Reliability of preoperative measurement with standardized templating in Total Knee Arthroplasty

AIM: To investigate the correlation between preoperative measurement in total knee arthroplasty and the prosthetic size implanted. METHODS: A prospective double-blind study of 50 arthroplasties was performed. Firstly, the reliability and correspondence between the size of said measurement and the actual implant utilized was determined. Secondly, the existing correlation between the intra- and interobserver determinations with the intraclass correlation coefficient was analyzed. RESULTS: An overall correspondence of 54%, improving up to 92% when the measured size admitted a difference of one size, was found. Good intra- and interobserver reliability with an intraclass correlation coefficient greater than 0.90(P < 0.001) was also discovered. CONCLUSION: Agreement between the preoperative measurement with standardized acetate templates and the prosthetic size implanted can be considered satisfactory. We thus conclude it is a reproducible technique.

Influence of characteristics' measurement sequence on total ionizing dose effect in PDSOI nMOSFET

The influence of characteristics’ measurement sequence on total ionizing dose effect in partially-depleted SOI nMOSFET is comprehensively studied. We find that measuring the front-gate curves has no influence on total ionizing dose effect.However, the back-gate curves’ measurement has a great influence on total ionizing dose effect due to high electric field in the buried oxide during measuring. In this paper, we analyze their mechanisms and we find that there are three kinds of electrons tunneling mechanisms at the bottom corner of the shallow trench isolation and in the buried oxide during the backgate curves’ measurement, which are: Fowler–Nordheim tunneling, trap-assisted tunneling, and charge-assisted tunneling.The tunneling electrons neutralize the radiation-induced positive trapped charges, which weakens the total ionizing dose effect. As the total ionizing dose level increases, the charge-assisted tunneling is enhanced by the radiation-induced positive trapped charges. Hence, the influence of the back-gate curves’ measurement is enhanced as the total ionizing dose level increases. Different irradiation biases are compared with each other. An appropriate measurement sequence and voltage bias are proposed to eliminate the influence of measurement.

Erratum to “Absolute Measurement of Cross Sections of ^(27)Al(n,α)^(24)Na and ^(56)Fe(n,p)^(56)Mn Reactions at E_n=14.6 MeV”

The publisher regrets that some misprints appeared in the formula for the correction factork on page 343.It is reprinted correctly as the following:k=n(1-e-λ（t1-t0）/n)/eλ（t1-t0）-1·(sum from i=1 to n Naieiλ（l1-l0）/n)/sum from i=1 to n Nai

Online dynamic measurement of saturation-capillary pressure relation in sandy medium under water level fluctuation

An online dynamic method based on electrical conductivity probe, tensiometer and datataker was presented to measure saturation-capillary pressure (S-p) relation in water-light nonaqueous phase liquid (LNAPL) two-phase sandy medium under water level fluctuation. Three-electrode electrical conductivity probe (ECP) was used to measure water saturation. Hydrophobic tensiometer was obtained by spraying waterproof material to the ceramic cup of commercially available hydrophilic tensiometer. A couple of hydrophilic tensiometer and hydrophobic tensiometer were used to measure pore water pressure and pore LNAPL pressure of the sandy medium, respectively. All the signals from ECP and tensiometer were collected by a data taker connected with a computer. The results show that this method can finish the measurement of S-p relation of a complete drainage or imbibition process in less than 60 min. It is much more timesaving compared with 10-40 d of traditional methods. Two cycles of water level fluctuation were produced, and four saturation-capillary pressure relations including two stable residual LNAPL saturations of the sandy medium were obtained during in 350 h. The results show that this method has a good durable performance and feasibility in the porous medium with complicated multiphase flow. Although further studies are needed on the signal stability and accuracy drift of the ECP, this online dynamic method can be used successfully in the rapid characterization of a LNAPL migration in porous media.

Questions on Optimization of Measurement of Total Electron Content in Ionosphere with GPS

The analysis of existing method for calculation of total content of electrons (TEC) in ionosphere using GPS occultation method does show that due to different values of signal/noise ration in GPS signals ?and , the new method of optimum measurements of relevant frequency components of TEC measured by phase and code methods should be developed. The optimum quantity of measurements of the above-mentioned frequency components is determined taking into account the limitation imposed on general number of necessary measurements.

A Measurement Study on Resource Popularity and Swarm Evolution of BitTorrent System

Analyzing and modeling of the BitTorrent (BT) resource popularity and swarm evolution is important for better understanding current BT system and designing accurate BT simulators. Although lots of measurement studies on BT almost cover each important aspect, little work reflects the recent development of BT system. In this paper, we develop a hybrid measurement system incorporating both active and passive approaches. By exploiting DHT (Distribute Hash Table) and PEX (Peer Exchange) protocols, we collect more extensive information compared to prior measurement systems. Based on the measurement results, we study the resource popularity and swarm evolution with different population in minute/ hour/day scales, and discover that: 1) the resources in BT system appear obvious unbalanced distribution and hotspot phenomenon, in that 74.6% torrents have no more than 1000 peers;2) The lifetime of torrents can be divided into a fast growing stage, a dramatically shrinking stage, a sustaining stage and a slowly fading out stage in terms of swarm population;3) Users’ interest and diurnal periodicity are the main factors that influence the swarm evolution. The former dominates the first two stages, while the latter is decisive in the third stage. We raise an improved peer arrival rate model to describe the variation of the swarm population. Comparison results show that our model outperforms the state-of-the-art approach according to root mean square error and correlation coefficient.

High sampling-rate measurement of turbulence velocity fluctuations in Mach 1.8 Laval jet using interferometric Rayleigh scattering

Interferometric Rayleigh scattering diagnostic technique for the time-resolved measurement of flow velocity is studied. Theoretically, this systematic velocity-measured accuracy can reach up to 1.23 m/s. Measurement accuracy is then evaluated by comparing with hot wire anemometry results. Moreover, the distributions of velocity and turbulence intensity in a supersonic free jet from a Laval nozzle with a Mach number of 1.8 are also obtained quantitatively. The sampling rate in this measurement is determined to be approximately 10 k Hz.

A New Measurement of ^11Be(p,d) Transfer Reaction

A new ^11Be（p,d） transfer reaction experiment is performed in inverse kinematics with a radioactive11 Be beam at26.9 MeV. Three low-lying states, namely the 0＋ground state, the 2^＋ state at Ex = 3.37 MeV, and the multiplet at around 6 MeV in10 Be, are populated by this one-neutron transfer reaction. These three states in10 Be are clearly discriminated from the -value spectrum, which is rebuilt from energies and angles of the recoil deuterons in coincidence with10 Be. A spectroscopic factor for each state is extracted by comparing the experimental differential cross sections to the theoretical calculation results using the finite range adiabatic distorted wave approximation method with different global nucleon-nucleus potentials. It is found that the newly extracted spectroscopic factors for the 0＋and 2＋states are consistent with the previous ones, but the factor for the multiplet is smaller than the value in the reference, and the possible reason is discussed.

TPS based on trilateration for the feed measurement of FAST

Five-hundred-meter Aperture Spherical radio Telescope( FAST) is the largest sensitive single dish radio telescope in the world,in which the control and measurement of the feed is one crucial section of the FAST control system. Trilateration is presented to obtain three-dimensional coordinate for tracking feed focus cabin. Every three total stations chase prism movement to be attached on feed focus cabin and the prism position is determined from the measured distances based on the principle of trilateration. Therefore,feed position is determined from three prisms on the focus cabin. This study is to assess the accuracy and reliability of trilateration calculation on tracking focus cabin of FAST. Different arrangement of total stations on trilateration is theoretically studied. Through experiment,the proposed method shows that the accuracy is better than that of the polar coordinate measurement. The average root mean square error is lower than 0. 6 mm,which is found to have high accuracy and reliability.

Comparison between ozonesonde measurements and satellite retrievals over Beijing,China

从2013年开始,作者团队使用自主研发电化学原理臭氧探空仪在华北平原北京地区进行每周一次观测.本研究首次使用2013-2019年期间北京地区臭氧探空数据评估Aqua卫星搭载大气红外探测仪(AIRS)和Aura卫星搭载微波临边探测器(MLS)反演垂直臭氧廓线,并对比臭氧探空,AIRS和Aura卫星搭载臭氧监测仪(OMI)臭氧柱总量结果.尽管臭氧探空与卫星反演垂直臭氧廓线在局部高度处差异较大,但整体来说两者较为接近(相对偏差大多<10%).臭氧探空,AIRS和OMI三种仪器测量臭氧柱总量的年变化特征较为一致,其年均臭氧柱总量分别为351.8±18.4 DU,348.8±19.5 DU和336.9±14.2 DU.后续对国内多站点观测数据分析将有助于进一步理解臭氧探空与卫星反演臭氧资料在不同区域的一致性.

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.

High rate of clinically relevant improvement following anatomical total shoulder arthroplasty for glenohumeral osteoarthritis

BACKGROUND The minimal clinically important difference(MCID)is defined as the smallest meaningful change in a health domain that a patient would identify as important.Thus,an improvement that exceeds the MCID can be used to define a successful treatment for the individual patient.AIM To quantify the rate of clinical improvement following anatomical total shoulder arthroplasty for glenohumeral osteoarthritis.METHODS Patients were treated with the Global Unite total shoulder platform arthroplasty between March 2017 and February 2019 at Herlev and Gentofte Hospital,Denmark.The patients were evaluated preoperatively and 3 months,6 months,12 months,and 24 months postoperatively using the Western Ontario Osteoarthritis of the Shoulder index(WOOS),Oxford Shoulder Score(OSS)and Constant-Murley Score(CMS).The rate of clinically relevant improvement was defined as the proportion of patients who had an improvement 24 months postoperatively that exceeded the MCID.Based on previous literature,MCID for WOOS,OSS,and CMS were defined as 12.3,4.3,and 12.8 respectively.RESULTS Forty-nine patients with a Global Unite total shoulder platform arthroplasty were included for the final analysis.Mean age at the time of surgery was 66 years(range 49.0-79.0,SD:8.3)and 65%were women.One patient was revised within the two years follow-up.The mean improvement from the preoperative assessment to the two-year follow-up was 46.1 points[95%confidence interval(95%CI):39.7-53.3,P<0.005]for WOOS,18.2 points(95%CI:15.5-21.0,P<0.005)for OSS and 37.8 points(95%CI:31.5-44.0,P<0.005)for CMS.Two years postoperatively,41 patients(87%)had an improvement in WOOS that exceeded the MCID,45 patients(94%)had an improvement in OSS that exceeded the MCID,and 42 patients(88%)had an improvement in CMS that exceeded the MCID.CONCLUSION Based on three shoulder-specific outcome measures we find that approximately 90%of patients has a clinically relevant improvement.This is a clear message when informing patients about their prognosis.

Comparison of clinical outcomes between total hip replacement and total knee replacement

BACKGROUND Total hip replacements(THR)and total knee replacements(TKR)are effective treatments for severe osteoarthritis(OA).Some studies suggest clinical outcomes following THR are superior to TKR,the reason for which remains unknown.This study compares clinical outcomes between THR and TKR.AIM To compare the clinic outcomes of THR anad TKR using a comprehensive range of patient reported outcome measures(PROMs).METHODS A prospective longitudinal observational study of patients with OA undergoing THR and TKR were evaluated using a comprehensive range of generic and joint specific PROMs pre-and post-operatively.RESULTS A total of 131 patients were included in the study which comprised the THR group(68 patients)and the TKR group(63 patients).Both groups demonstrated significant post-operative improvements in all PROM scores(P<0.001).There were no significant differences in post-operative PROM scores between the two groups:Hip and Knee Osteoarthritis Outcome scores(P=0.140),Western Ontario and McMaster Universities Osteoarthritis Index pain(P=0.297)stiffness(P=0.309)and function(P=0.945),Oxford Hip and Knee Score(P=0.076),EuroQol-5D index(P=0.386)and Short-Form 12-item survey physical component score(P=0.106).Subgroup analyses showed no significant difference(P>0.05)between cruciate retaining and posterior stabilised prostheses in the TKR group and no significant difference(P>0.05)between cemented and uncemented fixation in the THR group.Obese patients had poorer outcomes following TKR but did not significantly influence the outcome following THR.CONCLUSION Contrary to some literature,THR and TKR are equally efficacious in alleviating the pain and disability of OA when assessed using a comprehensive range of PROMs.The varying knee prosthesis types and hip fixation techniques did not significantly influence clinical outcome.Obesity had a greater influence on the outcome following TKR than that of THR.

Examining the“revisability”benefit of hip resurfacing arthroplasty

BACKGROUND Hip resurfacing arthroplasty(HRA)is an alternative to total hip arthroplasty(THA)that is typically reserved for young active patients because it preserves bone.However,the benefits of HRA only hold true if conversion THA after failed HRA provides acceptable outcomes.AIM To compare patient reported outcomes for conversion THA after HRA failure to primary THA.METHODS A retrospective review of 36 patients(37 hips)that underwent conversion THA for failed HRA between October 2006 and May 2019 by a single surgeon was performed.Patient reported outcomes[modified Harris Hip Score(mHHS),University of California Los Angeles(UCLA)activity score]were obtained via an email-based responder-anonymous survey.Outcomes were compared to normative data of a primary THA cohort with similar demographics.Subgroup analysis was performed comparing outcomes of conversion THA for adverse local tissue reaction(ALTR)vs all other causes for failure.RESULTS The study group had a lower mHHS than the control group(81.7±13.8 vs 90.2±11.6,P<0.01);however,both groups had similar UCLA activity levels(7.5±2.3 vs 7.2±1.6,P=0.51).Patients that underwent conversion for non-ATLR causes had similar mHHS(85.2±11.5 vs 90.2±11.6,P=0.11)and higher UCLA activity levels(8.5±1.8 vs 7.2±1.6,P<0.01)compared to the control group.Patients that underwent conversion for ATLR had worse mHHS(77.1±14.5 vs 90.2±11.6,P<0.01)and UCLA activity levels(6.1±2.3 vs 7.2±1.6,P=0.05)when compared to the control group.CONCLUSION Patient outcomes equivalent to primary THA can be achieved following HRA conversion to THA.However,inferior outcomes were demonstrated for ALTR-related HRA failure.Patient selection and perhaps further studies examining alternative HRA bearing surfaces should be considered.

Radiographic Measurement of Femoral Lateral Bowing and Distal Femoral Condyle Resection Thickness： Variances and Effects on Total Knee Arthroplasty Planning

Background：Accurate evaluation of the plain radiography of lower limb is critical for preoperative planning of total knee arthroplasty （TKA）. We aimed to investigate the effect of femoral lateral bowing and rotation on the radiographic measurements of distal femoral condyle resection thickness （DRT） and the distal femoral resection valgus angle （FVA）. Methods： We analyzed 246 three-dimensional femoral models generated from computed tomography images of 123 patients, acquiring projected contours in seven positions – 20° and 10° internal rotation; 0° rotation; 10°, 20°, 30°, and 40° external rotation – for each model. Medial and lateral condyle DRTs, femoral shaft lateral bowing angle （FBA）, and distal FVA were determined for each position. Linear mixed effect model was used to determine the effect of degree of femur rotation on repeated measurements of DRT or FVA. Results： FBA significantly affected the FVA and DRT （Pearson＇s R = 0.767 and -0.408, respectively; P 〈 0.000）. Samples were divided into three groups according to the FBA measured in neutral position： FBA 〈0°： DRT 3.75 ± 1.30 mm, FVA 4.53° ± 1.27°; FBA 〉0° but 〈3°： DRT 3.39 ± 1.31 mm, FVA 5.92° ± 1.31°; FBA 〉3°： DRT 2.22 ± 1.31 mm, FVA 7.37° ± 1.31°. From simulated 20° internal rotation to 40° external rotation in each femoral model, the average variation ranges of radiographically measured DRT, FVA, and FBA were 0.50 ± 0.28 mm, 2.93° ± 0.96°, and 10.33° ± 1.90°, respectively, with no significant differences among the FBA groups. The degree of femoral rotation significantly affected the FVA （F = 62.148, P 〈 0.000）, whereas there was no effect on condyle resection thickness （F = 0.4705, P = 0.494）. Conclusions： Axial femoral rotation has less effect on radiographic measurements of differences in the DRT than on those of the distal FVA.

Design and application of an air-cooled probe for total pressure measurement at combustor outlet

An air-cooled probe was designed for measurement of total pressure at combustor outlet;its cooling scheme combined the film cooling and convection cooling.With the aid of CFD technique,cooling effectiveness of the coolant jets at various blow ratios was compared;suitable blow ratios and configuration of film holes were chosen accordingly.The overall cooling performance of the probe was evaluated via CFD technique,the design was improved according to the simulation result,and the cooling effect of the leading edge was obviously strengthened by increasing the local coolant mass flow rate.The results of wind tunnel test indicated that,between Mach numbers 0.2 and 0.4,the probe achieved a high accuracy at various attack angles.The probe was utilized in an annular combustor rig test,the highest temperature reached 1 760 Kand total pressure reaches 1 036 kPa.The result of rig test demonstrates that the coolant film distribution consistent appropriately with the CFD results.

A Measurement Study on BitTorrent System

Measuring and characterizing peer-to-peer (P2P) file-sharing systems will benefit the optimization and management of P2P systems. Though there are a lot of measurement studies on BitTorrent almost in every important aspect, few of them focus on the measurement issues and the corresponding solutions, which can strongly influence the accuracy of measurement results. This paper analyzes the key difficulties of measuring BitTorrent and presents a measurement system with combination of active and passive ways, which can han-dle with the problems well and balance the efficiency and integrity. Then compared to other work, a more complete and representative measurement was performed for nearly two months and several characteristics are concerned: 1) there are diverse content sharing in BitTorrent system, but multimedia files that are larger than 100 MB are the most. 2) Distributed Hash Tables has indeed enhanced the ability of peer discovery though there are some pitfalls to be addressed. 3) Pieces are distributed uniformly after the early stage and there are few rare pieces. Furthermore, peer arrival rate shows a periodical pattern, which was not well mod-eled before. Then an improved model is proposed and the experiment results indicate that new model is fitted in with actual measurement results with high accuracy.

Is clinically measured knee range of motion after total knee arthroplasty‘good enough?’:A feasibility study using wearable inertial measurement units to compare knee range of motion captured during physical therapy versus at home

Total knee arthroplasty is highly successful,in part due to range of motion(RoM)recovery.This is typically estimated goniometrically/visually by physical therapists(PTs)in the clinic,which is imprecise.Accordingly,a validated inertial measurement unit(IMU)method for capturing knee RoM was deployed assessing postoperative RoM both in and outside of the clinical setting.The study's objectives were to evaluate the feasibility of continuously capturing knee RoM pre-/post-op via IMUs,dividing data into PT/non-PT portions of each day,and comparing PT/non-PT metrics.We hypothesized IMU-based clinical knee RoM would differ from IMU-based knee RoM captured outside clinical settings.10 patients(3 M,69±13 years)completed informed consent documents following ethics board approval.A validated IMU method captured long duration(8–12 h/day,~50 days)knee RoM pre-/post-op.Post-op metrics were subdivided(PT versus non-PT).Clinical RoM and patient reported outcome measures were also captured.Compliance and clinical disruption were evaluated.ANOVA compared post-op PT and non-PT means and change scores.Maximum flexion during PT was less than outside PT.PT stance/swing RoM and activity level were greater than outside PT.No temporal variable differences were found PT versus non-PT.IMU RoM measurements capture richer information than clinical measures.Maximum PT flexion was likely less than non-PT due to the exercises completed(i.e.high passive RoM vs.low RoM gait).PT gait flexion likely exceed non-PT because of‘white coat effects’wherein patients are closely monitored clinically.This implies data captured clinically represents optimum performance whereas data captured non-clinically represents realistic performance.

Direct measurement of electrocaloric effect in P(VDF-TrFE-CFE)film using infrared imaging

Poly(vinylidene fluoride-trifluoroethylene-chlorofluoroethylene)P(VDF-TrFE-CFE)is a relaxor ferroelectric polymer,which exhibits a temperature-independent electrocaloric effect at room temperature.In this work,the electrocaloric effect in P(VDF-TrFE-CFE)film was directly analysed using infrared imaging.P(VDF-TrFE-CFE)64.8%/27.4%/7.8%(in mole)film of(15±1)mm thickness was deposited on polyethylene naphthalate substrate.Direct ECE of P(VDF-TrFE-CFE)film was measured from 15 to 35
C at different electric fields.A maximum adiabatic temperature change(DTad)of 3.58 K was measured during the cooling cycle at a field of 100 V/mm at 30
C.Finite element analysis of temperature dissipation through the sample estimated that the actual temperature change within P(VDF-TrFE-CFE)film was 4.3 K.Despite the thermal mass of the substrate,a substantial ECE was observed in P(VDF-TrFE-CFE)films.This electrocaloric terpolymer composition could be of interest for electrocaloric cooling applications.