BACKGROUND Ankylosing spondylitis at total hip arthroplasty(THA)has significant hip stiffness with flexion deformity,restricted mobility,and function.Range of movement(ROM)improvement with good functional outcome is s...BACKGROUND Ankylosing spondylitis at total hip arthroplasty(THA)has significant hip stiffness with flexion deformity,restricted mobility,and function.Range of movement(ROM)improvement with good functional outcome is seen following THA in these hips.The modified Hardinge approach without abductor compromise is helpful in these stiff hips with associated flexion deformity.AIM To assess improvement in ROM and functional outcomes with a modified lateral approach THA in ankylosing spondylitis with stiff hips.METHODS A total of 69 hips that underwent THA with a modified Hardinge approach in 40 patients were evaluated at a mean follow-up of 38.33 mo.All individuals ambulated with weight-bearing as tolerated and ROM exercises from the 1st postoperative day.Modified Harris hip score and ROM were assessed during follow-up.Quality of life assessments using the 36-item and 12-item short form health surveys were done along with clinical and functional outcomes at followup.SPSS 22.0 was used for statistical analysis.The correlation of ROM and functional score change was performed using Pearson’s correlation coefficient.RESULTS Sixty-nine hips with a significant decrease in ROM preoperatively with 32 clinically fused hips showed significant improvement in flexion range.The mean flexion in 69 hips improved from 29.35±31.38 degrees to 102.17±10.48 degrees.The mean difference of 72.82 with a P value<0.0001 was significant.In total,45 out of 69 hips had flexion deformity,with 13 hips having a deformity above 30 degrees.The flexion during the follow-up was below 90 degrees in 3 hips.Eleven hips had flexion of 90 degrees at follow-up,while the remaining 55 hips had flexion above 100 degrees.Modified Harris hip score improved from 17.03±6.02 to 90.66±7.23(P value<0.0001).The 36-item short form health survey at the follow-up indicated health status in 40 patients as excellent in 11,very good in 20,good in 5,fair in 3,and poor in 1.The mean mental health score was 84.10±11.58.Pain relief was good in all 69 hips.Altogether,28/40 p展开更多
Railway transitions experience differential movements due to differences in track system stiffness,track damping characteristics,foundation type,ballast settlement from fouling and/or degradation,as well as fill and s...Railway transitions experience differential movements due to differences in track system stiffness,track damping characteristics,foundation type,ballast settlement from fouling and/or degradation,as well as fill and subgrade settlement.This differential movement is especially problematic for high speed rail infrastructure as the 'bump' at the transition is accentuated at high speeds.Identification of different factors contributing towards this differential movement,as well as development of design and maintenance strategies to mitigate the problem is imperative for the safe and economical operation of both freight and passenger rail networks.This paper presents the research framework and initial instrumentation details from an ongoing research effort at the University of Illinois at Urbana-Champaign.Three bridge approaches experiencing recurrent geometry problems were instrumented using multidepth deflectometers(MDDs) and strain gages to identify different factors contributing to the development of differential movements.展开更多
动态网民群体(cyber-enabled social movement organizations,CeSMOs)将是近期信息、控制、智能科学等领域的研究焦点.本文简述CeSMOs的背景、现状、趋势和意义,并提出利用基于ACP概念的计算与平行系统方法来研究动态网民群体.通过人工...动态网民群体(cyber-enabled social movement organizations,CeSMOs)将是近期信息、控制、智能科学等领域的研究焦点.本文简述CeSMOs的背景、现状、趋势和意义,并提出利用基于ACP概念的计算与平行系统方法来研究动态网民群体.通过人工组织对CeSMOs进行建模表示,采用计算实验对其进行分析评估,利用平行执行对其监控和管理.在此基础上,进一步探讨社会计算与平行系统的未来研究方向及方法.最后简要评述相关研究工作在产业发展中的可能作用及对社会演化的可能影响.展开更多
文摘BACKGROUND Ankylosing spondylitis at total hip arthroplasty(THA)has significant hip stiffness with flexion deformity,restricted mobility,and function.Range of movement(ROM)improvement with good functional outcome is seen following THA in these hips.The modified Hardinge approach without abductor compromise is helpful in these stiff hips with associated flexion deformity.AIM To assess improvement in ROM and functional outcomes with a modified lateral approach THA in ankylosing spondylitis with stiff hips.METHODS A total of 69 hips that underwent THA with a modified Hardinge approach in 40 patients were evaluated at a mean follow-up of 38.33 mo.All individuals ambulated with weight-bearing as tolerated and ROM exercises from the 1st postoperative day.Modified Harris hip score and ROM were assessed during follow-up.Quality of life assessments using the 36-item and 12-item short form health surveys were done along with clinical and functional outcomes at followup.SPSS 22.0 was used for statistical analysis.The correlation of ROM and functional score change was performed using Pearson’s correlation coefficient.RESULTS Sixty-nine hips with a significant decrease in ROM preoperatively with 32 clinically fused hips showed significant improvement in flexion range.The mean flexion in 69 hips improved from 29.35±31.38 degrees to 102.17±10.48 degrees.The mean difference of 72.82 with a P value<0.0001 was significant.In total,45 out of 69 hips had flexion deformity,with 13 hips having a deformity above 30 degrees.The flexion during the follow-up was below 90 degrees in 3 hips.Eleven hips had flexion of 90 degrees at follow-up,while the remaining 55 hips had flexion above 100 degrees.Modified Harris hip score improved from 17.03±6.02 to 90.66±7.23(P value<0.0001).The 36-item short form health survey at the follow-up indicated health status in 40 patients as excellent in 11,very good in 20,good in 5,fair in 3,and poor in 1.The mean mental health score was 84.10±11.58.Pain relief was good in all 69 hips.Altogether,28/40 p
文摘Railway transitions experience differential movements due to differences in track system stiffness,track damping characteristics,foundation type,ballast settlement from fouling and/or degradation,as well as fill and subgrade settlement.This differential movement is especially problematic for high speed rail infrastructure as the 'bump' at the transition is accentuated at high speeds.Identification of different factors contributing towards this differential movement,as well as development of design and maintenance strategies to mitigate the problem is imperative for the safe and economical operation of both freight and passenger rail networks.This paper presents the research framework and initial instrumentation details from an ongoing research effort at the University of Illinois at Urbana-Champaign.Three bridge approaches experiencing recurrent geometry problems were instrumented using multidepth deflectometers(MDDs) and strain gages to identify different factors contributing to the development of differential movements.
文摘动态网民群体(cyber-enabled social movement organizations,CeSMOs)将是近期信息、控制、智能科学等领域的研究焦点.本文简述CeSMOs的背景、现状、趋势和意义,并提出利用基于ACP概念的计算与平行系统方法来研究动态网民群体.通过人工组织对CeSMOs进行建模表示,采用计算实验对其进行分析评估,利用平行执行对其监控和管理.在此基础上,进一步探讨社会计算与平行系统的未来研究方向及方法.最后简要评述相关研究工作在产业发展中的可能作用及对社会演化的可能影响.
