978 research outputs found

    Osteoporotic Pain

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    Low Back Pain

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    High-precision molecular dynamics simulation of UO2-PuO2: superionic transition in uranium dioxide

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    Our series of articles is devoted to high-precision molecular dynamics simulation of mixed actinide-oxide (MOX) fuel in the rigid ions approximation using high-performance graphics processors (GPU). In this article we assess the 10 most relevant interatomic sets of pair potential (SPP) by reproduction of the Bredig superionic phase transition (anion sublattice premelting) in uranium dioxide. The measurements carried out in a wide temperature range from 300K up to melting point with 1K accuracy allowed reliable detection of this phase transition with each SPP. The {\lambda}-peaks obtained are smoother and wider than it was assumed previously. In addition, for the first time a pressure dependence of the {\lambda}-peak characteristics was measured, in a range from -5 GPa to 5 GPa its amplitudes had parabolic plot and temperatures had linear (that is similar to the Clausius-Clapeyron equation for melting temperature).Comment: 7 pages, 6 figures, 1 tabl

    Musculo-cutaneous flap for reconstruction surgery for deep surgical site infection after total en bloc spondylectomy: A technical note

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    BackgroundTotal en bloc spondylectomy (TES) is potential radical resection surgery for spinal tumors. Surgical procedure of TES includes extremely wide detachment of surrounding soft tissue from pathological vertebra, resulting in impairment of blood supply. Moreover, massive dead space inevitably is made after vertebral body resection. Therefore deep surgical site infection (SSI) after TES could be intractable. To date, suitable treatment for deep SSI after TES has not been established.Case descriptionA 72 years old man underwent TES of 12th thoracic level via single posterior approach for primary leiomyosarcoma. Postoperative additional irradiation was performed. One year after surgery, late infection around the cage occurred. We removed the cage followed by autologous iliac bone grafting, we treat the wound by open therapy and daily irrigation, followed by negative pressure wound therapy. Four-month later, we performed musculo-cutaneous flap using latissimus dorsi muscle with plastic surgeons. At the follow-up visit one year after flap surgery, no evidence of recurrence of infection was observed.ConclusionMusculo-cutaneous flap is one of treatment options to fill the dead space and to control deep SSI after TES

    Benchmark control problems for seismically excited nonlinear buildings.

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    Abstract This paper presents the problem definition and guidelines of a set of benchmark control problems for seismically excited nonlinear buildings. Focusing on three typical steel structures, 3-, 9-and 20-story buildings designed for the SAC project for the Los Angeles, California region, the goal of this study is to provide a clear basis to evaluate the efficacy of various structural control strategies. A nonlinear evaluation model has been developed that portrays the salient features of the structural system. Evaluation criteria and control constraints are presented for the design problems. The task of each participant in this benchmark study is to define (including sensors and control algorithms), evaluate and report on their proposed control strategies. These strategies may be either passive, active, semi-active or a combination thereof. The benchmark control problems will then facilitate direct comparison of the relative merits of the various control strategies. To illustrate some of the design challenges, a sample control strategy employing active control with a linear quadratic Gaussian (LQG) control algorithm is applied to the 20-story structure

    Associations between proinflammatory cytokines in the synovial fluid and radiographic grading and pain-related scores in 47 consecutive patients with osteoarthritis of the knee

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    <p>Abstract</p> <p>Background</p> <p>One of the sources of knee pain in osteoarthritis (OA) is believed to be related to local chronic inflammation of the knee joints, which involves the production of inflammatory cytokines such as tumor necrosis factor alpha (TNFα), interleukin (IL)-6, and nerve growth factor (NGF) in the synovial membrane, and these cytokines are believed to promote pathological OA. In the present study, correlations between proinflammatory cytokines in knee synovial fluid and radiographic changes and functional scores and pain scores among OA patients were examined.</p> <p>Methods</p> <p>Synovial fluid was harvested from the knees of 47 consecutive OA patients, and the levels of TNFα, IL-6, and NGF were measured using enzyme-linked immunosorbent assays. Osteoarthritic knees were classified using Kellgren-Lawrence (KL) grading (1-4). The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) was used to assess self-reported physical function, pain, and stiffness.</p> <p>Results</p> <p>TNFα and IL-6 were detectable in knee synovial, whereas NGF was not. TNFα was not correlated with the KL grade, whereas IL-6 had a significantly negative correlation. We observed differences in the correlations between TNFα and IL-6 with WOMAC scores and their subscales (pain, stiffness, and physical function). TNFα exhibited a significant correlation with the total score and its 3 subscales, whereas IL-6 exhibited a moderately significant negative correlation only with the subscale of stiffness.</p> <p>Conclusions</p> <p>The present study demonstrated that the concentrations of proinflammatory cytokines are correlated with KL grades and WOMAC scores in patients with knee OA. Although TNFα did not have a significant correlation with the radiographic grading, it was significantly associated with the WOMAC score. IL-6 had a significant negative correlation with the KL grading, whereas it had only a weakly significant correlation with the subscore of stiffness. The results suggest that these cytokines play a role in the pathogenesis of synovitis in osteoarthritic knees in different ways: TNFα is correlated with pain, whereas IL-6 is correlated with joint function.</p
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