scholarly journals The reasons for ceramic-on-ceramic revisions between the third- and fourth-generation bearings in total hip arthroplasty from multicentric registry data

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sang-Min Kim ◽  
Kee Hyung Rhyu ◽  
Jeong Joon Yoo ◽  
Seung-Jae Lim ◽  
Je Hyun Yoo ◽  
...  

AbstractThis study aimed to evaluate (1) the overall reasons for first revision in CoC THAs; (2) whether the reasons for revision differ between third-generation and fourth-generation CoC THAs; and (3) the specific factors associated with bearing-related problems as the reason for revision. We retrospectively reviewed 2045 patients (2194 hips) who underwent first revision THA between 2004 and 2013, among which 146 hips with CoC bearings underwent revision. There were 92 hips with third-generation ceramic bearings and 54 hips with fourth-generation ceramic bearings. The major reasons for CoC THA revisions were ceramic fracture and loosening of the cup or stem. When ceramic fracture, squeaking, incorrect ceramic insertion, and unexplained pain were defined as directly related or potentially related to ceramic use, 28.8% (42/146) of CoC revisions were associated with bearing-related problems. Among the third-generation ceramic bearings, revision was performed in 41.3% (38/92) of cases owing to bearing-related problems whereas revisions were performed for only 7.4% (4/54) of cases with fourth-generation ceramic bearings owing to bearing-related problems (p < 0.001). Younger age, lower American Society of Anesthesiologists (ASA) grade, and preoperative diagnosis of osteonecrosis were factors related to CoC THA revisions due to bearing-related problems.

2020 ◽  
Vol 26 ◽  
pp. 11-41
Author(s):  
Maciej Ziemierski

17th century testaments of the Królik family from Krakow The article is dedicated to the Królik family from Krakow, who lived in the town from the late 16th century until the first years of the 18th century. The family members initially worked as tailors, later reinforcing the group of Krakow merchants in the third generation (Maciej Królik). Wojciech Królik – from the fourth generation – was a miner in Olkusz. The text omits the most distinguished member of the family, Wojciech’s oldest brother, the Krakow councillor Mikołaj Królik, whose figure has been covered in a separate work. The work shows the complicated religious relations in the family of non-Catholics, initially highly engaged in the life of the Krakow Congregation, but whose members gradually converted from Evangelism to Catholicism. As a result, Wojciech Królik and his siblings became Catholics. This work is complemented by four testaments of family members, with the first, Jakub Królik’s, being written in 1626 and the last one, Wojciech Królik’s, written in 1691.


2010 ◽  
Vol 2 (2) ◽  
pp. 46-62 ◽  
Author(s):  
Elie Podeh

Previous research on the way in which the Arab-Israeli conflict and the image of the Arab have been presented in Jewish history and civics textbooks established that there have been three phases, each typified by its own distinctive textbooks. The shift from the first to the third generation of textbooks saw a gradual improvement in the way the Other has been described, with the elimination of many biases, distortions and omissions. This article explores whether new history textbooks, published from 2000 to 2010, have entrenched or reversed this trend. With the escalation of the Israeli-Palestinian conflict since the early 2000s, one might have expected that the past linear process of improvement would be reversed. However, textbooks written over the last decade do not substantially differ from those written in the 1990s, during the heyday of the peace process. The overall picture is, therefore, that the current textbooks do not constitute a fourth generation.


1994 ◽  
Vol 40 (5) ◽  
pp. 36-39
Author(s):  
J. Figge ◽  
G. A. Gerasimov

Highly sensitive methods for determining the level of TSH, carried out using test kits of the second and third generation, make it possible to differentiate with high accuracy the normal and subnormal levels of TSH in the blood and are currently widely used to examine patients with thyroid pathology. These methods have been used for a long time in clinical practice in the United States of America, and recently they are also increasingly used in Russia. The level of TSH below normal values ​​is determined in almost all cases of hyperthyroidism (with the exception of cases of TSH-secreting pituitary adenoma or resistance of the pituitary to thyroid hormones), which makes it possible to do without additional testing with tyroliberin (TRH). Methods for determining second generation TSH usually have a lower sensitivity limit of about 0.1 mU/L. When using the third generation methods, it is possible to accurately determine the level of TSH up to 0.01 mU/L. The fourth generation methods, which are still under development, will have a lower limit of determination of 0.001 mU/L, but they are unlikely to be used for routine clinical studies in the near future. At the Endocrinology Research Center of the Russian Academy of Medical Sciences in Moscow, third-generation methods are currently being used for routine clinical research (the Amerlight system, produced in Russia by the Amerkard joint venture). In addition to this system, other test systems of both domestic and foreign production are also available in Russia. In the USA, methods for determining TTG of the second and third generation are used. Third-generation systems are noticeably more expensive than second-generation systems. Given that in most patients with hyperthyroidism, the TSH level is in the range of less than 0.1 mU/L, methods for determining the third generation are more preferable. In general, the normal level of TSH in the blood of individuals in a state of euthyroidism is from 0.5 to 5.0 mU/L, although there are some interlaboratory differences in the standards for the level of TSH.


Author(s):  
В.И. Щуров ◽  
А.С. Замотайлов

Развитие первой генерации Corythucha arcuata в предгорьях и низкогорьях Северо-Западного Кавказа начинается в первых числах мая. При нижнем пороге пост-диапаузного развития имаго +11°С и при естественной длине дня ей требуется не менее 43 суток (аккумуляция 333-404 гр.-дн.). Гибель перезимовавших самок в этой зоне наблюдается к концу июня, совпадая с сокращением общей доли самок до 2-7%. В высокогорьях перезимовавшие имаго расселяются и в июне, доживая до июля на ивах и березах. Пик выхода имаго первого поколения приходится на конец июня. Массовая яйцекладка самками первого поколения (начало второго поколения) предваряется миграцией оплодотворенных самок на новые кормовые растения. Развитие преимагиальных стадий второго поколения (без смены кормовых растений) протекает с середины июня. Метаморфоз длится не менее 16-23 суток (361-430 гр.-дн.). Пик выхода имаго второго поколения в конце июля совпадает с массовым расселением, в котором всегда преобладают самки. Третье поколение развивается в августе. Метаморфоз занимает 19-28 суток (329-350 гр.-дн.). Пик выхода имаго третьего поколения приходится на первую декаду сентября. Его предваряет более ранний выход самцов, определяемый по их локальным и региональным миграциями с конца августа. Четвертое поколение является факультативным и развивается (без смены кормовых растений) с конца августа до третьей декады сентября. Развитие преимагиальных стадий этого поколения занимает не менее 26 суток (378 гр.-дн.). Последняя миграция клопов наблюдается в начале-середине октября. Самки третьего поколения первыми уходят в места зимовки в предгорьях и низкогорьях уже в середине сентября. Здесь, в дубовых лесах, зимуют имаго третьего и четвертого поколений обычно с преобладанием самок. В среднегорьях с ними могут зимовать особи-иммигранты второго поколения, но с преобладанием самцов, сохраняющимся с сентября. Development of the first generation of Corythucha arcuata in the climate of the foothills and lowlands of the Northwest Caucasus starts in the early May. With a natural day length and the threshold for post-diapause imago development of 11 °C, it requires 333-404 degree-days and at least 43 days. The death of the overwintered females in this zone is observed by the end of June, coinciding with the reduction of the total portion of females to 2-7%. In the highlands imagoes are dispersing in June as well, surviving until July on willows and birch trees. Peak of the first-generation imago outcome occurs at the end of June. Migration of fertilized females of the first generation to new forage plants is followed by mass egg laying (i.e. beginning of the second generation). During the formation of large nests in the foothills, the flight of bugs is observed even in treeless highlands. Development of the preadult stages of the second generation (without changing feed plants) takes place starting at mid-June. Metamorphosis requires 361-430 degree-days and takes at least 16-23 days. The peak of the emergence of the second generation imagoes at the end of July coincides with their dispersal, which is also dominated by females. The third generation develops in August. It requires 329-350 degree-days and takes 19-28 days. The peak of the emergence of the G3 imagoes falls on the first third of September. It is preceded by anearlier emergence of males, determined by their mass local and regional migrations since the end of August. The fourth generation is obligated and develops (without changing feed plants) from the end of August to the end of September. It requires at least 378 degree-days and takes at least 26 days. Late nymphs resulting from female immigrant of the third generation (on new trees) give imagoes only by mid-October. The last migration of bugs is observed in early to mid-October. Imagoes of the third and fourth generations with the predominance of females hibernate in the oak forests of the foothills and low-mountain. In the midlands they may be accompanied by the overwintering immigrants of the second generation, with the predominance of males, formed in September.


1999 ◽  
Vol 90 (2) ◽  
pp. 445-450 ◽  
Author(s):  
Julia E. Pollock ◽  
Spencer S. Liu ◽  
Joseph M. Neal ◽  
Carol A. Stephenson

Background Although it has been suggested that the dilution of 5% hyperbaric lidocaine before injection for spinal anesthesia may decrease the incidence of transient neurologic symptoms, previous studies have not noted a decreased incidence between 5% and 2% lidocaine. The aim of the current study was to determine whether the incidence of transient neurologic symptoms could be altered by further diluting spinal lidocaine from 2.0% to 0.5%. Methods One hundred nine patients with American Society of Anesthesiologists physical status 1 or 2 undergoing outpatient knee arthroscopy were randomized in a double-blind fashion to receive 50 mg hyperbaric spinal lidocaine as a 2.0%, 1.0%, or 0.5% concentration. On the third postoperative day, patients were contacted by a blinded investigator and questioned regarding the incidence of postoperative complications, including transient neurologic symptoms, defined as pain or dysthesia in one or both buttocks or legs occurring within 24 h of surgery. Results The incidence of transient neurologic symptoms did not differ among patients receiving 2.0% (incidence of 15.8%), 1.0% (incidence of 22.2%), and 0.5% (incidence of 17.1%) lidocaine (P = 0.756). Conclusions For ambulatory patients undergoing arthroscopy, the incidence of transient neurologic symptoms is not reduced by decreasing spinal lidocaine concentrations from 2.0% to 1.0% or 0.5%. The incidences of transient neurologic symptoms with the 0.5%, 1.0%, and 2.0% solutions are similar to previously reported incidences for 5.0% lidocaine, suggesting that dilution of lidocaine from 5.0% to 0.5% does not change the incidence of these symptoms.


2014 ◽  
Vol 14 (8) ◽  
pp. 2079-2088 ◽  
Author(s):  
Z.-W. Zhu ◽  
Q.-Y. Yuan ◽  
D.-Y. Liu ◽  
B. Liu ◽  
J.-C. Liu ◽  
...  

Abstract. Landslide monitoring is important in predicting the behavior of landslides, thereby ensuring environmental, life, and property safety. On the basis of our previous studies, we conducted the double shear test by using a third-generation optical fiber transducer that uses expandable polystyrene (EPS) as base material. However, the third-generation transducer has poor performance when cohesive force is present between the grout and capillary stainless steel pipe of the transducer. Thus, the fourth-generation optical fiber transducer was invented. Similar to the third-generation transducer, the fourth-generation transducer also used EPS as its base material. Single shear test was conducted on the fourth-generation transducer after being grouted with cement mortar (1 : 1 mix ratio). The micro-bend loss mechanism of the optical fiber was considered, and the optical time domain reflectometry instrument was used. The fact that the loss sequence of optical fibers subjected to loading is different at various locations is found. The relationship of the loading-point displacement vs. optical fiber sliding distance and optical loss were measured. Results show that the maximum initial measurement precision of the newly proposed device is 1 mm, the corresponding sliding distance is 21 mm, and the dynamic range is 0–20 mm. The fourth-generation transducer can measure the movement direction of loadings, thus making this transducer applicable for landslide monitoring.


2018 ◽  
Vol 19 (2) ◽  
pp. 94
Author(s):  
Sri Hartati

<p>Performance of Several Mungbean Lines Resulted from Mutation of Co-60 Gamma Rays Irradiation. Sri Hartati, 23 pages. The objectives of the research were to evaluate the agronomic traits of the fourth generation (M3) of mungbean mutants and to get at least one potential genotype for further selection in order to achieve a new high yielding variety. He research was done in Grumosol of Joho Mojolaban, Sukoharjo.</p><p>The experimental design was completely randomized design with 12 treatments: G1/V1R0: the third generation of ‘Merpati’ with no radiation; G2/V1R1: the third generation of ‘merpati’ radiated at rate of 5 K rad; G3/ViR2: the third generation of ‘Merpati’ radiated at rate of 10 K rad; G4/V1R3: the third generation of ‘Merpati’ radiated at rate of 15 K rad; G5/V2R0: the third generation of ‘Camar’ with no radiation; G6/V2R1: the third generation of ‘Camar’ radiated at rate of 10 K rad; G7/V2R3: the third generation of ‘Camar’ radiated a rate of 15 K rad; G9/V3R0: the third generation of ‘Walet’ no with radiation; G10/V3R1: the third generation of ‘Walet’ radiated at rate of 5 K rad; G11/V3R2: the third generation of ‘Walet’ radiated at rate of 10 K rad; G12/V3R3: the third generation of ‘Walet’ radiated at rate of 15 K rad.</p><p>The research conclude that weight of 1000 seeds and weight of seed per plot from the first to the fourth generation were achieved by ‘Walet’ variety irradiated at the rate of 10 K rad; and thus, this was the potential lines for further selection program.</p>


ATAVISME ◽  
2017 ◽  
Vol 20 (2) ◽  
pp. 168-180
Author(s):  
Muhri Muhri

This research aims to classify the Bangkalan poets into generations and trends on the themes of each generation. The underlying theories are those that affect the subdiscipline of literary history, especially the theories within the deconstructive paradigm. Data were obtained through interviews and study of literary work, namely the works of Bangkalan poets. From the analysis, generation of poets of Bangkalan can be divided into four generations based on tradition and common interests as manifested in the organization or forum where those poets gather. The first generation was in the Arts Council of Bangkalan (Dewan Kesenian Bangkalan or DKB), the second generation was raised in the Tera' Bulan Community, the third generation came from the campus theater communities around Bangkalan, and the fourth generation was in Masyarakat Lumpur Community and Bawah Arus Community. Metaphysical and social were dominant themes in the early generation, libidinal love theme was a theme that tended to appear in the second generation, local and lyrical themes tended to emerge in the third and fourth generation.


Author(s):  
Duarte Teles ◽  
Isabel Azevedo

This chapter provides a conceptual understanding of blockchain, its purpose, and fundamental concepts before discussing two prominent blockchains, Bitcoin and Ethereum, which are, respectively, representative of the first and second generations of this technology. Some applications that are characteristic of the third generation are presented along with their potential and limitations. They also serve to substantiate some of the problems that are discussed later. Thus, the current developments that are addressing the most pressing current issues and the approaches to overcome them are discussed in the vision of the future of blockchain. What will be the fourth generation, with obligatory resolution or mitigation of many of these problems, which could lead to a widespread adoption of the technology in several other sectors, is described.


Author(s):  
Takeyuki Tsuda

This chapter focuses on the third-generation sansei, who have followed the assimilative trajectory of their prewar nisei parents. Raised in white, middle-class suburbs, they are well integrated into mainstream American society and have experienced a considerable degree of socioeconomic success. Compared to the other generations, they have generally lost their ancestral heritage and have the least interest in developing transnational ties with Japan. However, they experienced the ethnic activism of the Asian American movement in the 1960s and 1970s, the gradual turn toward multiculturalism, and the emergence of Japan as a respected global economic power. As a result, the sansei claim to have inherited aspects of the ancestral Japanese culture and express greater pride in their ethnic identities as Japanese Americans than the prewar nisei.


Sign in / Sign up

Export Citation Format

Share Document