ABSTRACT
Objective To discuss the feasibility of positioning the acetabular center,fixing acetabular implant correctly and reconstructing hip rotation center according to Harris fossa and the remaining anatomical markers of acetabular notch in revision hip arthroplasty.Methods Twenty-eight patients underwent revision hip arthroplasty from April 2007 to June 2009.Based on Paprosky type,3 cases with type Ⅰ were treated with biological fixed acetabular component;8 cases with ⅡA and ⅡB were reconstructed with using of morselized bone grafting and large diameter cemented acetabular prosthesis;17 cases with type ⅡC,ⅢA and ⅢB were treated with using of morselized bone grafting and fixation of acetabular reinforcement ring.Among them,5 patients with massive bone loss in acetabular wall were reconstructed with the use of the structural and morselized bone grafting.The center of the original acetabulum was believed to be in the lunate cartilage surface which was closed to Harris fossa.During the operation,the center was located in the site which was 25-28 mm above in line with perpendicular bisector of acetabular notch connecting line.The acetabular center was the point of positioning acetabular prosthesis (Ⅰ type) or making new acetabulum by impaction bone grafting.Acetabular reinforcement ring (Ⅱ,Ⅲ type) was fixed in accordance with proper transverse angle and anteversion angle.The vertical distance from hip rotation center to teardrop connection and the horizontal distance from hip rotation center to teardrop were measured on preoperative and postoperative radiograph.And the outcomes of reconstruction of rotation center were evaluated.Results The vertical distance was changed from (14.22±3.39) mm preoperatively to (32.64±4.51) mm postoperatively.The difference was statistically significant (t=3.65,P＜ 0.05).The horizontal distance was changed from (25.13±3.46)mm preoperatively to (32.87±4.73) mm postoperatively.The difference was statistically significant (t=2.72,P＜0.05).Conclusion Using residual Harris fossa and acetabular notch as the anatomical markers in revision hip arthroplasty,the restoration of the anatomical hip center has shown to be favorable.
ABSTRACT
@#ObjectiveTo observe the effect of comprehensive rehabilitation on chronic obstructive pulmonary disease(COPD).Methods10 patients with COPD received COPD training program. Relapse and ability of life were assessed 6 months after intervention.ResultsRe-admission and stay in hospital were 2-5 times and averaged 15 days respectively before intervention while re-admission and stay in hospital were 1-3 times and averaged 9 days respectively after intervention. Ability of life showed self-care, 0 case; partly self-care, 2 cases; no self-care, 8 cases before intervention while self-care, 5 case; partly self-care, 1 case; no self-care, 4 cases.ConclusionComprehensive rehabilitation can improve the quality of life of patients with COPD.
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Objective: To examine whether there are differences between dependent and independent individual’s shame and sad memories. Methods: Self -report measures were used. Results: ① There were significant interactions between emotion and cognitive style of the number of words recalled, number of times that others were mentioned. ②Field dependent individuals mention more emotional behaviors and presence of others. ③The subjects mentioned more emotion words and time in sad memories. ④In shame memories, there were less self-references than others-references, marginally less self in thinking than self in other descriptions. ⑤In sad memories, field dependent individuals reported less selfreferences than others-references, and less self in thinking than self in other descriptions. ⑥There were more emotional behaviors and self-thinking in sad memories than in shame memories. Conclusion: Field dependent and independent individuals demonstrate differences in emotional memory, and the difference is emotion specificity.
ABSTRACT
Objective:To test the similarities and differences of shame experience between Chinese and American participants and explore the future research direction of shame in a cross-culture context.Methods:American college students were enrolled by convenient sampling to a semi-construct face-to-face interview about general and specific shame experience in their own culture.No new materials appeared after 8 students were interviewed.Then 8 Chinese college students were paired sampling to participate in the same interview.Finally all the in terview contents were coded according to the emotion,cognition and behavioral reaction of shame experience.Results:Both Chinese and American students reported shame experience with similar intensity in academic,personal relationship,body,group and transference shame situations.The expectations of self,peers,parents,teachers or supervisors could be sources of shame in both eastern and western cultures,and only Chinese students regarded expectation of a specific group as a source of shame.Chinese participants recalled more body reaction when feeling shame and had more cognition process related to the shame experience.Finally,besides the negative results such as avoidance that shame experience brought out,in both cultures,the most important influence of shame was reported to be the positive effects on improving or restricting improper behaviors.Conclusion:The participants from two cultures demonstrate a fairly coherence process of shame experience,and the results support the appraised-based model of self-conscious emotions.