scholarly journals Enhancing the radiological classification system from the distal femur to the proximal tibia

Author(s):  
Vincenzo de Matteo ◽  
Felipe Forero ◽  
Sophia Marlene Busch ◽  
Philip Linke ◽  
Peter Wilhelm ◽  
...  

Abstract Introduction The inner diaphyseal diameter of the distal femur, at 20 cm from the lateral joint line, is the strongest risk factor for predicting aseptic loosening in total knee arthroplasty using rotating hinge prosthesis. In this context, the Citak classification has been introduced presenting three different types of the distal femur anatomy. The aim of the study is to develop a novel classification system for the proximal tibia. Materials and Methods Two-hundred patients with standard knee antero-posterior radiographs were included in this study. We measured the inner diameter of the tibia 16 cm distally from the tibial plateau and 3 cm distally from the tibial spine. The ratio between these two measurements was applied as the novel index ratio. Results According to the 25th and 75th percentiles, three groups can be clustered for each gender. A higher distribution of the type B pattern was found in female and male patients. However, type A with a narrow inner diaphyseal diameter was less common in female patients The median intra-observer reliability for rater 1 was 0.997. The inter-observer reliability was high (ICC 0.998). There was a moderate correlation between the AP diameter and height (r = 0,568); a low correlation between the AP diameter and weight (r = 0.376). The novel index shows no significant correlation between the index ratio and height (r = 0.082), weight (r = 0.014) or BMI (r= - 0.038). The novel index shows no statistically significant correlation between the index ratio and height (r = 0.082) or weight (r = 0.014) or BMI (r= - 0.038). Conclusion The novel classification presents three different types of tibia for each gender: type C has a wider inner diaphyseal diameter compared to type A with a narrow inner diaphyseal diameter. Type B has the widest distribution among the subjects.

2015 ◽  
Vol 6 (1) ◽  
pp. 15-20 ◽  
Author(s):  
M Mohiuddin ◽  
MB Latif

This study was conducted to determine the contamination of E. coli and Salmonella for different types of foods in Chittagong city area. In case of laboratory examination, almost half (49.58%) of the samples were contaminated where 28.75% positive for E. coli. and 20.83% for Salmonella. The positive cases for type A sample was 20 out of 96 constituting 20.83% whereas the positive cases for type B sample was 49 out of 144 constituting 34.03% for E. coli. The positive cases of type A sample was 15 out of 96 making up 15.63% and for type B sample was 35 out of 144 making up 24.31% for Salmonella.A chi-square (?2) test was used to examine the equality of observed proportions for E. coli and Salmonella of each item of both types of food where significant difference among the observed proportion for E. coli (p-value<0.01) and Salmonella (p-value=0.032) for different items of A type and for E. coli (p-value<0.01) for different items of B type were observed and an odds ratio (OR) was measured for association between exposure and outcome where the probability of contaminated by E. coli of type B food is higher than contaminated of type A food (OR= 1.96 and CI:1.07-3.58). The probability of contaminated by Salmonella of type B food was higher than type A food (OR= 1.73 and CI: 0.89-3.39).The comparatively high bacteria in type B samples indicated contamination from water, practice of inadequate hygienic measures, mishandling, improper storage, inadequate cooking and above all unhygienic condition of the retail shops.DOI: http://dx.doi.org/10.3329/jesnr.v6i1.22034 J. Environ. Sci. & Natural Resources, 6(1): 15-20 2013


1978 ◽  
Vol 15 (6) ◽  
pp. 874-888 ◽  
Author(s):  
Normand Tassé ◽  
Jean Lajoie ◽  
Erich Dimroth

Archean pyroclastic rocks at Reneault and D'Alembert in the Noranda region are composed of crystals and lithic, vitric and pumiceous fragments. The pyroclastic rocks contain two types of beds, whose primary structure sequences and other characteristics show that the deposits accumulated from different types of density flows. The first bed-type (A) is characterized by greater bed-thickness, reverse grading and the coarsest fragments in the deposit. Closest to source, the primary structure sequence in Type A beds is indicative of deposition from debris flows, but in more distal sections it suggests deposition from turbulent suspensions. The second bed-type (B) is characterized by a smaller fragment size, thinner beds, normal grading and the presence of parallel and (or) oblique stratifications. The primary structure sequence in Type B beds is similar to that observed in turbidites, which suggests deposition from turbulent suspensions of low density.Lateral and vertical variations of grain size, bed thickness and structure sequences indicate that the vent was south of Reneault and that the volcanic activity increased with time. Pillowed flows both underlie and overlie the pyroclastic units which suggests accumulation under water, but there is evidence that some eruptions were subaerial.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Dominik Lausch ◽  
Christian Hagendorf

In this contribution the influence of different types of recombination-active defects on the integral electrical properties of multicrystalline Si solar cells is investigated. Based on a previous classification scheme related to the luminescence behavior of crystal defects, Type-A and Type-B defects are locally distinguished. It is shown that Type-A defects, correlated to iron contaminations, are dominating the efficiency by more than 20% relative through their impact on the short circuit current ISC and open circuit voltage VOC in standard Si material (only limited by recombination active crystal defects). Contrarily, Type-B defects show low influence on the efficiency of 3% relative. The impact of the detrimental Type-A defects on the electrical parameters is studied as a function of the block height. A clear correlation between the area fraction of Type-A defects and both the global Isc and the prebreakdown behavior (reverse current) in voltage regime-2 (−11 V) is observed. An outlier having an increased full-area recombination activity is traced back to dense inter- and intragrain nucleation of Fe precipitates. Based on these results it is concluded that Type-A defects are the most detrimental defects in Si solar cells (having efficiencies > 15%) and have to be prevented by optimized Si material quality and solar cell process conditions.


2014 ◽  
Vol 8 (2) ◽  
pp. 59-71
Author(s):  
Miha Zor
Keyword(s):  
Type A ◽  
Type B ◽  

The paper analyses the stylistic and compositional characteristics of borders in a manuscript consisting of the first two romances of the Lancelot-Graal Cycle (Estoire del saint Graal, Merlin with Suite Vulgate) and two non-Arthurian texts (Le Roman de sept sages, Pénitence Adam). Two different types of borders are present, and in the article they are named type A and type B. They were employed with regard to the position of the miniature in the page: where the miniature appears in the left column, type A was used, and where it appears in the right column, type B was employed. The borders of type A embrace the text from three sides: the vertical border runs along the left column, and both horizontal ones spread over the space of both textual columns. In the case of type B, the vertical border runs along the right side of the right column, that is between the two columns, but closer to the right one; on the top and bottom, horizontal borders spring from the centre to both sides (over both columns). Certain compositions make it possible to assume that the main illuminator or the planner of the overall appearance of the manuscript was actively present also as far as the borders are concerned. Other details – e.g. gold background when two figures form contact with their bodies, and the lack of such a background, when they do not touch or touch only with their weapons – may testify to a personal intervention of the practising artist, and this may be characterized as a stylistic trait revealing his mente propria.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Chunzhi Yi ◽  
Jiaqian Zheng ◽  
Ruoyu Li ◽  
Yun Lan ◽  
Mincong He ◽  
...  

Abstract Background Although researchers have adopted various methods for the resection and reconstruction of periacetabular tumors, the total incidence rate of complications remains high. Aiming for preserving the acetabulum and reducing the risk of complications, we applied a surgery method using tumor-free autologous femoral head to reconstruct the defective acetabulum after resection of periacetabular tumors followed by performing a conventional total hip arthroplasty (THA). Moreover, we proposed a preliminary classification system for these surgery methods. Methods We retrospectively reviewed 6 patients treated with acetabulum reconstruction combined with autologous femoral head following peri-acetabulum resection between April 2010 and May 2018. All patients were diagnosed as periacetabular tumors including chondrosarcoma (n = 5) and chondroblastoma (n = 1). Clinical data such as age, diagnosis, complications, local recurrence or metastasis, and function (Musculoskeletal Tumor Society 1993, MSTS93) were documented. The average time of follow-up was 62.5 months (range, 17 to 106 months). Results A total of 5 patients survive with average MSTS93 score of 27.8 points (range, 26–30). One patient, suffering from multiple bone metastasis prior treatment, ended up dying. One who had received radiotherapy before surgery had poor incision healing. Further, a classification system was preliminary proposed in 2 patients involving the pubis (type A) and 4 patients involving ischium (type B). Conclusions Based on the results, we preliminary proposed a classification system for reconstruction with autologous femoral head after periacetabular low malignant tumors resection. The clinical results suggested that surgery methods involving pubis (type A) and ischium (Type B) are safe and feasible. However, further researches should be conducted to verify our classification system.


2015 ◽  
Vol 6 (1) ◽  
pp. 11-14
Author(s):  
MSI Khan ◽  
MR Begum ◽  
MR Haque ◽  
MA Asgar ◽  
MS Islam ◽  
...  

This study was conducted to determine the contamination of E. coli and Salmonella for different types of foods in Chittagong city area. In case of laboratory examination, almost half (49.58%) of the samples were contaminated where 28.75% positive for E. coli. and 20.83% for Salmonella. The positive cases for type A sample was 20 out of 96 constituting 20.83% whereas the positive cases for type B sample was 49 out of 144 constituting 34.03% for E. coli. The positive cases of type A sample was 15 out of 96 making up 15.63% and for type B sample was 35 out of 144 making up 24.31% for Salmonella.A chi-square (?2) test was used to examine the equality of observed proportions for E. coli and Salmonella of each item of both types of food where significant difference among the observed proportion for E. coli (p-value<0.01) and Salmonella (p-value=0.032) for different items of A type and for E. coli (p-value<0.01) for different items of B type were observed and an odds ratio (OR) was measured for association between exposure and outcome where the probability of contaminated by E. coli of type B food is higher than contaminated of type A food (OR= 1.96 and CI:1.07-3.58). The probability of contaminated by Salmonella of type B food was higher than type A food (OR= 1.73 and CI: 0.89-3.39).The comparatively high bacteria in type B samples indicated contamination from water, practice of inadequate hygienic measures, mishandling, improper storage, inadequate cooking and above all unhygienic condition of the retail shops.DOI: http://dx.doi.org/10.3329/jesnr.v6i1.22033 J. Environ. Sci. & Natural Resources, 6(1): 11-14 2013


2012 ◽  
Vol 621 ◽  
pp. 344-347
Author(s):  
Mao Gen Ge ◽  
Ming Zhou Liu ◽  
Ming Xin Zhang ◽  
Jing Hu ◽  
Wen Rui Wu ◽  
...  

In order to have an effective induction and treatment about the various uncertain factors in the process of Job Shop manufacturing shop re- scheduling under the uncertain environment, Through the description of all kinds of uncertainties and disturbances during the workshop production process, here put forward a way to divide these uncertain factors into different types, such as type A uncertain factors which can cause scheduling scheme invalid, type B uncertain factors which have an uncertain impact on scheduling scheme and type C uncertain factors which may lead the schedule partial failure.


2020 ◽  
Author(s):  
Lixia Yu ◽  
Xing WANG ◽  
Xi Ping FENG ◽  
Bao Jun TAI ◽  
De Yu HU ◽  
...  

Abstract Background: To explore the relationship between different types of caries and periodontal disease severity in middle-aged and elderly people in China. Methods: The study population consisted of 4,387 middle-aged and 3,225 elderly subjects. Caries was divided into three types: type A, crown caries; type B, lesions involving both the crown and root, which represents mixed type; and type C, root caries. These three types together represent the overall caries situation, which we call type ABC. Caries was quantitated by decayed and filled teeth (DFT index). Periodontitis was evaluated by clinical attachment loss.Results: Middle-aged people with periodontitis had a significant association with DFT of type ABC (OR: 1.09, 95% CI: 1.06‐1.11), type A (OR: 1.05, 95% CI: 1.02‐1.08), type B (OR: 1.20, 95% CI: 1.16-1.28) and type C (OR: 1.36, 95% CI: 1.15-1.60). Elderly people with periodontitis had a significant association with DFT of type ABC (OR: 1.05, 95% CI: 1.03-1.07), type B (OR: 1.07, 95% CI: 1.05-1.10) and type C (OR: 1.30, 95% CI: 1.19-1.42),but not with type A.Conclusions: Different types of caries in middle-aged people, the overall caries and caries types involving the root surface in elderly people were significantly associated with periodontal disease severity.


2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
F Haertel ◽  
A Hamadanchi ◽  
S Ijuin ◽  
P Lustermann ◽  
K Gruen ◽  
...  

Abstract Introduction Echocardiographic detection of residual peri-device leakage (PDL) after percutaneous left atrial appendage closure (LAAC) remains crucial. Significance of PDL and cardiac tissue remodeling after LAAC are still poorly understood but might have diagnostic implications. This study aims to characterize and verify if a novel echocardiographic classification system to asses the success of LAAC in combination with quantifiable biomarkers of cardiovascular tissue remodeling can help in the prediction of PDL. Methods Patients eligible for LAAC were included. Serum levels of the cardiac remodeling marker Galectin-3 were determined before device implantation (baseline), 45 days (45d) and 6 months (6M) after LAAC using ELISAs. Transesophageal echocardiography (TEE) was carried out to assess success of the LAAC procedure. All echo images were retrospectively evaluated by two independent investigators. Based on the amount of echodensity and luceny inside the devices after LAAC, three types can be distinguished that grade the degree of closure of the LAA. Type A has complete homogenous echodensity in 0, 45, 90 and 135°, indicating completely thrombosed device. Type B shows inhomogeneous echo-lucencies (&lt;50% of device). Type C describes a partially thrombosed device with echo-lucencies &gt;50%. Novel classification according to Hamadanchi, Jena, Germany (Fig. 1). Results We included 44 patients (characteristics listed in Table 1). Complete LAAC (without any residual flow) was achieved in 64% (28 patients) after 45 days and in 80% (35 patients) after 6 months. Mean PDL diameter was 3.5±1.5mm. Type A showed the lowest rate of PDL after 45d (Type A: 22% vs. Type B: 33% vs. Type C: 88%; p=0.007) and after 6M (Type A: 12% vs. Type B: 28% vs. Type C: 100%; p=0.002). Galectin-3 levels did not show a relevant difference regarding the type of AF at baseline (paroxysmal AF: 11.7±5.4 ng/ml vs. permanent AF: 12.1±6.3 ng/ml; p=0.45). We observed a significant increase and distribution of serum levels of Galectin-3 [ng/ml] after 45 days among the three types (Baseline: 13.1±5.8; 45d: 16.3±7.2 (Type A) vs. 19.2±8.6 (Type B) vs. 25.8±9.4 (Type C); p=0.031) followed after 6 months by a drop of Galectin-3 for type A and B toward and below baseline levels (6M: 8.9±3.1 (Type A) vs. 12.4±5.5 (Type B)) whereas type C persisted in showing elevated Galectin-3 levels compared to all other types (6M: 17.5±4.5 (Type C); p&lt;0.001), Fig. 2. Correlation analysis shows a significant negative correlation trend between Galectin-3 and mean PDL diameter (−0.51; p=0.016) after 45 days and a relevant positive correlation after 6 months (0.58; p=0.017). Conclusion After LAAC, Galectin-3 levels are elevated, as a marker of myocardial fibrosis in the LAA. Depending on the degree of closure of the LAA, Galectin-3 decreases to the baseline level or stays elevated in case of relevant PDL and could therefore be considered as a new biomarker for closure success. Funding Acknowledgement Type of funding source: None


1996 ◽  
Vol 74 (3) ◽  
pp. 352-359 ◽  
Author(s):  
J. A. Kaitera ◽  
T. Helle ◽  
R. E. Jalkanen

The response of internal and external extracts of fresh arboreal lichens, Alectoria sarmentosa, Bryoria fuscescens and Bryoria fremontii, and commercial usnic acid extracted from Usnea spp. and Cladonia spp. on the growth of the Ascomycetous Gremmeniella abietina types was studied in vitro. Neither internal and external extracts of the three lichen nor usnic acid had strong inhibitive effect on the growth of either type A or B of G. abietina. A slight stimulative effect due to the extracts was, however, detected: type B (isolate 12) grew faster on almost all media than type A (isolate 11), but great variation within isolates of both types existed suggesting that different types of G. abietina may have different responses to chemicals. Keywords: Gremmeniella abietina, Alectoria sarmentosa, Bryoria fuscescens, Bryoria fremontii, usnic acid, lichen toxicity.


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