608 research outputs found

    Reconstruction of the acetabulum in THA using femoral head autografts in developmental dysplasia of the hip

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    <p>Abstract</p> <p>Background</p> <p>Severe acetabular deficiencies in cases of developmental dysplasia of the hip (DDH) often require complex reconstructive procedures in total hip arthroplasty (THA). The use of autologous femoral head grafts for acetabular reconstruction has been described, but few data is available about clinical results, the rates of non-union or aseptic loosening of acetabular components.</p> <p>Methods</p> <p>In a retrospective approach, 101 patients with 118 THA requiring autologous femoral head grafts to the acetabulum because of DDH were included. Six patients had died, another 6 were lost to follow-up, and 104 hips were available for clinical and radiological evaluation at a mean of 68 ± 15 (13 to 159) months.</p> <p>Results</p> <p>The average Merle d'Aubigné hip score improved from 9 to 16 points. Seven implants had to be revised due to aseptic loosening (6.7%). The revisions were performed 90 ± 34 (56 to 159) months after implantation. The other hips showed a stable position of the sockets without any signs of bony non-union, severe radiolucencies at the implant-graft interface or significant resorption of the graft.</p> <p>Conclusion</p> <p>The use of autologous femoral head grafts with cementless cups in primary THA can achieve promising short- to midterm results in patients with dysplastic hips.</p

    Efficient implementation of a CCA2-secure variant of McEliece using generalized Srivastava codes

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    International audienceIn this paper we present efficient implementations of McEliece variants using quasi-dyadic codes. We provide secure parameters for a classical McEliece encryption scheme based on quasi-dyadic generalized Srivastava codes, and successively convert our scheme to a CCA2-secure protocol in the random oracle model applying the Fujisaki-Okamoto transform. In contrast with all other CCA2-secure code-based cryptosystems that work in the random oracle model, our conversion does not require a constant weight encoding function. We present results for both 128-bit and 80-bit security level, and for the latter we also feature an implementation for an embedded device

    Effect of the unpolarized spin state in spin-correlation measurement of two protons produced in the 12C(d,2He) reaction

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    In this note we discuss the effect of the unpolarized state in the spin-correlation measurement of the 1S0^1S_0 two-proton state produced in 12C(d,2He) reaction at the KVI, Groningen. We show that in the presence of the unpolarized state the maximal violation of the CHSH-Bell inequality is lower than the classical limit if the purity of the state is less than 70% \sim \verb+70%+. In particular, for the KVI experiment the violation of the CHSH-Bell inequality should be corrected by a factor 10%\sim\verb+10%+ from the pure 1S0^1S_0 state.Comment: 6 pages, to appear in J. Phys.

    TKA following high tibial osteotomy versus primary TKA - a matched pair analysis

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    <p>Abstract</p> <p>Background</p> <p>High tibial osteotomy (HTO) is a well established technique for the treatment of medial osteoarthritis of the knee with varus malalignment. Results of total knee arthroplasty (TKA) after previous HTO are still discussed controversially. The aim of this study was to elucidate the clinical and radiological results as well as perioperative data of prior HTO on TKA.</p> <p>Methods</p> <p>Forty-one TKA after HTO were compared to 41 primary TKA at minimum of six years follow-up. Patients were matched according to age, gender, follow-up, etiology, and prosthetic design. Surgical data and complications were evaluated. Clinical outcome was assessed using a number of clinical scores and the visual analogue scale (VAS) for pain. X-rays were evaluated by the method of the American Knee Society. The patellar position was measured by the Insall-Salvati ratio.</p> <p>Results</p> <p>There was no significant difference in mean operation time (p = 0.47) and complication rate (p = 0.08). The Knee Score of the KSS (p = 0.0007) and the ROM (p = 0.006 for extension and p = 0.004 for flexion, respectively) were significantly better in the control group. Mid-term results of the VAS, WOMAC, Lequesne, UCLA, Feller's Patellar Score and SF-36 showed no significant difference. Femoral and tibial component alignment were similar in both groups. One tibial component showed suspect radiolucencies in the HTO group. The Insall-Salvati ratio showed three patients with patella alta and one patient with patella baja in the HTO group. At latest follow-up all implants were still in place.</p> <p>Conclusions</p> <p>Evaluating the clinical and radiological outcome, significant differences were only detected for range of motion and the Knee Score of the KSS. The present study suggests that the results of TKA with and without prior HTO are mainly identical. Although patients with a previous HTO had more complications, no statistically significant differences were noted with this group size.</p

    Polarization Correlations of 1S0 Proton Pairs as Tests of Bell and Wigner Inequalities

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    In an experiment designed to overcome the loophole of observer dependent reality and satisfying the counterfactuality condition, we measured polarization correlations of 1S0 proton pairs produced in 12C(d,2He) and 1H(d,He) reactions in one setting. The results of these measurements are used to test the Bell and Wigner inequalties against the predictions of quantum mechanics.Comment: 8 pages, 4 figure

    FASTER: Facilitating Analysis and Synthesis Technologies for Effective Reconfiguration

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    The FASTER (Facilitating Analysis and Synthesis Technologies for Effective Reconfiguration) EU FP7 project, aims to ease the design and implementation of dynamically changing hardware systems. Our motivation stems from the promise reconfigurable systems hold for achieving high performance and extending product functionality and lifetime via the addition of new features that operate at hardware speed. However, designing a changing hardware system is both challenging and time-consuming. FASTER facilitates the use of reconfigurable technology by providing a complete methodology enabling designers to easily specify, analyze, implement and verify applications on platforms with general-purpose processors and acceleration modules implemented in the latest reconfigurable technology. Our tool-chain supports both coarse- and fine-grain FPGA reconfiguration, while during execution a flexible run-time system manages the reconfigurable resources. We target three applications from different domains. We explore the way each application benefits from reconfiguration, and then we asses them and the FASTER tools, in terms of performance, area consumption and accuracy of analysis

    Efficient methods for signal detection from correlated adverse events in clinical trials

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    It is an important and yet challenging task to identify true signals from many adverse events that may be reported during the course of a clinical trial. One unique feature of drug safety data from clinical trials, unlike data from post-marketing spontaneous reporting, is that many types of adverse events are reported by only very few patients leading to rare events. Due to the limited study size, the p-values of testing whether the rate is higher in the treatment group across all types of adverse events are in general not uniformly distributed under the null hypothesis that there is no difference between the treatment group and the placebo group. A consequence is that typically fewer than (Formula presented.) percent of the hypotheses are rejected under the null at the nominal significance level of (Formula presented.). The other challenge is multiplicity control. Adverse events from the same body system may be correlated. There may also be correlations between adverse events from different body systems. To tackle these challenging issues, we develop Monte-Carlo-based methods for the signal identification from patient-reported adverse events in clinical trials. The proposed methodologies account for the rare events and arbitrary correlation structures among adverse events within and/or between body systems. Extensive simulation studies demonstrate that the proposed method can accurately control the family-wise error rate and is more powerful than existing methods under many practical situations. Application to two real examples is provided
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