Mid-term outcomes of a kinematically designed cruciate retaining total knee arthroplasty

BACKGROUND Advances in implant material and design have allowed for improvements in total knee arthroplasty(TKA)outcomes.A cruciate retaining(CR)TKA provides the least constraint of TKA designs by preserving the native posterior cruciate ligament.Limited research exists that has examined clinical outcomes or patient reported outcome measures(PROMs)of a large cohort of patients undergoing a CR TKA utilizing a kinematically designed implant.It was hypothesized that the studied CR Knee System would demonstrate favorable outcomes and a clinically significant improvement in pain and functional scores.AIM To assess both short-term and mid-term clinical outcomes and PROMs of a novel CR TKA design.METHODS A retrospective,multi-surgeon study identified 255 knees undergoing a TKA utilizing a kinematically designed CR Knee System(JOURNEY™II CR;Smith and Nephew,Inc.,Memphis,TN)at an urban,academic medical institution between March 2015 and July 2021 with a minimum of two-years of clinical follow-up with an orthopedic surgeon.Patient demographics,surgical information,clinical outcomes,and PROMs data were collected via query of electronic medical records.The PROMs collected in the present study included the Knee Injury and Osteoarthritis Outcome Score for Joint Replacement(KOOS JR)and Patient-Reported Outcomes Measurement Information System(PROMIS■)scores.The significance of improvements in mean PROM scores from preoperative scores to scores collected at six months and two-years postoperatively was analyzed using Independent Samples t-tests.RESULTS Of the 255 patients,65.5%were female,43.8%were White,and patients had an average age of 60.6 years.Primary osteoarthritis(96.9%)was the most common primary diagnosis.The mean surgical time was 105.3 minutes and mean length of stay was 2.1 d with most patients discharged home(92.5%).There were 18 emergency department(ED)visits within 90 d of surgery resulting in a 90 d ED visit rate of 7.1%,including a 2.4%orthopedic-related ED visit rate and a 4.7%non-orthopedic-related ED visit rate.There were three(1.2%)hospital readmissions within 90 d postoperatively.With a mean time to latest follow-up of 3.3 years,four patients(1.6%)required revision,two for arthrofibrosis,one for aseptic femoral loosening,and one for peri-prosthetic joint infection.There were significant improvements in KOOS JR,PROMIS Pain Intensity,PROMIS Pain Interference,PROMIS Mobility,and PROMIS Physical Health from preoperative scores to six month and two-year postoperative scores.CONCLUSION The evaluated implant is an effective,novel design offering excellent outcomes and low complication rates.At a mean follow up of 3.3 years,four patients required revisions,three aseptic and one septic,resulting in an overall implant survival rate of 98.4%and an aseptic survival rate of 98.8%.The results of our study demonstrate the utility of this kinematically designed implant in the setting of primary TKA.

Optimizing Designed Variable Speed Control Moment Gyroscopes with Variable Skew Angle

Large torque can be output by the single gimbal control momentum gyroscope (SGCMG) based on the principle of the gyroscopic precession. However, the singularity is a major obstacle to successfully implement the task of the attitude control. The singularity can be avoided by the additional variable flywheel speed of variable speed control moment gyroscopes (VSCMG). Unfortunately, some kind of singularity cannot be effectively avoided. Consequently, the output toque can be only supported by the reaction torque of the flywheel when the singularity is encountered, and the consume power that is determined by the flywheel speed and reaction torque can be greatly increased when the flywheel spin rate over one thousand revolutions per minute. In this paper, the pyramid configuration with variable skew angle of the VSCMG is considered. A new steering law for the VSCMG with variable skew angle is proposed. The singularity that cannot be avoided by the varying flywheel speed can be effectively avoided with assisting of varying the skew angle. Consequently, the requirement of flywheel torque can be reduced. At last, the optimizing VSCMG with variable skew angle can be cast as a multi-objective function with multi-constraints. The particle swarm optimization method is used to solve the optimizing problem. In summary, the VSCMG with variable skew angle can be redesigned with considering of the singularity avoidance and minimizing system power.

High-strength Ti-Al-V-Zr cast alloys designed using α and β cluster formulas

Ti-Al-V-Zr quaternary titanium alloys were designed followingα-{[Al-Ti12](AlTi2)}17-n+β-{[Al-Ti12Zr2](V3)}n,where n=1-7(the number ofβunits),on the basis of the dual-cluster formula of popular Ti-6Al-4V alloy.Such an alloying strategy aims at strengthening the alloy via Zr and V co-alloying in theβ-Ti unit,based on the originalβformula[Al-Ti14](V2Ti)of Ti-6Al-4V alloy.The microstructures of the as-cast alloys by copper-mold suction-casting change from pureα(n=1)toα+α’martensite(n=7).When n is 6,Ti-5.6Al-6.8V-8.1Zr alloy reaches the highest ultimate tensile strength of 1,293 MPa and yield strength of 1,097 MPa,at the expense of a low elongation of 2%,mainly due to the presence of a large amount of acicularα’martensite.Its specific strength far exceeds that of Ti-6Al-4V alloy by 35%.

Inelastic displacement ratio of low-to mid-rise BRBFs designed under variable levels of seismicity

Buckling-restrained braces(BRBs)have shown their capability to provide building structures with stiffness,strength,and ductility.Estimating the seismic drifts of buckling-restrained braced frames(BRBFs)is an important design step to control structural and non-structural damage.In current practice of seismic design,the estimation of seismic drifts of BRBFs is performed by using empirical calculations that are independent upon either the type of the structural system or the design level of seismicity.In these empirical calculations,the seismic drifts are estimated by amplifying the reduced elastic drifts obtained under design lateral loading with a displacement amplification factor(DAF).The value of DAF is considered equal to the product of the response modification factor R and the inelastic displacement ratioρ.The goal of the current research is to assess the value ofρfor low-to mid-rise BRBFs designed under low and high levels of seismicity.This goal has been achieved by conducting a series of elastic and inelastic time-history analyses pertaining to an ensemble of earthquake records on 3-,6-and 9-story BRBFs.The results indicate that theρ-ratio increases with an increase in design seismic intensity and an increase in experienced inelasticity.The range ofρfor low seismicity designs ranges from 0.63 to 0.9,while for high seismicity designs this range stretches from 0.83 to 1.29.It has been found that the consideration of a generalρ-ratio of 1.0 is a reasonable estimation for the design of the BRBFs considered in this study.

A novel Ti-5.55Al-6.70Zr-1.50V-0.70Mo-3.41Nb-0.21Si alloy designed using cluster-plus-glue-atom model for laser additive manufacturing

A novel Ti-5.55Al-6.70Zr-1.50V-0.70Mo-3.41Nb-0.21Si alloy was designed using the cluster formula approach(cluster-plus-glue-atom model)and prepared by laser melting deposition(LMD).Its composition formula 12[Al-Ti_(12)](AlTi_(2))+5[Al_(0.8)Si_(0.2)-Ti_(12)Zr_(2)](V_(0.8)Mo_(0.2)Nb_(1)Ti)features an enhancedβ-Ti via co-alloying of Zr,V,Mo,Nb and Si.The experimental results show that the cluster formula ofαandβphases in the novel alloy are respectivelyα-[Al-Ti_(11.5)Zr_(0.5)](Al_(1)Ti_(2))andβ-[Al_(0.8)Si_(0.2)-Ti_(13.2)Zr_(0.8)](V_(1)Mo_(0.4)Nb_(1.6)),both containing Zr elements.The fitted composition via the α andβphase cluster formulas has little difference with the actual alloy composition,suggesting that the validity of cluster-plus-glue-atom model in the alloy composition design.After hot isostatic pressing(HIP),both the Ti-6Al-4V and the novel alloy by LMD are characterized by prior-βcolumnar grains,while the typical<100>texture disappears.Compared with Ti-6Al-4V,Ti-5.55Al-6.70Zr-1.50V-0.70Mo-3.41Nb-0.21Si alloy exhibits a combination of higher strength(1,056 MPa)and higher ductility(14%)at room temperature and higher strength(580 MPa)at 550℃ after HIP,and can potentially serves as LMD materials.

体育品牌体验与消费者品牌忠诚的关系研究——基于Designed to Move活动

本文以Designed to move活动为基础,分析体育品牌体验对消费者行为(品牌忠诚)的影响,这种形式的品牌体验能够给消费者的生命资产和生活价值观带来影响,具有研究价值。本文采用Brakus的SEMs模型测量品牌体验,通过实证分析,探究了感官体验、情感体验、行为体验和智力体验与品牌忠诚之间的作用关系。分析发现,感官体验、行为体验和智力体验对品牌忠诚有显著的正向影响作用,与以往研究不同的是,在体育品牌体验中情感体验对品牌忠诚影响不显著,这对体育企业的营销活动和体验手段具有现实的指导意义。

Characterization of Elastic Modulus of Granular Materials in a New Designed Uniaxial Oedometric System

A simple uniaxial oedometric system is developed to test the elastic modulus of granular materials. The stress- strain relationship is first measured under conditions of uniaxial compression with additional lateral stress and strain, then the elastic modulus of the material is determined by the linear fitting method. It is found that the modulus is positively correlated to the grain size and negatively correlated to the container size. Arching and dragging are revealed to be the mechanism of such correlations by using the digital image correlation method and the pressure film technology based on the statistical method.

A Wireless Sensor Network Ad-Hoc Designed as Anti-Theft Alarm System for Photovoltaic Panels

Photovoltaic (PV) systems have attracted increasing attention in last years as well as Wireless Sensor Networks (WSNs), which have been used in many application fields. In PV plants, especially in ground installations, a lot of thefts and damages occur due to the still high cost of the modules. A new experimental WSN ad-hoc has been designed to be an anti-theft alarm system. Each node of the network is directly installed under each PV string and it is equipped with an accelerometer sensor capable to detect a minimum displacement of the panel from its steady position. The WSN presents a star topology: a master node cyclically interrogates the slave nodes through RF link. It collects all the nodes responses and communicates though a RS-232 interface with a control PC checking the network status. When a slave node detects an alarm, continuous messages are sent to the control PC which turns on all the alarm signaling systems. The control PC is equipped with an open source operative system and software and provides for SMS, e-mail and sound-light signaling in case of alarm. It also communicates with a remote server where all the WSN information is stored. A first low cost experimental WSN has been already installed and it is working properly.

Novel Zn(Ⅱ) ladder-like coordination polymer constructed from designed ferrocenyl ligand

Reaction of Zn（NO3）2·6H2O with 3-（4-carboxylphenylamino）-l-ferrocenyl-2-butylen-l-one （HL） and 4,4′-bipyfidine （4,4′- bipy） in methanol solution resulted in a novel ladder-like coordination polymer {[Zn2L2（μ2-L）2（4,4′-bipy）2]·MeOH}n （1）. Its crystal structure, thermal and electrochemical properties are presented.

Designed Syntheses and Crystal Structures of Two Cis-cyanide Bridged Trinuclear Complexes

Two cyanide bridged trinuclear compounds [Fe（bpy）2（CN）2]·[Cu（Cyclam）]2（ClO4）4·DMF 1 and [Fe（Phen）2（CN）2]·[Cu（Cyclam）]2（ClO4）4·2CH3CN·4H2O 2 （Bpy = 2,2＇- bipyridine, Phen = 1,10-phenanthroline, Cyclam = 1,4,8,11-tetraaza-cyclotetradecane, and DMF = N,N-dimethylformamide） have been synthesized by using mononuclear [Fe（Phen）2（CN）2]·2H2O and [Fe（bpy）2（CN）2]·3H2O as precursors. These two complexes crystallize in monoclinic space groups P21/c and C2/c, respectively. For 1, a = 25.164（2）, b = 12.0405（11）, c = 20.4433（15） A, β = 91.948（3）°, V = 6190.5（9） A^3, Z = 4, Mr = 1418.90, Dc = 1.522 g/cm^3, F（000） = 2936, μ = 1.161 mm^-1, the final R = 0.0722 and wR = 0.2011 for 10779 observed reflections （I 〉 2σ（I））. For 2, a = 43.5945（0）, b = 11.8447（0）, c = 29.5637（2）A, β = 120.430（11）o, V = 13162.76（9） A^3, Z = 8, Mr = 1518.48, Dc = 1.533 g/cm^3, F（000） = 6288, μ = 1.101 mm^-1, the final R = 0.0711 and wR = 0.1783 for 11262 observed reflections （I 〉 2σ（I））.

3-16 Radiological Safety Analyses of Spallation Target in Designed China ADS

Spallation target represents one of the most challenging components in accelerator driven systems (ADS) sinceit is the component coupling the accelerator and the sub-critical core. It is subjected to bombardment of intenseproton beam and very high thermal load in a strong radiation field. The irradiated LBE target poses severe handlingproblems for the maintenance staff and other scientists due to its residual activity[1]. To assist the design of ADS, thegeneral radiological safety aspects of lead, lead-bismuth eutectic (LBE) and tungsten spallation target were studiedwith MCNPX 2.7 code[2]. The spallation target was irradiated by a 250 MeV, 10 mA proton beam produced bya linear proton accelerator. The neutron yield, neutron spectrum, residual production and time evolution for theirradiated target were analyzed.

Altium Designed 16元件封装的创建方法探讨

随着科技的不断进步,集成电路的未来朝着高密度、高集成的方向发展。Altium Designed是功能强大的辅助电路设计软件,也是全国职业院校电子装配与调试专业技能大赛的指定绘图软件。经过多年的比赛经验发现Altium Designed16版本以上软件创建元件封装有IPC封装向导,使电路元件封装设计过程变得轻松容易,提高了电路的设计效率和质量。通过电路设计既有助力师生专业成长也能提高对先进元器件件封装的认知。以赛促教、以赛促学、以赛促练、增强学习效果提高基本职业技能水平的发展。

Custom Designed Healthcare

African patients benefit from targeted high-quality made-in-China medical equipment ONE of the most vulnerable sections of the population in Africa is pregnant women.The reasons for this come down to a range of issues,the most critical being local customs,poverty,and the remoteness of many villages.

Measures Designed to Assist SMEs

The central treasury is implementing six measures this year to help small-and medium-sized enterprises (SMEs) meet the challenges they face, according to the Ministry of Finance.

Seismic fragility assessment of RC frame structure designed according to modern Chinese code for seismic design of buildings

Following several damaging earthquakes in China, research has been devoted to find the causes of the collapse of reinforced concrete （RC） building sand studying the vulnerability of existing buildings. The Chinese Code for Seismic Design of Buildings （CCSDB） has evolved over time, however, there is still reported earthquake induced damage of newly designed RC buildings. Thus, to investigate modern Chinese seismic design code, three low-, mid- and high-rise RC frames were designed according to the 2010 CCSDB and the corresponding vulnerability curves were derived by computing a probabilistic seismic demand model （PSDM）.The PSDM was computed by carrying out nonlinear time history analysis using thirty ground motions obtained from the Pacific Earthquake Engineering Research Center. Finally, the PSDM was used to generate fragility curves for immediate occupancy, significant damage, and collapse prevention damage levels. Results of the vulnerability assessment indicate that the seismic demands on the three different frames designed according to the 2010 CCSDB meet the seismic requirements and are almost in the same safety level.

Seismic resilience assessment of corroded reinforced concrete structures designed to the Chinese codes

The natural landscape in China exposes many existing RC buildings to aggressive environments.Such exposure can lead to deterioration in structural performance with regard to resisting events such as earthquakes.Corrosion of embedded reinforcement is one of the most common mechanisms by which such structural degradation occurs.There has been increasing attention in recent years toward seismic resilience in communities and their constituent construction;however,to date,studies have neglected the effect of natural aging.This study aims to examine the effect of reinforcement corrosion on the seismic resilience of RC frames that are designed according to Chinese seismic design codes.A total of twenty RC frames are used to represent design and construction that is typical of coastal China,with consideration given to various seismic fortification levels and elevation arrangements.Seismic fragility relationships are developed for case frames under varying levels of reinforcement corrosion,i.e.,corrosion rates are increased from 5%to 15%.Subsequently,the seismic resilience levels of uncorroded and corroded RC frames are compared using a normalized loss factor.It was found that the loss of resilience of the corroded frames is greater than that of their uncorroded counterparts.At the Rare Earthquake hazard level,the corrosioninduced increase in loss of resilience can be more than 200%,showing the significant effect of reinforcement corrosion on structural resilience under the influence of earthquakes.

Reliability and sensitivity analysis of loop-designed security and stability control system in interconnected power systems

Security and stability control system(SSCS)in power systems involves collecting information and sending the decision from/to control stations at different layers;the tree structure of the SSCS requires more levels.Failure of a station or channel can cause all the execution stations(EXs)to be out of control.The randomness of the controllable capacity of the EXs increases the difficulty of the reliability evaluation of the SSCS.In this study,the loop designed SSCS and reliability analysis are examined for the interconnected systems.The uncertainty analysis of the controllable capacity based on the evidence theory for the SSCS is proposed.The bidirectional and loop channels are introduced to reduce the layers and stations of the existing SSCS with tree configuration.The reliability evaluation and sensitivity analysis are proposed to quantify the controllability and vulnerable components for the SSCS in different configurations.By aiming at the randomness of the controllable capacity of the EXs,the uncertainty analysis of the controllable capacity of the SSCS based on the evidence theory is proposed to quantify the probability of the SSCS for balancing the active power deficiency of the grid.

Seismic performance evaluation of typical dampers designed by Chinese building code

Adding dampers is a commonly adopted seismic risk mitigation strategy for modern buildings, and the corresponding design procedure of dampers has been well established by the Chinese Building Code. Even though all types of dampers are designed by the same procedure, actual seismic performance of the building may differ from one to the others. In this study, a nine-story benchmark steel building is established, and three different and typical types of dampers are designed according to the Chinese Building Code to realize structural vibration control under strong earthquake excitation. The seismic response of the prototype building equipped with a viscoelastic damper, viscous damper and buckling-restrained brace(BRB) subjected to 10 earthquake records are calculated, and Incremental Dynamic Analysis(IDA) is performed to describe progressive damage of the structure under increasing earthquake intensity. In the perspective of fragility, it shows that the viscoelastic damper has the highest collapse margin ratio(CMR), and the viscous damper provides the best drift control. Both the BRB and viscoelastic dampers can effectively reduce the floor acceleration responses in the mid-rise building.

Parameters Distribution Along the Channel Axis in the Scaling Designed Stationary Plasma Thruster

The study of the parameters＇ distribution along the channel axis in a stationary plasma thruster（SPT） helps One to understand the physical characteristics of the SPT＇s operation. In this paper, the axial distribution of the desired SPT parameters are predicted by combining the improved scaling theory and a one-dimensional hybrid model. The simulation indicates that the SPT parameters＇ distribution along the channel axis changes with scaling index variable ~. If ~ is set properly, the similarity of the parameters~ axial distribution between the model and a desired thruster can be ensured. In addition, the operation characteristics of the desired thruster, such as the ionization and acceleration processes, are also similar to those of the model. When ζ is set, the improved SPT scaling theory and the one-dimensional hybrid model can be used to predict the axial distribution of the desired SPT parameters with the same propellant （such as Xe）.