The Journal of Conventional Weapons Destruction Issue 27.2

Updates on recent enhancements to IMAS. Food security and its connection to mine action as it applies to Ukraine. Digital EORE as a small NGO in mine action. A case study on moving beyond do no harm in environmental mainstreaming in mine action. Efforts of JICA and CMAC in fostering South-South cooperation in mine action. UAV Lidar imaging in mine action to detect and map minefields in Angola. Land disputes and rights in mine action. Computer vision detection of explosive ordnance

Conventional versus highly cross-linked polyethylene in primary total knee replacement : a comparison of revision rates using data from the National Joint Registry for England, Wales, and Northern Ireland

There is evidence to support the use of highly cross-linked polyethylene (HXLPE) in patients undergoing total hip arthroplasty. However, the benefits for those undergoing total knee arthroplasty are uncertain, with conflicting reports based on previous cohort analyses. The purpose of the present study was to compare the revision rates following primary total knee arthroplasty with use of HXLPE as compared with conventional polyethylene (CPE) using data from the National Joint Registry (NJR) for England, Wales and Northern Ireland. We performed a retrospective analysis of primary total knee arthroplasties recorded in the NJR from 2003 to 2014. Cobalt-chromium (CoCr)-CPE and CoCr-HXLPE bearing surfaces were compared using all-cause revision, aseptic revision, and septic revision as end points. Survival analyses were conducted using rates per 100 years observed, Kaplan-Meier survival estimates, and Cox regression hazard ratios (HRs) adjusted for age, sex, American Society of Anesthesiologists (ASA) classification, body mass index (BMI), lead surgeon grade, and implant constraint. Secondary analyses compared the most commonly used HXLPEs (Zimmer Prolong, DePuy XLK, and Stryker X3) against CPE for the 3 most common total knee arthroplasty systems (NexGen, PFC Sigma, and Triathlon). In the present study of 550,658 total knee arthroplasties, the unadjusted aseptic revision rates were significantly lower following procedures performed with CPE (n = 513,744) as compared with those performed with HXLPE total knee replacements (n = 36,914) (0.29 [95% confidence interval (CI), 0.28 to 0.30] compared to 0.38 [95% CI, 0.35 to 0.42], p 35 kg/m, the "second-generation" Stryker X3 HXLPE demonstrated significantly better survival than its respective CPE, with CPE having an HR of 2.6 (95% CI, 1.2 to 5.9) (p = 0.02). Alternative bearings are marketed as having improved wear properties over traditional CoCr-CPE. This registry-based analysis demonstrated no overall survival benefit of HXLPE after a maximum duration of follow-up of 12 years. Because of their increased cost, the routine use of HXLPE bearings may not be justified. However, they may have a role in specific "higher demand" groups such as patients 35 kg/m. Therapeutic Level III. See Instructions for Authors for a complete list of levels of evidence

Against Conventional Wisdom

Conventional wisdom has it that truth is always evaluated using our actual linguistic conventions, even when considering counterfactual scenarios in which different conventions are adopted. This principle has been invoked in a number of philosophical arguments, including Kripke’s defense of the necessity of identity and Lewy’s objection to modal conventionalism. But it is false. It fails in the presence of what Einheuser (2006) calls c-monsters, or convention-shifting expressions (on analogy with Kaplan’s monsters, or context-shifting expressions). We show that c-monsters naturally arise in contexts, such as metalinguistic negotiations, where speakers entertain alternative conventions. We develop an expressivist theory—inspired by Barker (2002) and MacFarlane (2016) on vague predications and Einheuser (2006) on counterconventionals—to model these shifts in convention. Using this framework, we reassess the philosophical arguments that invoked the conventional wisdom

Comparing Ayurveda & Conventional Medicine

South Asia in general, and India specifically, are regions with immense diversity in culture and language. Because of this conversations about medicine between doctors and patients takes different forms from one region to another. This is especially true when we look at urban, suburban and rural doctor-patient interactions. Added to these is the element of gender. Owing to the somewhat conservative worldview of gender interactions, even doctor-patients conversations might become colored by it. The clips in this section show variations of patterns of conversation in the practice of conventional medicine.Asian StudiesHindi Urdu FlagshipSouth Asia Institut

Leachate treatment by conventional coagulation, electrocoagulation and two-stage coagulation (conventional coagulation and electrocoagulation)

Leachate is widely explored and investigated due to highly polluted and difficult to treat. Leachate treatment commonly involves advanced, complicated and high cost activities. Conventional coagulation is widely used in the treatment of wastewater but the sludge production becomes the biggest constraint in this treatment. Electrocoagulation is an alternative to conventional method because it has the same application but produce less sludge and requires simple equipment. Thus, combination of conventional coagulation and electrocoagulation can improve the efficiency of coagulation process in leachate treatment. This article is focusing on the efficiency of single and combined treatment as well as the improvement made by combined treatment. Based on review, the percentage reduction of current density and dose of coagulant was perceptible. As much 50% reduction of current density, duration of treatment, and dose of coagulant able to be obtained by using combined treatment. This combined treatment is able to reduce the cost and at the same time reduce the duration of treatment. Hence, the combined treatment offers an alternative technique for landfill leachate treatment on the removal of pollutants