Experimental Evaluation of Strain Shielding in Distal Femur in Revision TKA

Theoretical concerns about the use of cemented and press-fit stems in revision total knee arthroplasty (TKA) include stress shielding with adverse effects on prosthesis fixation. Radiological studies have showed distal femoral bone resorption after revision TKA. The revision with use of stems can place abnormal stresses. These stresses can promote the effect of bone stress shielding and may contribute to bone loss. Experimental quantification of strain shielding in the distal synthetic femur following TKA is the main purpose of the present study. Three different constructs of TKA were assessed. The first construct included a stemless femoral component. The other two included a press-fit and a cemented femoral stem. Cortical bone strains were measured experimentally with tri-axial strain gauges in synthetic femurs before and after in-vitro knee surgery. The difference between principal strains of implanted and intact femur was calculated for each strain gauge position. This study indicates that the use of stems in distal femur changes the distribution and magnitude of bone strains. The press-fit stem provoked relevant bone area (stem length) subjected to strain shielding and also originated the highest reduction of strains in the distal region, which can potentially induce bone resorption. The stemless implanted femur produced minor bone strain changes relatively to the intact femur. The use of distal femur stems increases initial stability in the bone, but the observed reduction of strains in this region, relative to the intact femur, provokes strain shielding that can induce bone resorption and may compromise the long term implant stability.     

A remark on a maximal function over a Cantor set of directions

LetM _e ⁰ be the maximal operator over segments of length 1 with directions belonging to a Cantor set. It has been conjectured that this operator is bounded onL ². We consider a sequence of operators over finite sets of directions converging toM _e ⁰ . We improve the previous estimate for the (L ²,L ²)-norm of these particular operators. We also prove thatM _e ⁰ is bounded from some subsets ofL ² toL ². These subsets are composed of positive functions whose Fourier transforms have a very weak decay or are supported in a vertical strip. Partially supported by Spanish DGICYT grant no. PB90-0187.     

On a class of operators with finiterank self-commutators

This paper studies the class of pure operatorsA on a Hilbert space satisfying dimK _A <, where . The main tool is a pair of matrices and . A reproducing kernel Hilbert space model is introduced for a subclass of this class of operators. Some theorems are established for some subnormal operators as well as hyponormal operators in this class.     

Determining zeroes of increasing Lipschitz functions

Summary We study the average case behavior of suitable algorithms to solve a nonlinear problem in numerical analysis: determining zeroes of increasing Lipschitz functions of one variable. The bisection method (which is optimal with respect to the maximal error over the whole class of functions) is far from being optimal in a more general sense: There are methods which behave like bisection in the worst case but which yield much better results on the average. We prove that the sequentially optimal algorithm found by Sukharev is also optimal in our average case setting.     

Thyroplasty revisions: frequency and predictive factors

Thyroplasty is the most commonly performed type of laryngeal framework surgery, and the surgical indications are gradually being expanded. Although many reports have described thyroplasty results and rates of success, no study has attempted to determine predictors of the need for revisions or other secondary surgical procedures. METHODS: Retrospective review of 118 primary thyroplasty procedures performed on 96 patients. Secondary surgical procedures were divided into planned second-stage procedures (all fat implantation due to scarring), touchup procedures (primarily fat or collagen injections to close localized glottic gaps), and thyroplasty revisions (for implant extrusion or slippage). Statistical analysis was performed via the chi-squared technique with p < 0.05 considered significant. RESULTS: 96 patients underwent thyroplasty, 58 for vocal fold paresis or paralysis and 38 for other indications. Thirty-two (33%) patients underwent secondary surgical procedures, including 4 planned second stage procedures, and 6 patients with progression of their underlying disease. Thirty-two secondary procedures were performed in the other 22 patients. Professional singers were found to be more likely to require touchup or planned second-stage procedures (p = 0.029). Patients with abnormal preoperative noise-toharmonic ratios were more likely to undergo secondary surgeries (p = 0.039). Maximum phonation time was not associated with need for secondary surgery. Implant material did not influence revision rates. CONCLUSIONS: Professional singers and those patients with severe voice disorders (as measured by more abnormal noise-to-harmonic ratios) are more likely to undergo secondary surgical procedures. The choice of implant material does not affect need for secondary surgical procedures.     

贵州葛藤属（豆科）植物的修订

葛藤属为豆科植物。约１７－２０种，分布于热带亚洲至日本，中国有９种。本文首次修订葛藤属黔产种，主要报道该分布于贵州一些被误订和混乱的种，贵州计有７种，即丽花葛；野葛；甘葛，越南葛；萼花葛；食用葛；苦葛；而峨嵋葛；和三裂叶野葛为存凝种。     

Wavelet expansions of fractal measures

Let μ be a measure on ℝⁿ that satisfies the estimate μ(B _r(x))≤cr ^α for allx ∈ ℝⁿ and allr ≤ 1 (B _r(x) denotes the ball of radius r centered atx. Let ϕ _j,k ^(ɛ) (x)=2 ^nj2ϕ^(ɛ)(2 ^j x-k) be a wavelet basis forj ∈ ℤ, κ ∈ ℤⁿ, and ∈ ∈E, a finite set, and letP _j (T)=Σ_ɛ,k <T,ϕ _j,k ^(ɛ) >ϕ _j,k ^(ɛ) denote the associated projection operators at levelj (T is a suitable measure or distribution). Iff ∈Ls ^p(dμ) for 1 ≤p ≤ ∞, we show thatP _j(f dμ) ∈ L^p(dx) and ||P _j (fdμ)||L _p(dx)≤c2 ^{j((n-α)/p′))}||f||L _p(dμ) for allj ≥ 0. We also obtain estimates for the limsup and liminf of ||P _j (fdμ)||L _p(dx) under more restrictive hypotheses. Communicated by Guido Weiss     

论1926年中比修约中的国际法庭应诉之争

从中比修约中的国际法庭应诉之争全过程来看，比利时是把国际法庭作为胁迫北京政府在修问题上让步的一种手段。在争端原由上，北京政府不拘泥对个别条款的具体解释，这有利于修约外交进一步展开；北京政府在争端性质上的界定及不到国际法庭应诉的外交策略在当时是一个比较明智的选择。北京政府加入国际组织有助于提升中国的国际地位，这些因际组织也为中国向世界展示自身提供了舞台。     

考研中计算机专业课的复习考试

文中对当前研究生考试形势进行了分析,针对距离招生单位遥远的考生无法参加专业课复习指导的情况,介绍了专业课在考研中的地位、科学的复习方法和从容应考的对策,希望能对报考计算机类研究生的考生在专业课复习考试中有所启迪。