3,070 research outputs found

    Posterior mini-incision total hip arthroplasty controls the extent of post-operative formation of heterotopic ossification.

    Get PDF
    Heterotopic ossification (HO) is the formation of bone at extra-skeletal sites. Reported rates of HO after hip arthroplasty range from 8 to 90 %; however, it is only severe cases that cause problems clinically, such as joint stiffness. The effects of surgical-related controllable intra-operative risk factors for the formation of HO were investigated. Data examined included gender, age of patient, fat depth, length of operation, incision length, prosthetic fixation method, the use of pulsed lavage and canal brush, and component size and material. All cases were performed by the same surgeon using the posterior approach. A total of 510 cases of hip arthroplasty were included, with an overall rate of HO of 10.2 %. Longer-lasting operations resulted in higher grades of HO (p = 0.047). Incisions >10 cm resulted in more widespread HO formation (p = 0.021). No further correlations were seen between HO formation and fat depth, blood loss, instrumentation, fixation methods or prosthesis material. The mini-incision approach is comparable to the standard approach in the aetiology of HO formation, and whilst the rate of HO may not be controllable, a posterior mini-incision approach can limit its extent

    Ambient Assistive Living (AAL) Technology for Dementia and Aging in Place: An inclusive approach to knowledge acquisition for the design community

    Get PDF
    The growing concern for safety, care and wellbeing of older people ad increase in age related health issues such as dementia, has generated a great interest in AAL technologies as a means to support the elderly and caregiver needs in daily living tasks, extend aging at home, and maintaining social inclusion for as long as possible. As technology becomes more ubiquitous in home environments, new design challenges will arise for the design/build community. Literature search revealed that there is now North American Guideline for AAL technology available. This study required an integrated design process utilizing in-person and online surveys which included interdisciplinary contributions from healthcare experts. building automation experts. interior designers and architects in the development of an educational structure fro a proposed North American AAL Technology Guideline. Research indicated that the educational structure would need to consider the developmental continuum in learning for professionals as they move from novice to expert in practice. Keywords: aging, ambient assisted living (AAL) technology, dementia, home automation, innovation models, Maslow's Hierarchy of Needs, professional developmental continuu

    The Impact of Atmosphere on the Local Luminescence Properties of Metal Halide Perovskite Grains.

    Get PDF
    Metal halide perovskites are exceptional candidates for inexpensive yet high-performing optoelectronic devices. Nevertheless, polycrystalline perovskite films are still limited by nonradiative losses due to charge carrier trap states that can be affected by illumination. Here, in situ microphotoluminescence measurements are used to elucidate the impact of light-soaking individual methylammonium lead iodide grains in high-quality polycrystalline films while immersing them with different atmospheric environments. It is shown that emission from each grain depends sensitively on both the environment and the nature of the specific grain, i.e., whether it shows good (bright grain) or poor (dark grain) luminescence properties. It is found that the dark grains show substantial rises in emission, while the bright grain emission is steady when illuminated in the presence of oxygen and/or water molecules. The results are explained using density functional theory calculations, which reveal strong adsorption energies of the molecules to the perovskite surfaces. It is also found that oxygen molecules bind particularly strongly to surface iodide vacancies which, in the presence of photoexcited electrons, lead to efficient passivation of the carrier trap states that arise from these vacancies. The work reveals a unique insight into the nature of nonradiative decay and the impact of atmospheric passivation on the microscale properties of perovskite films
    • …
    corecore