BACKGROUND Utilizing the large jumbo cup in revision total hip arthroplasty is an effective approach to cure many lacunar and segmental peripheral bone defects.However,with the use of the jumbo cup,the center of the h...BACKGROUND Utilizing the large jumbo cup in revision total hip arthroplasty is an effective approach to cure many lacunar and segmental peripheral bone defects.However,with the use of the jumbo cup,the center of the hip joint may become elevated relative to the primary acetabulum,and the diameter of the large cup is greater.AIM To study the height and the significance of the elevation of the hip joint center.METHODS Eighty-eight patients matched the criteria for this condition and were included in the study.The center height of the hip joint was measured relative to the opposite normal hip joint.The diameter of the jumbo cup was measured and checked according to operation notes,and the diameter of the jumbo cup was measured with a prosthesis label.Then,the horizontal and vertical centers of rotation were measured on the surgical side and opposite side.The average center height of the hip joint on the renovated side and the opposite side and the position of the hip cup relative to the teardrop were compared using a paired t-test.RESULTS Radiometric analysis showed that the average hip joint center was elevated by 7.6 mm.The rotational center height delta of the renovated hip was 7.6±5.6 mm,and there was an obvious difference between the two groups(P=0.00).The difference in horizontal distance was 0.5±5.1 mm(-11.5-14.0 mm),and there was no obvious difference between the two groups(P=0.38).According to the foreign standard,the rotational center height delta of the renovated hip was 7.5±6.2 mm,and there was a significant difference between the two groups(P=0.00).There was no obvious difference between the domestic and foreign standards(P>0.05)between the two groups.CONCLUSION The application of the jumbo cup elevates the rotational center of the hip joint,but it is feasible and effective to use the jumbo cup.展开更多
This paper has been done on study kinematic problem of Persian joint in a general way. In this study, instead of using simulation analysis method as in the previous researches, the 3D rotation matrix method is applied...This paper has been done on study kinematic problem of Persian joint in a general way. In this study, instead of using simulation analysis method as in the previous researches, the 3D rotation matrix method is applied to present the relationship of angular velocities of input shaft and output shaft. The result shows that when the angle between intersecting shafts changes from 0 to 135°, the angular velocity is maintained constant. This new result completely matches with analysis from kinematic simulation of this mechanism. The obtained result is an important base to solve dynamic problem in order to develop the applicability of this joint in reality.展开更多
BACKGROUND The rotator cuff is located below the acromion and deltoid muscles and comprises multiple tendons that wrap around the humeral head,maintaining shoulder joint stability.AIM To explore the effect of electroa...BACKGROUND The rotator cuff is located below the acromion and deltoid muscles and comprises multiple tendons that wrap around the humeral head,maintaining shoulder joint stability.AIM To explore the effect of electroacupuncture combined with rehabilitation techniques on shoulder function in patients with rotator cuff injuries.METHODS We selected 97 patients with rotator cuff injuries treated in the People's Hospital of Yuhuan from February 2020 to May 2023.Patients were grouped using the envelope method.RESULTS After treatment,the study group’s treatment effective rate was 94.90%(46/49 patients),significantly higher than that in the control group(79.17%,38/48 cases;P<0.05).Before treatment,there was no difference in Constant Murley Score(CMS)scores,shoulder mobility,or 36-Item Short Form Health Survey(SF-36)scale scores(P>0.05).Compared with those before treatment,the CMS scores(including pain,daily living ability,shoulder mobility,and muscle strength),all aspects of shoulder mobility(forward flexion,posterior extension,external rotation,internal rotation),and SF-36 scale scores(including physiological,psychological,emotional,physical,vitality,and health status)were higher in both groups after treatment and significantly higher in the study group(P<0.05).There was no difference in the occurrence of complications between the two treatment groups(P>0.05).CONCLUSION Electroacupuncture combined with rehabilitation techniques has a good treatment effect on patients with rotator cuff injuries,helps accelerate the recovery of shoulder function,improves the quality of life,and is highly safe.展开更多
Analytical models used to describe behaviour of steel frame loadbearing structures in fully developed fire usually do not allow for reduced joint stiffness due to increased member temperature. Joints previously design...Analytical models used to describe behaviour of steel frame loadbearing structures in fully developed fire usually do not allow for reduced joint stiffness due to increased member temperature. Joints previously designed as nominally rigid tend to become flexible in fire situation, with degree of flexibility increasing during fire development. Reliable analysis of this phenomenon and its influence on the redistribution of internal forces result in the need for developing appropriate characteristics, describing relationship between bending moment applied to the joint and joint rotation. Characteristics of such type, specified for fire conditions, depend on steel temperature, in the current work, the authors propose a practical approach to develop such characteristics, based on the knowledge of analogous characteristic prepared for persistent design situation. The developed technique does not require to generalize the classical component method to the case of fire, which may be difficult in practical situations. The proposed computational algorithm has been tested on an example of a typical beam-to-column joint.展开更多
Based on the ERA5 reanalysis datasets during 1980-2019,a total of eleven zonal shear lines(ZSLs)that caused heavy precipitation and lasted more than 60 hours over the Tibetan Plateau in summer are selected for composi...Based on the ERA5 reanalysis datasets during 1980-2019,a total of eleven zonal shear lines(ZSLs)that caused heavy precipitation and lasted more than 60 hours over the Tibetan Plateau in summer are selected for composite analysis.By decomposing the kinetic energy(K)near the ZSL into divergent and rotational kinetic energies(K_(D)and K_(R))and the kinetic energy of interaction between the divergent wind and the rotational wind(K_(R)D),the influence of the rotational and divergent winds on the evolution of the ZSL intensity is investigated from the perspective of K_(D)and K_(R).The main results are as follows.The ZSL is a comprehensive reflection of rotation and convergence.The intensity evolution of ZSL is essentially synchronized with those of K,K_(R),and K_(RD)but lags behind K_(D)by about three hours.The enhancement of K is mainly contributed by K_(R),which is governed by the conversion from K_(D)to K_(R).Furthermore,the increase in the conversion from K_(D)to K_(R)is controlled by the geostrophic effect term Af,which is determined by the joint enhancement of the zonal rotational and meridional divergent wind components(u_(R)and v_(D)).Therefore,the joint enhancement of u_(R)and v_(D)controls the increase of the ZSL intensity,leading to increased precipitation.展开更多
目的探讨糖尿病对关节镜下肩袖修复术后病人肩关节功能恢复的影响。方法回顾性分析我科自2019年5月至2022年5月接受关节镜下肩袖修复术的62例肩袖损伤病人的临床资料和随访结果,其中糖尿病组30例,男18例,女12例,年龄为(62.10±11.87...目的探讨糖尿病对关节镜下肩袖修复术后病人肩关节功能恢复的影响。方法回顾性分析我科自2019年5月至2022年5月接受关节镜下肩袖修复术的62例肩袖损伤病人的临床资料和随访结果,其中糖尿病组30例,男18例,女12例,年龄为(62.10±11.87)岁;对照组32例,男18例,女14例,年龄为(63.78±12.98)岁。手术方式均为关节镜下缝线桥技术缝合肩袖。分别记录两组病人术前1周、术后3个月、6个月和12个月各时间点肩关节最大外展角度值,以及肩关节功能评分,包括疼痛视觉模拟量表(visual analogue scale,VAS)评分、美国肩肘外科协会(American Shoulder Elbow Surgeon,ASES)评分、加州大学洛杉矶分校(University of California at Los Angeles,UCLA)肩关节评分以及Constant⁃Murley评分。据此对手术效果进行评估。结果62例病人均未出现伤口感染、术后僵硬、术后再撕裂等并发症。两组病人的肩关节最大外展角度值、VAS评分、ASES评分、UCLA评分以及Constant⁃Murley评分均在术后3个月、6个月和1年得到显著改善(P<0.05)。糖尿病组的肩关节最大外展角度值及各肩关节功能评分在术前1周、术后3个月及6个月时均劣于对照组(P<0.05),但在术后12个月时,糖尿病组与对照组比较,差异无统计学意义(P>0.05)。结论糖尿病对关节镜下肩袖修复术后的病人短期恢复会存在影响,但长期临床结果没有显著差异。围手术期血糖控制良好的糖尿病病人在关节镜下肩袖修复术后表现出与非糖尿病病人相当的临床和结构恢复。展开更多
文摘BACKGROUND Utilizing the large jumbo cup in revision total hip arthroplasty is an effective approach to cure many lacunar and segmental peripheral bone defects.However,with the use of the jumbo cup,the center of the hip joint may become elevated relative to the primary acetabulum,and the diameter of the large cup is greater.AIM To study the height and the significance of the elevation of the hip joint center.METHODS Eighty-eight patients matched the criteria for this condition and were included in the study.The center height of the hip joint was measured relative to the opposite normal hip joint.The diameter of the jumbo cup was measured and checked according to operation notes,and the diameter of the jumbo cup was measured with a prosthesis label.Then,the horizontal and vertical centers of rotation were measured on the surgical side and opposite side.The average center height of the hip joint on the renovated side and the opposite side and the position of the hip cup relative to the teardrop were compared using a paired t-test.RESULTS Radiometric analysis showed that the average hip joint center was elevated by 7.6 mm.The rotational center height delta of the renovated hip was 7.6±5.6 mm,and there was an obvious difference between the two groups(P=0.00).The difference in horizontal distance was 0.5±5.1 mm(-11.5-14.0 mm),and there was no obvious difference between the two groups(P=0.38).According to the foreign standard,the rotational center height delta of the renovated hip was 7.5±6.2 mm,and there was a significant difference between the two groups(P=0.00).There was no obvious difference between the domestic and foreign standards(P>0.05)between the two groups.CONCLUSION The application of the jumbo cup elevates the rotational center of the hip joint,but it is feasible and effective to use the jumbo cup.
文摘This paper has been done on study kinematic problem of Persian joint in a general way. In this study, instead of using simulation analysis method as in the previous researches, the 3D rotation matrix method is applied to present the relationship of angular velocities of input shaft and output shaft. The result shows that when the angle between intersecting shafts changes from 0 to 135°, the angular velocity is maintained constant. This new result completely matches with analysis from kinematic simulation of this mechanism. The obtained result is an important base to solve dynamic problem in order to develop the applicability of this joint in reality.
文摘BACKGROUND The rotator cuff is located below the acromion and deltoid muscles and comprises multiple tendons that wrap around the humeral head,maintaining shoulder joint stability.AIM To explore the effect of electroacupuncture combined with rehabilitation techniques on shoulder function in patients with rotator cuff injuries.METHODS We selected 97 patients with rotator cuff injuries treated in the People's Hospital of Yuhuan from February 2020 to May 2023.Patients were grouped using the envelope method.RESULTS After treatment,the study group’s treatment effective rate was 94.90%(46/49 patients),significantly higher than that in the control group(79.17%,38/48 cases;P<0.05).Before treatment,there was no difference in Constant Murley Score(CMS)scores,shoulder mobility,or 36-Item Short Form Health Survey(SF-36)scale scores(P>0.05).Compared with those before treatment,the CMS scores(including pain,daily living ability,shoulder mobility,and muscle strength),all aspects of shoulder mobility(forward flexion,posterior extension,external rotation,internal rotation),and SF-36 scale scores(including physiological,psychological,emotional,physical,vitality,and health status)were higher in both groups after treatment and significantly higher in the study group(P<0.05).There was no difference in the occurrence of complications between the two treatment groups(P>0.05).CONCLUSION Electroacupuncture combined with rehabilitation techniques has a good treatment effect on patients with rotator cuff injuries,helps accelerate the recovery of shoulder function,improves the quality of life,and is highly safe.
文摘Analytical models used to describe behaviour of steel frame loadbearing structures in fully developed fire usually do not allow for reduced joint stiffness due to increased member temperature. Joints previously designed as nominally rigid tend to become flexible in fire situation, with degree of flexibility increasing during fire development. Reliable analysis of this phenomenon and its influence on the redistribution of internal forces result in the need for developing appropriate characteristics, describing relationship between bending moment applied to the joint and joint rotation. Characteristics of such type, specified for fire conditions, depend on steel temperature, in the current work, the authors propose a practical approach to develop such characteristics, based on the knowledge of analogous characteristic prepared for persistent design situation. The developed technique does not require to generalize the classical component method to the case of fire, which may be difficult in practical situations. The proposed computational algorithm has been tested on an example of a typical beam-to-column joint.
基金the Key Program of the National Science Foundation of China(Grant No.42030611)the Second Tibetan Plateau Scientific Expedition and Research(STEP)program(Grant No.2019QZKK0105)+1 种基金the Integration Project of Major Research Program of the National Natural Science Foundation of China(Grant No.91937301)the General Program of the National Science Foundation of China(Grant No.42175008).
文摘Based on the ERA5 reanalysis datasets during 1980-2019,a total of eleven zonal shear lines(ZSLs)that caused heavy precipitation and lasted more than 60 hours over the Tibetan Plateau in summer are selected for composite analysis.By decomposing the kinetic energy(K)near the ZSL into divergent and rotational kinetic energies(K_(D)and K_(R))and the kinetic energy of interaction between the divergent wind and the rotational wind(K_(R)D),the influence of the rotational and divergent winds on the evolution of the ZSL intensity is investigated from the perspective of K_(D)and K_(R).The main results are as follows.The ZSL is a comprehensive reflection of rotation and convergence.The intensity evolution of ZSL is essentially synchronized with those of K,K_(R),and K_(RD)but lags behind K_(D)by about three hours.The enhancement of K is mainly contributed by K_(R),which is governed by the conversion from K_(D)to K_(R).Furthermore,the increase in the conversion from K_(D)to K_(R)is controlled by the geostrophic effect term Af,which is determined by the joint enhancement of the zonal rotational and meridional divergent wind components(u_(R)and v_(D)).Therefore,the joint enhancement of u_(R)and v_(D)controls the increase of the ZSL intensity,leading to increased precipitation.
文摘目的探讨糖尿病对关节镜下肩袖修复术后病人肩关节功能恢复的影响。方法回顾性分析我科自2019年5月至2022年5月接受关节镜下肩袖修复术的62例肩袖损伤病人的临床资料和随访结果,其中糖尿病组30例,男18例,女12例,年龄为(62.10±11.87)岁;对照组32例,男18例,女14例,年龄为(63.78±12.98)岁。手术方式均为关节镜下缝线桥技术缝合肩袖。分别记录两组病人术前1周、术后3个月、6个月和12个月各时间点肩关节最大外展角度值,以及肩关节功能评分,包括疼痛视觉模拟量表(visual analogue scale,VAS)评分、美国肩肘外科协会(American Shoulder Elbow Surgeon,ASES)评分、加州大学洛杉矶分校(University of California at Los Angeles,UCLA)肩关节评分以及Constant⁃Murley评分。据此对手术效果进行评估。结果62例病人均未出现伤口感染、术后僵硬、术后再撕裂等并发症。两组病人的肩关节最大外展角度值、VAS评分、ASES评分、UCLA评分以及Constant⁃Murley评分均在术后3个月、6个月和1年得到显著改善(P<0.05)。糖尿病组的肩关节最大外展角度值及各肩关节功能评分在术前1周、术后3个月及6个月时均劣于对照组(P<0.05),但在术后12个月时,糖尿病组与对照组比较,差异无统计学意义(P>0.05)。结论糖尿病对关节镜下肩袖修复术后的病人短期恢复会存在影响,但长期临床结果没有显著差异。围手术期血糖控制良好的糖尿病病人在关节镜下肩袖修复术后表现出与非糖尿病病人相当的临床和结构恢复。
