Cement versus cementless fixation in total knee arthroplasty

A prospectively studied group of 55 uncemented Press Fit Condylar total knee arthroplasties was compared retrospectively with a matched group of 51 cemented Press Fit Condylar total knee arthroplasties at a mean of 10 years after operation. For the cemented group, the pain and function scores improved from 32 and 45 preoperatively to 95 and 77, respectively. For the uncemented group the scores improved from 33 and 50 preoperatively to 93 and 60, respectively. There were 10 revisions in the uncemented group for femoral or tibial aseptic loosening or osteolysis compared with two revisions in the cemented group. Exclusive of problems related to patellar metal backing, survival to revision for aseptic failure or radiographic loosening was 72% in the uncemented group and 94% in the cemented group at 10 years. A significantly higher revision rate was found in the uncemented compared with cemented total knee arthroplasty of the Press Fit Condylar design.     

Long-term immunity to poliovirus in children immunized with live attenuated and enhanced-potency inactivated trivalent poliovirus vaccines

Eighty-six children who completed immunization with the two trivalent poliovirus vaccines, live attenuated (OPV) and enhanced potency inactivated (EIPV), in one of four schedules (OPV-OPV-OPV, EIPV-EIPV-EIPV, EIPV-OPV-OPV, and EIPV-EIPV-OPV) at 1 year of age were monitored serologically over the subsequent 4 years and challenged with OPV at 5 years of age. Each of the immunization groups exhibited an initial 10- to 100-fold decline in neutralizing antibody to poliovirus types 1, 2, and 3 during the first 2 years of follow-up; thereafter antibody titers stabilized. The EIPV-EIPV-OPV group maintained the highest antibody levels throughout the observation period, including the response to OPV challenge at 5 years of age. These data suggest that immunization with OPV, EIPV, and combinations of the two vaccines confers long-term immunity. Optimal systemic immunity was associated with two or more doses of EIPV.     

Examining the effects of caching,compression and popup filtering on internet surfing

Over the years the number of Web users has increased dramatically unfortunately leading to the inherent problem of congestion. This can affect each user's surfing experience. This paper investigates download times associated with a web request, identifies where delays occur, and provides guidelines which can be followed by web developers to enable a faster and more efficient download and service for their users. We conclude that delays in Internet traffic and congestion can often be attributed to poorly developed sites (e.g. excessive image size). Copyright © 2005 John Wiley & Sons, Ltd.     

A kinematic analysis of the modified flight telerobotic servicer manipulator system

A reverse analysis of a 6 degree of freedom (dof) subchain of a modified 7 dof flight telerobotic servicer (FTS) manipulator system is presented. The 6 dof subchain is designated as a TR-RT* chain. At the outset, it was considered that the reverse analysis would be similar to a TTT manipulator analyzed previously for which the third and fourth joints intersect at a finite point. This was not, however, the case and a sixteenth-degree tan-half-angle polynomial was derived for the TR-RT manipulator. The elimination procedure is interesting and much simpler than the procedures for the general case.     

The changing nature of engineering [technology history]

Engineering artefacts play major roles in the evolution of mankind and culture. Engineering artefacts have evolved. Their natures have changed as Man has changed. Today, the engineering profession and the education of engineers are challenged by the rapidly changing nature of those engineering systems which determine what is meant by `modern technology' and which make possible new industries of global importance. Analysis of the latest generation of strategic innovations requires an analytical history of technology, and a practically useful philosophy to interpret the changing nature of engineering. The advent of `technoscience' will probably make engineering the exemplary science in the next century     

An automated tanh-function method for finding solitary wave solutions to non-linear evolution equations

The tanh-function method for finding explicit travelling solitary wave solutions to non-linear evolution equations is described. The method is usually extremely tedious to use by hand. We present a Mathematica package ATFM that deals with the tedious algebra and outputs directly the required solutions. The use of the package is illustrated by applying it to a variety of equations; not only are previously known solutions recovered but in some cases more general forms of solution are obtained.     

Anatomical correction of the exstrophy-epispadias complex: analysis of 34 patients

OBJECTIVE: To evaluate the surgical procedures required for anatomical reconstruction of the bladder and penis in the exstrophy-epispadias complex. PATIENTS AND METHODS: All primary exstrophy-epispadias repairs carried out by one surgeon between 1987 and 1997 were reviewed. Bladder closure consisted of full extraperitoneal mobilization, transpositional omphaloplasty, drainage with ureteric and urethral catheters and immobilization with a 'frog-leg' plaster-cast or 'mermaid' dressings. Osteotomies were always performed when bladder closure was attempted after 37 h of age. Before 1990 the osteotomies were posterior vertical iliac (one patient) and subsequently anterior oblique iliac (10 patients). Pre-peritoneal herniotomies, in the absence of a clinical hernia, were included in the primary procedure after 1992. A modified Cantwell technique was used for epispadias repair and this was undertaken at a median of 16 months after bladder closure (range 6-30). RESULTS: Thirty-four patients (27 male) were reviewed; one patient had a chromosomal abnormality, a deletion in the short arm of chromosome 4. The male infants required a median of four procedures (range 2-5) for bladder closure, epispadias reconstruction and herniotomies, while the females needed a median of two (range 2-5). Complete bladder dehiscence, requiring re-closure with osteotomies, occurred in three cases (9%, two male). There were no dehiscences in the primary osteotomy group. Fistulae after epispadias repair occurred in four patients (17%). The bladder capacity increased to > 60 mL in 10 of 15 males by 36 months after epispadias repair. Only two of seven female infants attained a capacity of > 60 mL. Of the 15 infants who did not undergo herniotomy at primary closure, 13 subsequently developed inguinal hernias (one uni- and 11 bilateral) with incarceration occurring in two. Twelve infants underwent herniotomy at primary closure and six developed subsequent hernias (two uni- and four bilateral; P = 0.05) with documented incarceration in two. CONCLUSIONS: Anatomical correction of the exstrophy-epispadias complex remains challenging, but can be achieved with complication rates of < 20% for each stage. Bladder volumes large enough to permit adequate bladder neck reconstruction can be anticipated after epispadias repair in a large proportion of male infants, but remains small in female infants with low outlet resistance. Inguinal herniotomy at the time of bladder closure significantly reduces the incidence of subsequent herniation, which nevertheless remains high.     

Hole pockets in the doped 2D Hubbard model

The electronic momentum distribution n(k) of the two dimensional Hubbard model is studied for different values of the coupling U/t, electronic density n , and temperature, using quantum Monte Carlo techniques. A detailed analysis of the data on 8 × 8 clusters shows that features consistent with hole pockets at momenta k=(±/2,±/2,) appear as the system is doped away from half-filling. Our results are consistent with recent experimental data for the cuprates discussed by Aebi et al. (Phys. Rev. Lett.72, 2757 (1994)). In the range of couplings studied, the depth of the pockets is maximum at n approximately 0.9, and it increases with decreasing temperature. The apparent absence of hole pockets in previous numerical studies of this model is explained.