The intersection of economic development,energy dynamics,environmental policy,and environmental sustainability presents complex challenges for European Union(EU)countries.This study investigatedthe impact of environme...The intersection of economic development,energy dynamics,environmental policy,and environmental sustainability presents complex challenges for European Union(EU)countries.This study investigatedthe impact of environmental taxes,hydroelectricity consumption,economic globalization,and gross domestic product(GDP)on the load capacity factor(LCF)in the 10 EU member countries(including Austria,Finland,France,Germany,Italy,Poland,Portugal,Slovakia,Spain,and Sweden)using data from 1995 to 2020.To ensure the reliability and validity of the data,this study applied several advanced econometric tests,including the Pesaran and Yamagata slopeheterogeneitytest,Pesaran cross-sectional dependence(CSD)test,second-generation unit root test,and Westerlund cointegration test.The data showed important statistical issues such as slope heterogeneityacross panels,CSD,mixed-orderunit root structures,and long-run associations between variables.To address these issues,we applied an augmented mean group(AMG)model as the main regression approach,andusedthe pooled mean group-autoregressive distributed lag(PMG-ARDL)method to check the robustness.Specifically,the AMG results indicate that a 1.000%rise in hydroelectricity consumptionresults in a 0.048% rise in the LCF,while a 1.000% increase in environmental taxes leads toa 0.175% increase in the LCF.Contrary to this,a 1.000% increase in economic globalization results in a 0.370% decrease in the LCF,and a 1.000% increase in GDP leads toa 0.850% decrease in the LCF.Environmental taxes have a more beneficial impact on the environment,and GDP has the most detrimental effect.The findings provide empirical evidence on the role of environmental taxes,hydroelectricity consumption,economic globalization,and GDP in driving the LCF.Additionally,the findings provide valuable information to policy-makers,academicians,and stakeholders shaping energy and environmental policies in the 10 EU member countries.展开更多
This paper reconstructs in detail the course leading to the inception of the Chinese material medica(CMM)research at the Peking Union Medical College(PUMC)in 1920.By analyzing the primary materials from several archiv...This paper reconstructs in detail the course leading to the inception of the Chinese material medica(CMM)research at the Peking Union Medical College(PUMC)in 1920.By analyzing the primary materials from several archives,it provides,for the first time,a historiographical account of the major events and key figures in the process.These include the China Medical Board(CMB)Commission to East Asia in 1915 that shaped the attitudes of Drs.William H.Welch and Simon Flexner,the PUMC’s chief scientific architects,toward CMM and its scientific investigation;the influence of medical missionaries and Japanese scientists on these attitudes;the medical leaders’decisive roles in recruiting Ralph G.Mills and Bernard E.Read,two of medical missionaries with strong interests in and actual studies on CMM,to the PUMC,which serendipitously made them central figures associated with the CMM research at the College;and finally the critical role of Mills and other medical missionaries in introducing CMM research,both concept and material,to the CMB executives and in their reconciliating the research subject with the institutional aims.The findings of the study contextualize the inception of CMM research at PUMC from the perspective of broader narrative of transnational circulation and recognition of medical knowledge and highlight the intermediatory roles played by medical missionaries that were critical in the intersection between traditional Chinese medicine(TCM)and scientific medicine.The study also reveals multiple serendipitous occurrences associated with the eventual inception of the program,thus offers a fresh interpretation of the beginning of the most impactful research program of scientizing TCM in the first half of the 20th century.展开更多
A Moonment to Remember,as a brand event held by China Cultural Centers and China National Tourist Offices around the world to celebrate the Mid-Autumn Festival,has been organized for 8 successive years.
Background: Fractures of humeral shaft in adults are common injuries. Humeral shafts non-union either from late presentation after initial treatment by traditional bone setters or failed non-operative orthodox care is...Background: Fractures of humeral shaft in adults are common injuries. Humeral shafts non-union either from late presentation after initial treatment by traditional bone setters or failed non-operative orthodox care is a major problem in this part of the world. This non-union is a major treatment challenge with increased cost of care and morbidity in this part of the world. Humeral shaft non-union can be treated with locked intra-medullary nailing (LIMN) or dynamic compression plating (DCP). Study on comparison of these methods of fixation in this part of the world is scarce in literature search, hence the reason for this study. Objective: The objectives of this study are: (1) to compare early clinical outcome following fixation of humeral shaft fracture nonunion with DCP versus LIMN;(2) to compare the time of radiologic fracture union of DCP with LIMN;(3) to compare complications following fixation of humeral shaft fracture nonunion with DCP versus LIMN. Patients and Methods: This was a randomized control study done for 2 years in which fifty adult patients with humeral shaft non-union were recruited. The patients were grouped into 2 (P = DCP & N = LIMN). Forty five of the patients completed the follow up periods of the study and then analyzed. The P group had ORIF with DCP while the N group had ORIF with LIMN. Both groups had grafting with cancellous bones. Each patient was followed up for a period of 6 months at the time which radiographic union is expected. Any patient without clinical and/or radiographic evidence of union after six months of surgery was diagnosed as having recurrent non-union. The data generated was analyzed using SPSS Version 23. The results were presented in charts and tables. The paired t-test was used while considering p value Result: Forty five patients completed follow up. There was a male preponderance (4:1), right humerus predominated (3:2). Motor vehicular accidents were the commonest cause of the fractures (62%). Most non-union fractures occurred at the level of the middle 3<sup>rd</sup> of the humeral shaft (60%). Failed TBS treatment was the commonest indication for the osteosynthesis (71%). More patients had plating (53%) compared to 47% who had LIMN. Most patients (93.4%) had union between 3 to 6 months irrespective of fixation type with no significant statistical difference between the union rate of DCP and LIMN (p value 0.06) with similar functional outcome and complication rates irrespective of the type of fixation. Conclusion: This study showed that the success rates in term of fracture union, outcome functional grades and complication rates were not directly dependent on the types of the fixation: plating or locked intra-medullary nailing.展开更多
AIM To analyze the literature on efficacy of dynamamization vs exchange nailing in treatment of delayed and nonunion femur fractures.METHODS Ultimately, 31 peer-reviewed articles with 644 exchanged nailing patients an...AIM To analyze the literature on efficacy of dynamamization vs exchange nailing in treatment of delayed and nonunion femur fractures.METHODS Ultimately, 31 peer-reviewed articles with 644 exchanged nailing patients and 131 dynamization patients were identified and analyzed. The following key words were inputted in different combinations in order to search the field of publications in its entirety: "nonunion", "delayed union", "ununited", "femur fracture", "femoral fracture", "exchange nailing", "dynaiz(s)ation", "secondary nailing", "dynamic", "static", and "nail revision". The initial search yielded over 150 results, and was refined based on the inclusion criteria: Only studies reporting on humans, non-unions and delayed unions, and the usage of exchange nailing and/or dynamization as a secondary treatment after failed IM nailing. The resulting 66 articles were obtained through online journal access. The results were filtered further based on the exclusion criteria: No articles that failed to report overall union rates, differentiate between success rates of their reported techniques, or articles that analyzed less than 5 patients. RESULTS Exchange nailing lead to fracture union in 84.785% of patients compared to the 66.412% of dynamization with statistically comparable durations until union(5.193 ± 2.310 mo and 4.769 ± 1.986 mo respectively). Dynamically locking exchange nails resulted in an average union time of 5.208 ± 2.475 mo compared to 5.149 ± 2.366 mo(P = 0.8682) in statically locked exchange nails. The overall union rate of the two procedures, statically and dynamically locked exchange nailing yielded union rates of 84.259% and 82.381% respectively. Therefore, there was no significant difference between the different locking methods of exchange nailing for union rate or time to union at a significance value of P < 0.05. The analysis showed exchange nailing to be the more successful choice in the treatment of femoral non-unions in respect to its higher success rate(491/567 EN, 24/57 dynam, P < 0.0001). However, there was no significant difference between the success rates of the two procedures for delayed union fractures(25/27 EN, 45/55 dynam, P = 0.3299). Nevertheless, dynamization was more efficient in the treatment of delayed unions(at rates comparable to exchange nailing) than in the treatment of non-unions.CONCLUSION In conclusion, after examination of factors, dynamization is recommended treatment of delayed femur fractures, while exchange nailing is the treatment of choice for non-unions.展开更多
AIM To investigate the effectiveness of a two-stage surgical procedure for the treatment of septic forearm non-union.METHODS Septic non-unions are rare complications of forearm fractures. When they occur, they modify ...AIM To investigate the effectiveness of a two-stage surgical procedure for the treatment of septic forearm non-union.METHODS Septic non-unions are rare complications of forearm fractures. When they occur, they modify the relationship between forearm bones leading to a severe functional impairment. Treatment is challenging and surgery and antibiotic therapy are required to achieve infection resolution. It is even harder to obtain non-union healing with good functional results. The aim of this study is to present a two stages surgical treatment for septic forearm non-union with revision and temporary stabilization of the non-union until infection has cleared and subsequently perform a new synthesis with plate, opposite bone graft strut and intercalary graft. We retrospectively reviewed 18 patients with a mean age at the time of primary injury of 34.5 years(19-57 years) and a mean follow-up of 6 years(2-10 years). All patients presented an atrophic nonunion with a mean length of the bone defect of 1.8 cm(1.2-4 cm). Complications and clinical results after surgical treatment were recorded. RESULTS Mean time to resolution of the infectious process was 8.2 wk(range 4-20 wk) after the first surgery and specific antibiotic therapy. All the non-union healed with an average time of 5 mo(range 2-10 mo) after the second step surgery. Cultures on intraoperative samples werepositive in all cases. No major intraoperative complications occurred. Two patients developed minor complications and one needed a second surgical debridement for infection resolution. At the last follow-up functional results were excellent in 5(27.8%) patients, satisfactory in 10(55.5%) and unsatisfactory in 3(16.7%) patients. No activities of daily living(ADLs) limitations were reported by 12(66.6%) patients, slight by 3(16.6%) and severe limitation by 3(16.6%) patients. Mean visual analog scale at the last follow-up was 1(0-3).CONCLUSION The two-step technique has proven to be effective to achieve resolution of the infectious process and union with good functional results and low rate of complications.展开更多
传统的图像聚类方法存在对初始数据敏感且计算复杂度高的问题,且图像全局特征难以有效地表达图像内容。针对这些问题,提出一种基于Union-Find的图像聚类方法。首先,该方法采用视觉词袋模型Bo VWM(Bag of Visual Words Model)来描述图像...传统的图像聚类方法存在对初始数据敏感且计算复杂度高的问题,且图像全局特征难以有效地表达图像内容。针对这些问题,提出一种基于Union-Find的图像聚类方法。首先,该方法采用视觉词袋模型Bo VWM(Bag of Visual Words Model)来描述图像内容并且利用投票方法来计算每对图像的相似度得分;然后,对于相似度得分大于给定阈值的图像对进行union和find两个操作并将相连的分量形成聚类结果。实验结果表明,该方法较之于传统方法能较好地改善图像聚类效果,且不需要初始聚类数目作为先验参数。展开更多
Let G be a 2 connected simple graph of order n ( n ≥5) and minimum degree δ . In this paper, we show that if for any two nonadjacent vertices u , v of G there holds | N(u)∪N(v)|≥n-δ , t...Let G be a 2 connected simple graph of order n ( n ≥5) and minimum degree δ . In this paper, we show that if for any two nonadjacent vertices u , v of G there holds | N(u)∪N(v)|≥n-δ , then G is {3,4} - vertex pancyclic unless G≌K n2,n2 .展开更多
Background: Diaphyseal non-unions and malunions constitute significant morbidities in fracture care. Fracture treatment modalities seek to restore anatomic orientation and functional rehabilitation as soon as possible...Background: Diaphyseal non-unions and malunions constitute significant morbidities in fracture care. Fracture treatment modalities seek to restore anatomic orientation and functional rehabilitation as soon as possible after a fracture incident. Malunions and non unions present a treatment challenge with the need for prolonged hospitalization, multiple surgical interventions and economic burden. In the developing world, traditional bonesetting practices are popular and these often result in a host of preventable complications. The added socioeconomic costs of treating these complications present a considerable strain on the resources of these already fragile economies and households. Aim: To document the risk factors, treatment options and outcomes for diaphyseal non-unions and malunions in our environment. Patients and Methods: Fifty-two consecutive patients comprising 37 non-unions and 15 malunions who presented in the orthopaedic unit of a tertiary hospital in Southern Nigeria were evaluated. Information sought included biodata, location of pathology, type of incident fracture, local risk factors including traditional bonesetting;treatment options and final outcomes. Information obtained was analyzed using SPSS version 20 (IBM, New York). Results are presented in simple frequency tables. Results: There were 34 males and 18 females (M:F = 1.9:1) with a mean age of 38.76 ± 14.55 years. There were 37 non-unions and 15 malunions. The femur was the commonest site of pathology in 21 (40.4%) cases, and among the non-unions, the atrophic variety was the commonest type (n = 26;70.3%). The mean fracture-to-surgery interval was 11.35 ± 7.95 months and traditional bonesetting was the commonest risk factor (n = 36;69.2%). Plate and screw Osteosynthesis with bonegraft augmentation was the commonest treatment modality and the overall union rate was 94%. Conclusion: Traditional bonesetting plays a major role in the health seeking behaviour of many African societies. The complications are varied and add to the overall socioeconomic burden of fracture care in these developing economies. Identification of traditional bonesetting practices as an important risk factor should translate into a focus on these practices in preventive public health decisions in fracture care. Continuing public health education backed by political will and can potentially drive a paradigm shift in health seeking attitudes in the developing word.展开更多
Let G be a graph, the square graph G 2 of G is a graph satisfying V(G 2)=V(G) and E(G 2)=E(G)∪｛uv: dist G(u, v)=2｝ . In this paper, we use the technique of vertex insertion on l -connected ( l=k or k...Let G be a graph, the square graph G 2 of G is a graph satisfying V(G 2)=V(G) and E(G 2)=E(G)∪｛uv: dist G(u, v)=2｝ . In this paper, we use the technique of vertex insertion on l -connected ( l=k or k+1, k≥2 ) claw-free graphs to provide a unified proof for G to be Hamiltonian, 1 -Hamiltonian or Hamiltonian-connected. The sufficient conditions are expressed by the inequality concerning ∑ k i=0N(Y i) and n(Y) in G for each independent set Y=｛y 0, y 1, …, y k｝ of the square graph of G , where b ( 0<b<k+1 ) is an integer, Y i=｛y i, y i-1, …, y i-(b-1)｝Y for i∈｛0, 1, …, k｝ , where subscriptions of y j s will be taken modulo k+1 , and n(Y)=｛v∈ V(G): dist (v, Y)≤ 2｝ .展开更多
Let G be a graph, an independent set Y in G is called an essential independent set (or essential set for simplicity), if there is {y 1,y 2} Y such that dist (y 1,y 2)=2. In this paper, we wi...Let G be a graph, an independent set Y in G is called an essential independent set (or essential set for simplicity), if there is {y 1,y 2} Y such that dist (y 1,y 2)=2. In this paper, we will use the technique of the vertex insertion on l connected ( l=k or k+1,k≥2 ) claw free graphs to provide a unified proof for G to be hamiltonian or 1 hamiltonian, the sufficient conditions are expressed by the inequality concerning ∑ki=0N(Y i) and n(Y) for each essential set Y={y 0,y 1,...,y k} of G , where Y i={y i,y i-1 ,...,y i-(b-1) }Y for i∈{0,1,...,k} (the subscriptions of y j ’s will be taken modulo k+1 ), b ( 0【b【k+1 ) is an integer, and n(Y)={v∈V(G): dist (v,Y)≤2 }.展开更多
EU is in position of world＇s largest energy importer and plays an active role in energy markets. Therefore, the EU＇s energy policy has not only local but also global effects. Because of the two oil crises in the 197...EU is in position of world＇s largest energy importer and plays an active role in energy markets. Therefore, the EU＇s energy policy has not only local but also global effects. Because of the two oil crises in the 1970＇s, energy has taken an important place in the EU＇s agenda and has become one of the EU＇s highest priorities as the part of the EU＇s goal of Single Market. Especially, the 1987 Single European Act followed by the goal of Single Market has come to dominate the idea of the necessity of having a single market for energy. A chapter about energy has been added into the letter of the 2009 Treaty of Lisbon for the first time, thus energy has gained a new dimension and has had a legal basis. However, although there are energy rules defined at European level, there are 28 national regulatory structures in practice. Therefore, an integrated energy market is needed to create more competition, to increase market efficiency through better use of energy generation facilities across the EU, to produce affordable prices for consumers, and to move as whole, not as 28 separate countries. In this regard, the idea of creation of the Energy Union has emerged and the European Commission has published a detailed action plan for the Energy Union on February 25, 2015. In this study, historical process of initiatives for the creation of common energy policy in the EU is analyzed and the future of Energy Union is discussed.展开更多
文摘The intersection of economic development,energy dynamics,environmental policy,and environmental sustainability presents complex challenges for European Union(EU)countries.This study investigatedthe impact of environmental taxes,hydroelectricity consumption,economic globalization,and gross domestic product(GDP)on the load capacity factor(LCF)in the 10 EU member countries(including Austria,Finland,France,Germany,Italy,Poland,Portugal,Slovakia,Spain,and Sweden)using data from 1995 to 2020.To ensure the reliability and validity of the data,this study applied several advanced econometric tests,including the Pesaran and Yamagata slopeheterogeneitytest,Pesaran cross-sectional dependence(CSD)test,second-generation unit root test,and Westerlund cointegration test.The data showed important statistical issues such as slope heterogeneityacross panels,CSD,mixed-orderunit root structures,and long-run associations between variables.To address these issues,we applied an augmented mean group(AMG)model as the main regression approach,andusedthe pooled mean group-autoregressive distributed lag(PMG-ARDL)method to check the robustness.Specifically,the AMG results indicate that a 1.000%rise in hydroelectricity consumptionresults in a 0.048% rise in the LCF,while a 1.000% increase in environmental taxes leads toa 0.175% increase in the LCF.Contrary to this,a 1.000% increase in economic globalization results in a 0.370% decrease in the LCF,and a 1.000% increase in GDP leads toa 0.850% decrease in the LCF.Environmental taxes have a more beneficial impact on the environment,and GDP has the most detrimental effect.The findings provide empirical evidence on the role of environmental taxes,hydroelectricity consumption,economic globalization,and GDP in driving the LCF.Additionally,the findings provide valuable information to policy-makers,academicians,and stakeholders shaping energy and environmental policies in the 10 EU member countries.
文摘This paper reconstructs in detail the course leading to the inception of the Chinese material medica(CMM)research at the Peking Union Medical College(PUMC)in 1920.By analyzing the primary materials from several archives,it provides,for the first time,a historiographical account of the major events and key figures in the process.These include the China Medical Board(CMB)Commission to East Asia in 1915 that shaped the attitudes of Drs.William H.Welch and Simon Flexner,the PUMC’s chief scientific architects,toward CMM and its scientific investigation;the influence of medical missionaries and Japanese scientists on these attitudes;the medical leaders’decisive roles in recruiting Ralph G.Mills and Bernard E.Read,two of medical missionaries with strong interests in and actual studies on CMM,to the PUMC,which serendipitously made them central figures associated with the CMM research at the College;and finally the critical role of Mills and other medical missionaries in introducing CMM research,both concept and material,to the CMB executives and in their reconciliating the research subject with the institutional aims.The findings of the study contextualize the inception of CMM research at PUMC from the perspective of broader narrative of transnational circulation and recognition of medical knowledge and highlight the intermediatory roles played by medical missionaries that were critical in the intersection between traditional Chinese medicine(TCM)and scientific medicine.The study also reveals multiple serendipitous occurrences associated with the eventual inception of the program,thus offers a fresh interpretation of the beginning of the most impactful research program of scientizing TCM in the first half of the 20th century.
文摘A Moonment to Remember,as a brand event held by China Cultural Centers and China National Tourist Offices around the world to celebrate the Mid-Autumn Festival,has been organized for 8 successive years.
文摘Background: Fractures of humeral shaft in adults are common injuries. Humeral shafts non-union either from late presentation after initial treatment by traditional bone setters or failed non-operative orthodox care is a major problem in this part of the world. This non-union is a major treatment challenge with increased cost of care and morbidity in this part of the world. Humeral shaft non-union can be treated with locked intra-medullary nailing (LIMN) or dynamic compression plating (DCP). Study on comparison of these methods of fixation in this part of the world is scarce in literature search, hence the reason for this study. Objective: The objectives of this study are: (1) to compare early clinical outcome following fixation of humeral shaft fracture nonunion with DCP versus LIMN;(2) to compare the time of radiologic fracture union of DCP with LIMN;(3) to compare complications following fixation of humeral shaft fracture nonunion with DCP versus LIMN. Patients and Methods: This was a randomized control study done for 2 years in which fifty adult patients with humeral shaft non-union were recruited. The patients were grouped into 2 (P = DCP & N = LIMN). Forty five of the patients completed the follow up periods of the study and then analyzed. The P group had ORIF with DCP while the N group had ORIF with LIMN. Both groups had grafting with cancellous bones. Each patient was followed up for a period of 6 months at the time which radiographic union is expected. Any patient without clinical and/or radiographic evidence of union after six months of surgery was diagnosed as having recurrent non-union. The data generated was analyzed using SPSS Version 23. The results were presented in charts and tables. The paired t-test was used while considering p value Result: Forty five patients completed follow up. There was a male preponderance (4:1), right humerus predominated (3:2). Motor vehicular accidents were the commonest cause of the fractures (62%). Most non-union fractures occurred at the level of the middle 3<sup>rd</sup> of the humeral shaft (60%). Failed TBS treatment was the commonest indication for the osteosynthesis (71%). More patients had plating (53%) compared to 47% who had LIMN. Most patients (93.4%) had union between 3 to 6 months irrespective of fixation type with no significant statistical difference between the union rate of DCP and LIMN (p value 0.06) with similar functional outcome and complication rates irrespective of the type of fixation. Conclusion: This study showed that the success rates in term of fracture union, outcome functional grades and complication rates were not directly dependent on the types of the fixation: plating or locked intra-medullary nailing.
文摘AIM To analyze the literature on efficacy of dynamamization vs exchange nailing in treatment of delayed and nonunion femur fractures.METHODS Ultimately, 31 peer-reviewed articles with 644 exchanged nailing patients and 131 dynamization patients were identified and analyzed. The following key words were inputted in different combinations in order to search the field of publications in its entirety: "nonunion", "delayed union", "ununited", "femur fracture", "femoral fracture", "exchange nailing", "dynaiz(s)ation", "secondary nailing", "dynamic", "static", and "nail revision". The initial search yielded over 150 results, and was refined based on the inclusion criteria: Only studies reporting on humans, non-unions and delayed unions, and the usage of exchange nailing and/or dynamization as a secondary treatment after failed IM nailing. The resulting 66 articles were obtained through online journal access. The results were filtered further based on the exclusion criteria: No articles that failed to report overall union rates, differentiate between success rates of their reported techniques, or articles that analyzed less than 5 patients. RESULTS Exchange nailing lead to fracture union in 84.785% of patients compared to the 66.412% of dynamization with statistically comparable durations until union(5.193 ± 2.310 mo and 4.769 ± 1.986 mo respectively). Dynamically locking exchange nails resulted in an average union time of 5.208 ± 2.475 mo compared to 5.149 ± 2.366 mo(P = 0.8682) in statically locked exchange nails. The overall union rate of the two procedures, statically and dynamically locked exchange nailing yielded union rates of 84.259% and 82.381% respectively. Therefore, there was no significant difference between the different locking methods of exchange nailing for union rate or time to union at a significance value of P < 0.05. The analysis showed exchange nailing to be the more successful choice in the treatment of femoral non-unions in respect to its higher success rate(491/567 EN, 24/57 dynam, P < 0.0001). However, there was no significant difference between the success rates of the two procedures for delayed union fractures(25/27 EN, 45/55 dynam, P = 0.3299). Nevertheless, dynamization was more efficient in the treatment of delayed unions(at rates comparable to exchange nailing) than in the treatment of non-unions.CONCLUSION In conclusion, after examination of factors, dynamization is recommended treatment of delayed femur fractures, while exchange nailing is the treatment of choice for non-unions.
文摘AIM To investigate the effectiveness of a two-stage surgical procedure for the treatment of septic forearm non-union.METHODS Septic non-unions are rare complications of forearm fractures. When they occur, they modify the relationship between forearm bones leading to a severe functional impairment. Treatment is challenging and surgery and antibiotic therapy are required to achieve infection resolution. It is even harder to obtain non-union healing with good functional results. The aim of this study is to present a two stages surgical treatment for septic forearm non-union with revision and temporary stabilization of the non-union until infection has cleared and subsequently perform a new synthesis with plate, opposite bone graft strut and intercalary graft. We retrospectively reviewed 18 patients with a mean age at the time of primary injury of 34.5 years(19-57 years) and a mean follow-up of 6 years(2-10 years). All patients presented an atrophic nonunion with a mean length of the bone defect of 1.8 cm(1.2-4 cm). Complications and clinical results after surgical treatment were recorded. RESULTS Mean time to resolution of the infectious process was 8.2 wk(range 4-20 wk) after the first surgery and specific antibiotic therapy. All the non-union healed with an average time of 5 mo(range 2-10 mo) after the second step surgery. Cultures on intraoperative samples werepositive in all cases. No major intraoperative complications occurred. Two patients developed minor complications and one needed a second surgical debridement for infection resolution. At the last follow-up functional results were excellent in 5(27.8%) patients, satisfactory in 10(55.5%) and unsatisfactory in 3(16.7%) patients. No activities of daily living(ADLs) limitations were reported by 12(66.6%) patients, slight by 3(16.6%) and severe limitation by 3(16.6%) patients. Mean visual analog scale at the last follow-up was 1(0-3).CONCLUSION The two-step technique has proven to be effective to achieve resolution of the infectious process and union with good functional results and low rate of complications.
文摘传统的图像聚类方法存在对初始数据敏感且计算复杂度高的问题,且图像全局特征难以有效地表达图像内容。针对这些问题,提出一种基于Union-Find的图像聚类方法。首先,该方法采用视觉词袋模型Bo VWM(Bag of Visual Words Model)来描述图像内容并且利用投票方法来计算每对图像的相似度得分;然后,对于相似度得分大于给定阈值的图像对进行union和find两个操作并将相连的分量形成聚类结果。实验结果表明,该方法较之于传统方法能较好地改善图像聚类效果,且不需要初始聚类数目作为先验参数。
文摘Let G be a 2 connected simple graph of order n ( n ≥5) and minimum degree δ . In this paper, we show that if for any two nonadjacent vertices u , v of G there holds | N(u)∪N(v)|≥n-δ , then G is {3,4} - vertex pancyclic unless G≌K n2,n2 .
文摘Background: Diaphyseal non-unions and malunions constitute significant morbidities in fracture care. Fracture treatment modalities seek to restore anatomic orientation and functional rehabilitation as soon as possible after a fracture incident. Malunions and non unions present a treatment challenge with the need for prolonged hospitalization, multiple surgical interventions and economic burden. In the developing world, traditional bonesetting practices are popular and these often result in a host of preventable complications. The added socioeconomic costs of treating these complications present a considerable strain on the resources of these already fragile economies and households. Aim: To document the risk factors, treatment options and outcomes for diaphyseal non-unions and malunions in our environment. Patients and Methods: Fifty-two consecutive patients comprising 37 non-unions and 15 malunions who presented in the orthopaedic unit of a tertiary hospital in Southern Nigeria were evaluated. Information sought included biodata, location of pathology, type of incident fracture, local risk factors including traditional bonesetting;treatment options and final outcomes. Information obtained was analyzed using SPSS version 20 (IBM, New York). Results are presented in simple frequency tables. Results: There were 34 males and 18 females (M:F = 1.9:1) with a mean age of 38.76 ± 14.55 years. There were 37 non-unions and 15 malunions. The femur was the commonest site of pathology in 21 (40.4%) cases, and among the non-unions, the atrophic variety was the commonest type (n = 26;70.3%). The mean fracture-to-surgery interval was 11.35 ± 7.95 months and traditional bonesetting was the commonest risk factor (n = 36;69.2%). Plate and screw Osteosynthesis with bonegraft augmentation was the commonest treatment modality and the overall union rate was 94%. Conclusion: Traditional bonesetting plays a major role in the health seeking behaviour of many African societies. The complications are varied and add to the overall socioeconomic burden of fracture care in these developing economies. Identification of traditional bonesetting practices as an important risk factor should translate into a focus on these practices in preventive public health decisions in fracture care. Continuing public health education backed by political will and can potentially drive a paradigm shift in health seeking attitudes in the developing word.
文摘Let G be a graph, the square graph G 2 of G is a graph satisfying V(G 2)=V(G) and E(G 2)=E(G)∪｛uv: dist G(u, v)=2｝ . In this paper, we use the technique of vertex insertion on l -connected ( l=k or k+1, k≥2 ) claw-free graphs to provide a unified proof for G to be Hamiltonian, 1 -Hamiltonian or Hamiltonian-connected. The sufficient conditions are expressed by the inequality concerning ∑ k i=0N(Y i) and n(Y) in G for each independent set Y=｛y 0, y 1, …, y k｝ of the square graph of G , where b ( 0<b<k+1 ) is an integer, Y i=｛y i, y i-1, …, y i-(b-1)｝Y for i∈｛0, 1, …, k｝ , where subscriptions of y j s will be taken modulo k+1 , and n(Y)=｛v∈ V(G): dist (v, Y)≤ 2｝ .
文摘Let G be a graph, an independent set Y in G is called an essential independent set (or essential set for simplicity), if there is {y 1,y 2} Y such that dist (y 1,y 2)=2. In this paper, we will use the technique of the vertex insertion on l connected ( l=k or k+1,k≥2 ) claw free graphs to provide a unified proof for G to be hamiltonian or 1 hamiltonian, the sufficient conditions are expressed by the inequality concerning ∑ki=0N(Y i) and n(Y) for each essential set Y={y 0,y 1,...,y k} of G , where Y i={y i,y i-1 ,...,y i-(b-1) }Y for i∈{0,1,...,k} (the subscriptions of y j ’s will be taken modulo k+1 ), b ( 0【b【k+1 ) is an integer, and n(Y)={v∈V(G): dist (v,Y)≤2 }.
文摘EU is in position of world＇s largest energy importer and plays an active role in energy markets. Therefore, the EU＇s energy policy has not only local but also global effects. Because of the two oil crises in the 1970＇s, energy has taken an important place in the EU＇s agenda and has become one of the EU＇s highest priorities as the part of the EU＇s goal of Single Market. Especially, the 1987 Single European Act followed by the goal of Single Market has come to dominate the idea of the necessity of having a single market for energy. A chapter about energy has been added into the letter of the 2009 Treaty of Lisbon for the first time, thus energy has gained a new dimension and has had a legal basis. However, although there are energy rules defined at European level, there are 28 national regulatory structures in practice. Therefore, an integrated energy market is needed to create more competition, to increase market efficiency through better use of energy generation facilities across the EU, to produce affordable prices for consumers, and to move as whole, not as 28 separate countries. In this regard, the idea of creation of the Energy Union has emerged and the European Commission has published a detailed action plan for the Energy Union on February 25, 2015. In this study, historical process of initiatives for the creation of common energy policy in the EU is analyzed and the future of Energy Union is discussed.
