Manufacture and Test of a Small Ceramic-Insulated Nb3_{3}Sn Split Solenoid

A small split solenoid wound with high-Jc Nb$_{3}$Sn conductor, constituted by a 0.8 mm Rod Re-stack Process (RRP®) strand, was built and tested at CERN in order to study the applicability of: 1) ceramic wet glass braid insulation without epoxy impregnation of the magnet; 2) a new heat treatment devised at CERN and particularly suitable for reacting RRP® Nb$_{3}$Sn strands. This paper briefly describes the solenoid and the experimental results obtained during 4.4 K and 1.9 K tests. The split solenoid consists of two coils (25 mm inner diameter, 51.1 mm outer diameter, 12.9 mm height). The coils were initially separately tested, in an iron mirror configuration, and then tested together in split solenoid configuration. In all the tests at 4.4 K the coils reached a current higher than 95 % of their short sample limits at the first quench; in split solenoid configuration the maximum field values in the coils and in the aperture were respectively 10.7 T and 12.5 T. At 1.9 K the coils had premature quenches due to self field instability despite the rather high RRR of the two coils (190 and 270). This phenomenon at 1.9 K, predicted by our theory [1], was confirmed by strand measurements

Social and Cultural of a Li Ethnic Village in Hainan——For Example ZaPoshi Village XinZheng Town BaoTing County

什坡示村是海南省保亭黎族苗族自治县新政镇新政行政村所管辖的一个黎族自然村，本文试图通过对该村落的民族志描写，以此勾勒出当下一个具有全貌观的别样的村落社会文化生活图景，丰富我们对什坡示传统黎族村落的认识，同时为海南黎族文化研究提供一个良好的个案。 除绪论及结语外，全文分为九章，即聚落环境、人口与家庭、饮食与医疗保健及植物利用、婚姻、生育与养育、丧葬习俗、岁时节日及历法、宗教信仰、民间传统文化。 其中绪论中对研究目的与选题意义、研究方法与资料来源做了简要说明。第一章简要介绍田野点——什坡示村的聚落环境，包括地理位置、生态及气候、历史沿革、行政区划与土地面积、资源与经济、语言及族称几方面，以期为...ZaPoshi is a Li ethnic village, which is under the jurisdiction of XinZheng administrative village of XinZheng Town of Baoting Li and Miao Ethnic Autonomous County of Hainan Province. This paper approach by ethnography description of ZaPoshi village, in order to outline a whole view of a different kind of social and cultural life of a village, enrich the understanding of the village and provide a ...学位：法学硕士院系专业：人文学院人类学研究所_人类学学号：1062009115190

Self-Field Effects in Magneto-Thermal Instabilities for Nb-Sn Strands

Recent advancements in the critical current density (Jc) of Nb$_{3}$Sn conductors, coupled with a large effective filament size, have drawn attention to the problem of magnetothermal instabilities. At low magnetic fields, the quench current of such high Jc Nb$_{3}$Sn strands is significantly lower than their critical current because of the above-mentioned instabilities. An adiabatic model to calculate the minimum current at which a strand can quench due to magneto-thermal instabilities is developed. The model is based on an 'integral' approach already used elsewhere [1]. The main difference with respect to the previous model is the addition of the self-field effect that allows to describe premature quenches of non-magnetized Nb$_{3}$Sn strands and to better calculate the quench current of strongly magnetized strands. The model is in good agreement with experimental results at 4.2 K obtained at Fermilab using virgin Modified Jelly Roll (MJR) strands with a low Residual Resistivity Ratio (RRR) of the stabilizing copper. The prediction of the model at 1.9 K and the results of the tests carried out at CERN, at 4.2 K and 1.9 K, on a 0.8 mm Rod Re-Stack Process (RRP) strand with a low RRR value are discussed. At 1.9 K the test revealed an unexpected strand performance at low fields that might be a sign of a new stability regime

Total Knee Arthroplasty (TKA): When Do the Risks of TKA Overcome the Benefits? Double Risk of Failure in Patients up to 65 Years Old

Objective: The aim of this study was to document the survival rate in the middle-aged patient group up to 65 years old and to compare it with other age groups of patients undergoing total knee arthroplasty (TKA) for knee osteoarthritis (OA). Design: The Register of Orthopaedic Prosthetic Implants (RIPO) regional registry was used to analyze the results of patients <80 years old affected by primary OA and treated with TKA from 2000 to 2019. The database was investigated according to the age group: younger than 50 years, 50-65 years, or 66-79 years, with the aim to estimate revision surgeries and implant survivorship. Results: A total of 45,488 TKAs for primary OA were included in the analysis (M: 11,388; F: 27,846). The percentage of patients <65 years old increased from 13.5% to 24.8% between 2000 and 2019 (P < 0.0001). The survival analysis showed an overall influence of age on the implant revision rate (P < 0.0001), with an estimated survival rate of 78.7%, 89.4%, and 94.8% at 15 years in the 3 groups, respectively. Compared with the older-aged group, the relative risk of failure was 3.1 (95% confidence interval [CI] = 2.2-4.3; P < 0.001) higher in patients <50 years old and 1.8 (95% CI = 1.6-2.0; P < 0.001) higher in patients 50-65 years old. Conclusions: TKA use in the middle-aged patient population up to 65 years old increased significantly over time. These patients present a double risk of failure with respect to older patients. This is particularly important considering the increasing life expectancy and the emergence of new joint preserving strategies, which could postpone the need for TKA to an older age

Probabilistic Perception Revision in AgentSpeak(L)

Agent programming is mostly a symbolic discipline and, as such, draws little benefits from probabilistic areas as machine learning and graphical models. However, the greatest objective of agent research is the achievement of autonomy in dynamical and complex environments — a goal that implies embracing uncertainty and therefore the entailed representations, algorithms and techniques. This paper proposes an innovative and conflict free two layer approach to agent programming that uses already established methods and tools from both symbolic and probabilistic artificial intelligence. Moreover, this method is illustrated by means of a widely used agent programming example, GOLDMINERS

Constraint degree in revision total knee replacement: a registry study on 1432 patients

Purpose: Total knee replacement (TKR) failure represents a hard challenge for knee surgeons. TKR failure can be managed in revision with different constraint, related with soft and bone knee damages. The choice of the right constraint for every failure cause represents a not summarized entity. The purpose of this study is identifying distribution of different constraints in revision TKR (rTKR) for failure cause and the overall survival. Methods: A registry study based on the Emilia Romagna Register of the Orthopaedic Prosthetic Implants (called RIPO) was performed with a selection of 1432 implants, in the period between 2000 and 2019. Selection implants including primary surgery constraint, failure cause and constraint revision for every patient, and divided for constraint degrees used during procedures (Cruciate Retaining-CR, Posterior Stabilized-PS, Condylar Constrained Knee-CCK, Hinged). Results: The most common cause of primary TKR failure was aseptic loosening (51,45%), followed by septic loosening (29,12%). Each type of failure was managed with different constraint, the most used was CCK in the most of failure causes, such as to manage aseptic and septic loosening in CR and PS failure. Overall survival of TKA revisions has been calculated at 5 and 10 years for each constraint, with a range of 75.1-90.0% at 5 years and 75.1-87.5% at 10 years. Conclusion: Constraint degree in rTKR is typically higher than primary, CCK is the most used constraint in revision surgery with an overall survival of 87.5% at 10 years

Patient-reported outcome measures (PROMs) after elective hip, knee and shoulder arthroplasty: Protocol for a prospective cohort study

Background The number of hip, knee and shoulder arthroplasties continues to rise worldwide. The Organization for Economic Cooperation and Development has launched an initiative (called PaRIS Initiative) for the systematic collection of Patient Reported Outcome Measures (PROMs) in patients undergoing elective hip and knee arthroplasty. The Rizzoli Orthopedic Institute (IOR) was selected as a pilot center for the launch of the Initiative in Italy given that IOR hosts the Registry of Orthopedic Prosthetic Implants (RIPO), a region-wide registry which collects joint implant data from all the hospitals in the Emilia-Romagna Region. In this specific geographic area information related to PROMs after joint replacement is unknown. This paper describes the protocol of a study (PaRIS-IOR) that aims to implement the collection of a set of PROMs within an existing implant registry in Italy. The study will also investigate the temporal trend of PROMs in relation to the type of prosthesis and the type of surgical intervention. Methods The PaRIS-IOR study is a prospective, single site, cohort study that consists of the administration of PROMs questionnaires to patients on the list for elective arthroplasty. The questionnaires will be administered to the study population within 30 days before surgery, and then at 6 and 12 months following surgery. The study population will consist of consecutive adult patients undergoing either hip, knee or shoulder arthroplasty. The collected data will be linked with those routinely collected by the RIPO in order to assess the temporal trend of PROMs in relation to the type of prosthesis and the type of surgical intervention. Discussion The PaRIS-IOR study could have important implications in targeting the factors influencing functional outcomes and quality of life reported by patients after hip, knee and shoulder arthroplasty, and will also represent the first systematic collection of PROMs related to arthroplasty in Italy

Impact of previous lumbar spine surgery on total hip arthroplasty and vice versa: How long should we be concerned about mechanical failure?

Introduction: This registry study aims to assess the prevalence and demographic characteristics of patients with lumbar spine (LS) surgical procedures who undergo total hip arthroplasty (THA), to compare the long-term survival and causes of failure of THA in patients who previously underwent LS fusion and non-fusion surgical procedures, and to evaluate the risk of undergoing a revision LS surgery after THA. Materials and methods: Patients who underwent LS surgery followed by THA were identified by cross-referencing data from the Orthopedic Prosthetic Implants Registry and the Regional Hospital Discharge Database. Three groups of THA patients were identified: patients who underwent previous lumbar surgery with fusion (LS fusion-THA), without fusion (LS non-fusion-THA), and a control group with only THA (No LS surgery–THA). Demographic data, THA survival, number and causes of failure, and data on revision procedures on THA and LS were collected. Results: Of the total of 79,984 THA, 2.2% of patients had a history of LS procedures. THA only patients showed better results, while patients in the LS fusion-THA group had worse implant survival at 5-year follow-up. In the LS fusion-THA and LS non-fusion-THA, mechanical THA failures were more frequent in the first two years after implantation. There were no differences between groups regarding the risk of undergoing LS revision surgery. Conclusions: LS surgery negatively affects THA survivorship. In patients who previously underwent LS fusion and non-fusion surgical procedures, most THA failure occurs in the first two years after implant. The study contributes to the understanding of the relationship between the hip and the LS and provides useful guidance for clinical practice

Cementless ceramic-on-ceramic total hip replacement in children and adolescents

Background: total hip replacement (THR) is a rare surgical option in children and adolescents with disabling hip diseases. The aim of this study is to report results from a retrospective cohort of patients aged 18 years or less who underwent cementless Ceramic-on-Ceramic (CoC) THR at a single institution, investigating clinical and radiographic outcomes, survival rates, and reasons for revision of the implants. Materials and methods: we queried the Registry of Prosthetic Orthopedic Implants (RIPO) to identify all children and adolescents undergoing THR between 2000 and 2019 at a single Institution. Inclusion criteria were patients undergoing cementless CoC THR, aged less than 18 years at surgery, followed for at least 2 years. Sixty-eight patients (74 hips) matched all the inclusion criteria and were enrolled in the study. We assessed the clinical and radiographic outcomes, the rate of complications, the survival rate, and reasons for revision of the implants. Results: The mean follow-up was 6.6 ± 4.4 years (range 2–20). The most frequent reason for THR was post-traumatic or chemotherapy-induced avascular necrosis (38%). The overall survival rate of the cohort was 97.6% (95% CI: 84.9–99.7%) at 5 years of follow-up, 94.4% (95% CI: 79.8–98.6%) at 10 years and 15 years of follow-up. Two THR in two patients (2.7%) required revision. With the numbers available, Cox regression analysis could not detect any significant interaction between preoperative or intraoperative variables and implant survivorship (p-value 0.242 to 0.989).” The average HOOS was 85 ± 14.3 (range 30.6–100). Overall, 23 patients (48%) reported excellent HOOS scores (>90 points), 21 patients (44%) reported acceptable HOOS scores (60–90 points) while 4 patients (8%) reported poor outcomes (<60 points). Twenty-one patients (43%) were regularly involved into moderate-to high-intensity sport activities (UCLA ≥ 6). Conclusions: Cementless CoC THR is a successful procedure in children and teenagers, having demonstrated high implant survivorship and low rates of complications and failure. A meticulous preoperative planning and implant selection is mandatory, to avoid implant malposition, which is the main reason of failure and revision in these cases. Further studies are needed to assess the impact of the THR on the psychosocial wellbeing of teenagers, as well as risks and benefits and cost-effectiveness in comparison to the hip preserving surgical procedures

Phase Transformations during the Reaction Heat Treatment

The evolution of Nb containing phases during the diffusion heat treatment of three different high critical current Nb$_{3}$Sn strand types is compared, based on synchrotron X-ray diffraction results that have been obtained at the ID15 beam line of the European Synchrotron Radiation Facility (ESRF). In all strands studied, Nb$_{3}$Sn formation is preceded by the formation of a Cu-Nb-Sn ternary phase, NbSn2 and Nb6Sn5. As compared to the PIT and Tube Type strand, the amount of these phases formed in the RRP strand is relatively small. In the RRP strand subelements with a fine filament structure Nb$_{3}$Sn grows more quickly, thereby preventing to a large extent the formation of the other higher tin phases