- tointoxication.

Similarities and Differences of Chinese Translation Theories And Western Translation Theories

Translation theories are based on the different languages and cultures.The difference is not clearly defined,so there is a place of mutual integration that can be used interchangeably.Theyall regard author’s meaning and style as a core to translate a good product.Comparatively,Chinese theories focus on expressing the general meaning of the author,but Western theory emphasizes equivalence of details on translation and response of reader.In the translation practice,according to different theoretical texts and different stages of the translation process,the Chinese and Western translation theories are combined to apply them for making up for each other's deficiencies,which can help our translators to solve the problems in the process of translation improve the construction of Chinese theories.

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.

Differences of the Silencing Effect at Cellular Level and Individual Level

[Objective]The aim was to compare the silencing effect of three vectors containing shRNA quartet of different lengths at cellular level and individual level.[Method]To silence EGFP gene,three shRNA quartets of 21,27 and 29 bp composed of hU6,mU6,h7SK and hH1 promoters were constructed and then cloned into silencing vectors.After the vectors were transfected into Vero cells or injected into mouse muscle,real-time fluorescence quantitative PCR was conducted to detect the mRNA level of EGFP gene.[Result]All the three vectors showed better silencing effect;in which,the silencing effect at the cellular level was far higher than that at individual level.[Conclusion]Multi-site tandem expression shRNA may show better silencing effect;intramuscular injection maybe a transgenic method for baby mouse.

Statistical and causes analysis of storm surges along Tianjin coast during the past 20 years

Based on tidal data statistical analysis for 20 years of Tanggu Marine Environmental Monitoring Station from 1991 to 2010, we concluded that an average of nearly 10 days of 100 cm above water increase took place at Tianjin coast every year. The maximum high tide and average tide of Tianjin coast occurred in summer and autumn, and the maximum water increase also occurred in summer and autumn. Days with water increase more than 100 cm mostly occurred in spring, autumn and winter. Then we summarized the causes of coastal storm surge disaster in Tianjin based on astronomical tide factors, meteorological factors, sea level rise, land subsidence, and geographic factors, et al. Finally, we proposed storm surge disaster prevention measures.

The Study for the Causes of Pragmatic Failure

This paper,based on the questionnaire,deduces the causes of pragmatic failure which are summarized into four:The different value orientation between the two cultures,consisting individualism versus collectivism,power distance,connotation versus denotation,and orientation towards time,negative transfer of equivalent structures and behaviors,insufficient or improper teaching and the scarcity of universal knowledge for communication.