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《论学绳尺》与宋代时文“股”体概念——兼论古文与其关联 被引量:1
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作者 张祝平 《斯文》 2019年第1期66-89,共24页
北宋熙宁以还,科试经义逐渐形成"平分两脚,意要偶,语要齐,有似破义"的两脚偶句破题并且分两方面展开论证的"脚体时文"。熙宁九年进士浙江人吴行可将经义"脚"之概念转引至论体文中解读作法。福建福清人政... 北宋熙宁以还,科试经义逐渐形成"平分两脚,意要偶,语要齐,有似破义"的两脚偶句破题并且分两方面展开论证的"脚体时文"。熙宁九年进士浙江人吴行可将经义"脚"之概念转引至论体文中解读作法。福建福清人政和五年特奏名的林图南在其《论作文法》中引述吴行可的论体文及其论文之论。他们主张含"脚体"论证的论体文总体上是散文。南宋朱熹总结揭示了科试经义两脚偶句破题的"脚体时文"的体式,并主张弘扬散体经义之文。晚宋福建人魏天应、林子长《论学绳尺》不仅将林图南的《论作文法》《论有八体》列入,而且在笺注科试论体文时又引入"股""脚"概念解读文章作法。从《论学绳尺》所举南宋为主的科试论体文例证,以及林子长的笺疏评议"股""脚"论证特点中,显而易见北宋大观以还倡导"以古文为时文"的官私学主流意识,对以"股体"论证的论体文的影响。 展开更多
关键词 《论学绳尺》 宋代 时文 古文 “股”体
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Practice Mode and Value Research of Reform of Rural Collective Economy Property Right System in Beijing Rural-urban Continuum
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作者 方嘉雯 《Agricultural Science & Technology》 CAS 2014年第6期1058-1064,共7页
In the research, reform of rural collective economy property right system in Beijing rural-urban continuum was explored in terms of background, cause, pro- cess and practice modes by surveying and interviewing, and th... In the research, reform of rural collective economy property right system in Beijing rural-urban continuum was explored in terms of background, cause, pro- cess and practice modes by surveying and interviewing, and the value of system reform on urbanization in rural areas was illustrated from the perspective of farmers who lose lands. The results showed that since reform and opening-up, disadvan- tages of collective economy property are always the fundamental cause of reform; rural-urban contradiction produced from rapid urbanization makes the reform much more urgent; shareholding co-operative system is the essence of reform of collective economy property right system. Rural collective economy property right system in Beijing includes stock-assets quantification shareholding co-operative system, share- capitalization of contractual land management right, farmers as shareholders by investment, and resource and capital mode, with advantages and disadvantages respectively. The common character should be noticed is that all modes have share on contractual right of land, indicating the core of the reform of property system lies in asset quantification and stock quota. In improving urban-rural integration and modern market system, as well as endowing more rights to farmers, reform of rural collective economy property right system is of great significance, which provides a transition space and buffer mechanism for urbanization in rural areas. 展开更多
关键词 Rural collective economy property right system Shareholding co-opera-tive system Land rights and interests Buffer mechanism
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Nonlinear observer-based optimal control of an active transfemoral prosthesis 被引量:1
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作者 Anna BAVARSAD Ahmad FAKHARIAN Mohammad Bagher MENHAJ 《Journal of Central South University》 SCIE EI CAS CSCD 2021年第1期140-152,共13页
This paper designs a joint controller/observer framework using a state dependent Riccati equation(SDRE)approach for an active transfemoral prosthesis system.An integral state control technique is utilized to design a ... This paper designs a joint controller/observer framework using a state dependent Riccati equation(SDRE)approach for an active transfemoral prosthesis system.An integral state control technique is utilized to design a tracking controller for a robot/prosthesis system.This framework promises a systematic flexible design using which multiple design specifications such as robustness,state estimation,and control optimality are achieved without the need for model linearization.Performance of the proposed approach is demonstrated through simulation studies,which show improvements versus a robust adaptive impedance controller and an extended Kalman filter-based state estimation method.Numerical results confirm the benefits of our method over the above-mentioned approaches with regard to control optimality and state estimation. 展开更多
关键词 state dependent Riccati equation OBSERVER integral state control tracking active transfemoral prosthesis
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Synthesis,Structure and Properties of a Novel Infinite Triple Helices Coordination Polymer{[Co(4,4'-bipyridine)(4,4'azobispyridine)_(2)(NCS)_(2)]·H_(2)O}_(n) 被引量:5
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作者 LI Bao—Long LI Bao—Zong +1 位作者 XU Zhenga CHEN Jiu—Tong 《无机化学学报》 SCIE CAS CSCD 北大核心 2003年第7期745-749,共5页
The novel complex{[Co(bipy)(azpy)_(2)(NCS)_(2)]·H_(2)O}n(where bipy=4,4′bipyridine,azpy=4,4′azobisp yridine)has been synthesized and characterized by elemental analyses,IR,UV,thermal analyses,and variable tempe... The novel complex{[Co(bipy)(azpy)_(2)(NCS)_(2)]·H_(2)O}n(where bipy=4,4′bipyridine,azpy=4,4′azobisp yridine)has been synthesized and characterized by elemental analyses,IR,UV,thermal analyses,and variable temperature magnetic susceptibility.The crystal(C_(32)H_(26)CoN_(12)OS_(2),Mr=717.70)belongs to the orthorhombic,space group Pnna,a=2.21312(16)nm,b=1.40403(10)nm,c=1.14237(8)nm,V=3.5497(4)nm^(3),Z=4,Dc=1.343g·cm^(-3),μ=0.645mm^(-1),F(000)=1476,and final R_(1)=0.0691,wR_(2)=0.1129 for 231 parameters and 1674 observed reflections[I>2.00σ(I)].The Co(Ⅱ)atom is,in a distorted octahedral geometry,coordinated by six nitrogen atoms from two bridging bipy,two monodentate azpy,and two thiocyanate groups.The bridging ligand bipy links Co(Ⅱ)atoms to form the infinite“rod"with terminal coordination azpy ligand acting as sidearms.Unprecedented three parallel interpenetrating two dimensional(4,4)networks and novel infinite triple helices are formed via hydrogen bonding interactions.CCDC:155588. 展开更多
关键词 crystal structure triple helices cobalt complex BIPYRIDINE hydrogen bonding
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Analysis on auditing problems in SOEs joint share system reform
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作者 ZHANG Xian-zhi JIANG Mei-hua 《Journal of Modern Accounting and Auditing》 2007年第4期53-59,共7页
At the present stage of the SOEs joint share system reform, the problem of distorted accounting information, the failed financial audit and the ensuing erosion of the state: Owned assets, have severely impeded the pr... At the present stage of the SOEs joint share system reform, the problem of distorted accounting information, the failed financial audit and the ensuing erosion of the state: Owned assets, have severely impeded the process of the SOEs reform. This paper conducts an in-depth analysis on auditing problems in the process of the SOEs reform from managerial points of view, makes the suggestion that we should introduce governmental audit into the auditing supervision of the SOEs reform, and discusses its methods, approaches, contents and procedures in detail. This paper also indicates the possible obstacles of implementing this suggestion. 展开更多
关键词 the SOEs joint share system reform governmental audit financial audit
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Stress Transfer Modeling at the Interface of Cemented Prosthesis and Femur
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作者 YU Xue-zhong GUO Yi-mu +2 位作者 ZHANG Yun-qiu LI Jun HE Rong-xing 《Chinese Journal of Biomedical Engineering(English Edition)》 2008年第2期61-70,共10页
Objective:To model the stress transfer at the interface of the cemented prosthesis and femur, an axisymmetric model of the interfacial stress transfer was established. Methods : Assuming that the prosthesis, the cem... Objective:To model the stress transfer at the interface of the cemented prosthesis and femur, an axisymmetric model of the interfacial stress transfer was established. Methods : Assuming that the prosthesis, the cement and the femur were concentric cylinders with linear elastic and isotropic properties, distributions of the axial stresses in the prosthesis, the cement and the femur as well as the interfacial shear stresses at the prosthesis/cement interface and the cement/femur interface in the axial direction were obtained from the established axisymmetric stress transfer model. Results : Interfacial failure was the main form for the prosthesis/cement/femur structure under external loads. Considering the residual thermal stresses, it was more likely to produce the mixed failure form than the pure shear failure form. Since the cement had a relatively high thermal expansion coefficient, the thermal effect accelerated the interface failure and thus aggravated the stress shielding effect. Due to a relatively high thermal residual temperature difference, the interfacial debonding and femur failure was more likely to occur for the cobalt-chromium alloy prosthesis material than the Ti-6A1-4V alloy prosthesis material. Conclusion: Assuming that the prosthesis, the cement and the femur are concentric cylinders with linear elastic and isotropic properties, distributions of the axial stresses in the prosthesis, the cement and the femur as well as the interfacial shear stresses at the prosthesis/cement interface and the cement/femur interface in the axial direction was obtained using the basic equations of axisymmetric elastic mechanics when the prosthesis bears the compressive stresses. Interface failure is the main failure form for the prosthesis/cement/femur structure under external loads. The thermal effects accelerate the failure of the prosthesis/cement interface and the cement/femur interface and the relaxation of the prosthesis, and then aggravates the stress shielding effect of the femur. Also, the thermal effects decrease the efficiencies of the interfacial stress transfer to some extent since it alleviates the failure of the interface and the femur, which was confirmed by the clinical results. 展开更多
关键词 FEMUR cemented prosthesis interfacial stress analysis
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Financial Integration Among the ASEAN 5 + 3 Stock Markets: A Preliminary Look at the First 10 Years of the New Millenium
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作者 Leila C. Kabigting Rene B. Hapitan 《Chinese Business Review》 2013年第5期305-314,共10页
The purpose of this study is to investigate the financial integration of the stock markets of the ASEAN 5 + 3 countries. These countries include Indonesia, Malaysia, Philippines, Singapore, Thailand, China, Japan, an... The purpose of this study is to investigate the financial integration of the stock markets of the ASEAN 5 + 3 countries. These countries include Indonesia, Malaysia, Philippines, Singapore, Thailand, China, Japan, and South Korea. The research determined the stock return volatility for each country's index during the first decade of the new millennium. The findings showed that there is the presence of integration and co-integration with Philippine index's return with the index's returns of the following countries: Indonesia, Singapore, and Thailand. Furthermore, there is evidence of volatility clustering in these stock markets. The study concluded with the policy implications of greater integration in light of the planned cross trading among four ASEAN bourses, namely, Philippines, Singapore, Thailand, and Malaysia by 2012. 展开更多
关键词 ASEAN 5 3 financial integration stock markets stock return volatility global financial crisis cross border ownership
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Shares Differences of Greenhouse Gas Emissions Calculated with GTP and GWP for Major Countries
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作者 WANG Chang-Ke LUO Xin-Zheng ZHANG Hua 《Advances in Climate Change Research》 SCIE 2013年第2期127-132,共6页
The global warming potential (GWP) and global temperature potential (GTP) are two common metrics to calculate the CO2 equivalent of greenhouse gases (GHGs). If the country's GHG emissions are calculated with GTP i... The global warming potential (GWP) and global temperature potential (GTP) are two common metrics to calculate the CO2 equivalent of greenhouse gases (GHGs). If the country's GHG emissions are calculated with GTP instead of GWP, the shares of the EU, USA, Japan, Canada and South Africa rise in the period 1990-2005, and those of Brazil, Australia, China, India, Mexico and Russia decrease. From 2015 to 2030, the projected shares of the EU, USA, Japan and China will increase, but those of Russia, Canada, Australia, India, Mexico and Brazil will decrease. The reduced shares of Brazil and Australia and increased share of the EU might be one of the important reasons that Brazil and Australia suggested to adopt GTP instead of GWP as early as possible, but the EU opposed it. 展开更多
关键词 greenhouse gas global warming potential global temperature potential
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Financial System Design and Firm Investment in Malaysian Listed Firms
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作者 Masturah Ma'in Abdul Ghafar Ismail 《Journal of Modern Accounting and Auditing》 2011年第1期14-30,共17页
This paper investigates the impact of financial system design on investment. It is aimed to provide additional empirical evidence based on the original paper by Demirguc-Kunt and Maksimovic (2002). The firm-level da... This paper investigates the impact of financial system design on investment. It is aimed to provide additional empirical evidence based on the original paper by Demirguc-Kunt and Maksimovic (2002). The firm-level data of Malaysian companies between 2000 and 2007 are used. This paper also extends the previous literatures by using a panel data methodology, applying a random-effects estimator. The findings show that: First, the growth investment of firms are positively related to the development of the banking system but negatively related to the capital market. These firms substitute equity for debt associated with an increase in stock market activity (more long-term financing) and debt for equity in the presence of an increase in banking activity (less long-term financing). Second, the internal growth financing, short-term growth financing and long-term growth financing have shown a significant impact on growth investment by firms. It implies that these financing constraints are complements to the development of banking system and stock market activity. Therefore, well-developed stock markets facilitate long-term financing, whereas a well-developed banking sector facilitates short-term financing. It is recommended that policy makers stress more on banking system for short-term financing and capital market for long-term financing. 展开更多
关键词 financial system design external financing firm investment
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The Ecological Economic Model Based on Bounded Rational Agents
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作者 Jiang Jijiao 《Ecological Economy》 2005年第4期1-5,共5页
From the view of hominine bounded rationalities, this paper analyzes the important relationships between ecology and economics with behavioral finance. With a different focus, this paper adopts a new conceptualization... From the view of hominine bounded rationalities, this paper analyzes the important relationships between ecology and economics with behavioral finance. With a different focus, this paper adopts a new conceptualization of stock to show how this conceptualization leads to a new measure of the interaction between ecology and economics, based on bounded rational agents. The hierarchical structure of ecological economic system is described with a multi-agent sinmlation program. This paper also develops an ecological economic model, in which behavioral finance theories are applied to simulating the dynamics system. With the model this paper confirms, that macro-level indicalors of sustainability are predictably influenced by behaviors of bounded rational agents at the micro-level, We discuss the significance of these findings in order to better understand the ecological-economic system based on behavioral finance. 展开更多
关键词 ecological economy behavioral finanee MULTI-AGENT mental account
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Structural Reform Holds the Key to Reducing Social Financing Cost
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作者 温信祥 《China Economist》 2015年第6期56-64,共9页
In the last couple of years, social financing costs have shot up in China despite an overall capital abundance and increasing market-based capital allocation. This paper has investigated overall financial cost and cap... In the last couple of years, social financing costs have shot up in China despite an overall capital abundance and increasing market-based capital allocation. This paper has investigated overall financial cost and capital cost ratio as two measurements of financing cost, compared financing costs of different channels, examined the relationship of risk premium, financial repression, interest rate liberalization, and resource occupation versus financing cost, and addressed the problem of high non-manufacturing cost. On such a basis, specific countermeasures have been proposed. The main conclusion of this paper is: The current high social financing costs primarily result from economic structural imbalance. The fundamental solution lies in continuing structural reform and credibility system development to eliminate barriers in the transmission of capital circulation policies such as expanding equity financing, relaxing market access formalities for small and micro financial institutions, and improving the bankruptcy system to give full play to the "survival of the fittest" mechanism of the market. 展开更多
关键词 social financing cost structural imbalance private financing interest rateliberalization
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Case report: A 10 years follow-up of periprosthetic femoral fracture after total hip arthroplasty in osteopetrosis 被引量:3
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作者 Zhan-Feng Zhang Dan Wang +1 位作者 Li-Dong Wu Xue-Song Dai 《Chinese Journal of Traumatology》 CAS CSCD 2017年第3期173-176,共4页
Osteopetrosis is an inherited disorder characterized by increased bone density and brittle bone quality. Degenerative changes often occur after the age of 40 in patients with osteopetrosis. Operative inter- vention is... Osteopetrosis is an inherited disorder characterized by increased bone density and brittle bone quality. Degenerative changes often occur after the age of 40 in patients with osteopetrosis. Operative inter- vention is the primary treatment option if the clinical manifestation of secondary osteoarthritis is severe. A 44-year-old male suffering autosomal dominant osteopetrosis and progressive unilateral hip osteo- arthritis required a total hip arthroplasty. However, there were several technical challenges associated with this procedure including creating a femoral medullary canal and developing a Vancouver type B2 periprosthetic femoral fracture postoperatively. To afford some experience for the management of similar cases, we here present our technical solutions to these problems. 展开更多
关键词 OSTEOPETROSIS Arthroplasty replacement hip Periprosthetic femoral fractures
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Treatment of osteonecrosis of the femoral head by percutaneous decompression and autologous bone marrow mononuclear cell infusion 被引量:43
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作者 阎作勤 陈云苏 +5 位作者 李文俊 杨轶 霍建忠 陈峥嵘 史剑慧 葛均波 《Chinese Journal of Traumatology》 CAS 2006年第1期3-7,共5页
Objective: To evaluate the clinical efficacy and safety of the treatment of osteonecrosis of the femoral head by percutaneous decompression and autologous bone marrow mononuclear cell (BMCs) infusion. Methods: 44... Objective: To evaluate the clinical efficacy and safety of the treatment of osteonecrosis of the femoral head by percutaneous decompression and autologous bone marrow mononuclear cell (BMCs) infusion. Methods: 44 hips in 28 patients with avascular necrosis at early stage were treated by percutaneous multiple holes decompression followed by autologous BMCs infusion. Autologous BMCs were concentrated from bone marrow that was taken from the posterior iliac crest of the patient. Patients were followed up at least 2 years. The results were determined by the changes in the Harris hip score and the progression in the radiograghic stages. Results: No complications were observed after the operation. Before operation, there were stage Ⅰ of femoral head necrosis in 8 hips, stage Ⅱin 15 hips, stage Ⅲin 14 hips, stage Ⅳ in 7 hips, and the postoperative stages at the most recent follow-up were stage O in 1 hip, stage Ⅰ in 6 hips, stage Ⅱin 13 hips, stage Ⅲin 13 hips, stage Ⅳ in 7 hips, stage Ⅴ in 4 hips. The mean preoperative Harris hip score was 58 ( 46-89 ), and improved to 86 ( 70-94 ) postoperatively. All the femoral head collapsed preoperatively showed that the necrotic size was at least more than 30 %. Conclusions : Percutaneous multiple holes decompression combined with autologous BMCs is a new way to treat avascular necrosis of the femoral head. The earlier the stage, the better the result. A randomized prospective study needed to compare with routine core decompression in the future. 展开更多
关键词 OSTEONECROSIS Femur head Bone marrow
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Anatomic assessment of femoral tunnel by transtibial drilling technique in double-bundle anterior cruciate liga- ment reconstruction: an in vivo study 被引量:1
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作者 XU Hu ZHANG Chun-li LI Guang-zheng WANG Ying-chun FAN Hong-bin ZHU Qin-sheng 《Chinese Journal of Traumatology》 CAS CSCD 2013年第5期259-264,共6页
Objective: To evaluate the anatomy of femoral tunnels created by simulated transtibial technique in double-bundle anterior cruciate ligament (ACL) reconstruction. Methods: Two tibial tunnels, anteromedial (AM) ... Objective: To evaluate the anatomy of femoral tunnels created by simulated transtibial technique in double-bundle anterior cruciate ligament (ACL) reconstruction. Methods: Two tibial tunnels, anteromedial (AM) and posterolateral (PL), were drilled 45° and 55° to tibial plateau respectively. On the femoral side, the AM and PL tunnels were drilled through anteriomedial portal. After the four tun- nels were established, the shaft of a reamer was introduced into the joint through tibial tunnel and reached against the lateral wall of intercondylar notch. The position that the reamer shaft can reach was marked and recorded. Results: Neither femoral AM nor PL tunnel opening can be fully or partially reached by the reamer shaft through the tibial AM tunnel in all cases. The evaluation through the tibial PL tunnel showed that only in 8 of 50 cases (16%) the femoral AM tunnel opening and in 4 cases (8%) the PL opening can be fully reached. On the other hand, in 12 cases (24%) the femoral AM tunnel opening and in 10 cases (20%) the PL opening can be partially reached by the shafts through the tibial PL tunnel. Conclusion: The result strongly suggests that transtibial technique is not well competent for femoral tun- nel drilling in anatomic double-bundle ACL reconstruction as we have hypothesized. 展开更多
关键词 Anterior cruciate ligamentreconstruction ARTHROSCOPY Anatomy Knee
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Undiagnosed Hoffa fracture of medial femoral condyle presenting as chronic pain in a post-polio limb 被引量:4
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作者 Aditya Krishna Mootha Priyanka Majety Vishal Kumar 《Chinese Journal of Traumatology》 CAS CSCD 2014年第3期180-182,共3页
Isolated coronal fracture of medial femoral condyle with intact lateral femoral condyle is extremely rare. A high index of suspicion is necessary for early diagnosis especially in cases of undisplaced fractures. Here ... Isolated coronal fracture of medial femoral condyle with intact lateral femoral condyle is extremely rare. A high index of suspicion is necessary for early diagnosis especially in cases of undisplaced fractures. Here we report a case of medial Hoffa fracture in a post-polio limb presenting as chronic pain. Management of such fractures in limbs affected by late sequelae of poliomyelitis is particularly problematic in view of osteoporosis and osseous hypoplasia. The fracture was approached through medial parapatellar arthrotomy and fixation was done with cannulated cancellous screws in anteroposterior direction. Union was achieved at 16 weeks. 展开更多
关键词 Femoral fractures POLIOMYELITIS Fracture fixation internal
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HuoguⅠformula prevents steroid-induced osteonecrosis in rats by down-regulating PPARγ expression and activating Wnt/LRP5/β-catenin signaling 被引量:18
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作者 Yini Jiang Daobing Liu +3 位作者 Xiangying Kong Ying Xu Weiheng Chen Na Lin 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2014年第3期342-350,共9页
OBJECTIVE: To investigate the effects of Huogu I formula on regulation of lipid metabolism in ste- roid-induced osteonecrosis of the femoral head (SONFH) rats and verify our hypothesis that Huogu I formula regulat... OBJECTIVE: To investigate the effects of Huogu I formula on regulation of lipid metabolism in ste- roid-induced osteonecrosis of the femoral head (SONFH) rats and verify our hypothesis that Huogu I formula regulates lipid metabolism by down-regulating peroxisome proliferator-activated receptor gamma (PPARy) expression and activating Wnt signaling pathways. METHODS: Eighty-five rats were divided into four groups: control, model, Huogu 15 g/kg and Huogu 30 g/kg. Six weeks later, animals were anaesthe- tized, femora were dissected for histopathologicalexamination of the osteonecrotic changes and re- pair processes, micro computed tomography (Mi- cro-CT)-based micro-angiography was performed to assess vascularization. Serum lipid levels were detected by haematological examination. The ex- pressions of PPARy, Wnt3a, low density lipoprotein receptor-related protein 5 (LRP5) and 13-catenin were evaluated by immunohistochemistry, Western blot and quantitative real-time polymerase chain reaction analyses. RESULTS: The incidence of osteonecrosis, ratio of empty lacuna, adipose tissue area and adipocyte perimeter in the bone marrow were dramatically lower in the Huogu ~ formula treatment groups. By micro-CT quantification, Huogu ~ formula treat- ment dose-dependently increased vessel volume, vessel surface, percentage of vessel volume and vessel thickness of the femoral heads of SONFH rats. Levels of serum lipid in Huogu 15 g/kg and Huogu 30 g/kg groups reduced significantly. HuoguⅠformula treatment could suppress the ex- pression of PPARy and increase the expressions of Wnt3a, LRP5 and 13-catenin at both protein and mRNA levels. CONCLUSION: The results of our present study highlight the lipid-lowering potential of Huogu Ⅰ formula, and provide further evidence of the in- volvement of the PPARy inhibition and Wnt/LRPS/ 13-catenin signaling activation in the effects of Huogu Ⅰ formula. 展开更多
关键词 Femur head necrosis ADIPOGENESIS Peroxisome proliferator-activated receptors Wntsignaling pathway Huogu formula
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Periprosthetic subtrochanteric femoral fracture in a megaprosthesis of the knee
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作者 Raju Vaishya Ajay Pal Singh Abhishek Vaish 《Chinese Journal of Traumatology》 CAS CSCD 2013年第5期314-315,共2页
We report a rare case of periprosthetic posttraumatic fracture of subtrochanteric region of femur alter a megaprosthesis of the knee, done for resistant non- union of distal femur with secondary osteoarthrosis in a 51... We report a rare case of periprosthetic posttraumatic fracture of subtrochanteric region of femur alter a megaprosthesis of the knee, done for resistant non- union of distal femur with secondary osteoarthrosis in a 51 years old man. Treatment with a locking femoral plate was able to achieve primary union with a good result. 展开更多
关键词 Periprosthetic fractures Femur Femoral fractures KNEE
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Autologous grafts of double-strut fibular cortical bone plate to treat the fractures and defects of distal femur: a case report and review of literature
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作者 CHEN Xu LI Jian-jun KONG Zhan YANG Dong-xiang YUAN Xiang-nan 《Chinese Journal of Traumatology》 CAS 2011年第4期241-246,共6页
We reported a 23-year-old man who was involved in a high-speed motorcycle accident. He sustained a closed fracture at the right distal femur. The primary fracture happened on February 2008. He underwent open reduction... We reported a 23-year-old man who was involved in a high-speed motorcycle accident. He sustained a closed fracture at the right distal femur. The primary fracture happened on February 2008. He underwent open reduction and internal fixation with cloverleaf plate. And one hundred days after the surgery, the proximal screws were pulled-out, but the bone union was not achieved. Treatment consisted of exchanging the cloverleaf plate with a locking compression plate and using an auto-iliac bone graft to fill the nonunion gap. In July 2009, the patient had a sharp pain in the right lower limb. The X-ray revealed that the plate implanted last year was broken, causing a nonunion at the fracture site. Immediately the plate and screws were removed and an intramedullary nail was inserted reversely from the distal femur as well as a 7 cm long bone from the right fibula was extracted and longitudinally split into two pieces to construct cortical bone plates. Then we placed them laterally and medially to fracture site, drilled two holes respectively, and fastened them with suture. We carried on auto-iliac bone grafting with the nonunion bone grafts. The follow-up at 15 months after operation showed that the treatment was successful, X-ray confirmed that there was no rotation and no angular or short deformity. We briefly reviewed the literature regarding such an unusual presentation and discussed in details the possible etiology and the advantages of autologous double-strut fibular grafts to cope with such an intractable situation. 展开更多
关键词 FEMUR Transplantation autologous Bone screws
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