Sample records for atlanto-axial joint

  1. Geometry of the articular facets of the lateral atlanto-axial joints in the case of occipitalization. (United States)

    Ryniewicz, A M; Skrzat, J; Ryniewicz, A; Ryniewicz, W; Walocha, J


    This study investigates if atlanto-occipital fusion affects the size and geometrical configuration of the articular facets of the atlanto-axial joint. Morphometric analysis was performed on the male adult skull, the occipital bone of which is assimilated with the first cervical vertebrae (the atlas). The perimeter, Feret's diameter, surface area, and circularity of the inferior articular fa-cets were measured. However, we did not observe significant bilateral differences in size of the inferior articular facets of the assimilated atlas compared to normal first cervical vertebrae. Geometrical conformation of the articular facets of the atlas and axis was assessed using a coordinate measuring machine (PMM - 12106, Leitz). The results obtained from this machine indicated that the inferior articular facets of the assimilated atlas presented asymmetrical orientation compared to the normal anatomy of the atlas. Hence, in the case of occipitalization, the gap between the articulating facets of the atlas and the axis was measured to be greater than in the normal atlanto-axial joint. Computer assisted tomography was applied to visualise the anatomical relationship between the inferior articular facets of the assimilated atlas and the corresponding facets located on the axis. In this case, radiographic examination revealed that the bilaterally articulating facets (inferior and superior) showed disproportion in their adjustment within the lateral atlanto-axial joints. Thus, we concluded that the fusion of the atlas with the occipital bone altered the geometry of the inferior articular facets of the atlas and influenced the orientation of the superior articular facets of the axis.

  2. [Progress on atlanto-axial pedicle screw fixation through posterior approach]. (United States)

    Li, Guo-Qing; Ma, Wei-Hu; Liu, Guan-Yi


    The present of atlanto-axial pedicle screw fixation through posterior approach provide a new remedy for treating instability of pillow and cervical. A lot of researches have reported feasibility of atlanto-axial pedicle screw fixation, the results showed that it had advantages of easily exposure, less blood loss, shorter operative time, especially in treating as remedy fixation for atlanto-axial joint screw, atlas lateral mass screws and pedicle screw caused by injuries of tumor,inflammation and trauma. If not done properly, it can cause serious complications, such as iatrogenic fracture,injuries of vertebral artery and cervical spinal cord. Therefore,the safty and effectiveness of atlanto-axial pedicle screw fixation may be focus of research.

  3. Atlanto-axial malformation and instability in dogs with pituitary dwarfism due to an LHX3 mutation. (United States)

    Voorbij, A M W Y; Meij, B P; van Bruggen, L W L; Grinwis, G C M; Stassen, Q E M; Kooistra, H S


    Canine pituitary dwarfism or combined pituitary hormone deficiency (CPHD) in shepherd dogs is associated with an LHX3 mutation and can lead to a wide range of clinical manifestations. Some dogs with CPHD have neurological signs that are localized to the cervical spine. In human CPHD, caused by an LHX3 mutation, anatomical abnormalities in the atlanto-axial (C1-C2) joint have been described. To evaluate the presence of atlanto-axial malformations in dogs with pituitary dwarfism associated with an LHX3 mutation and to investigate the degree of similarity between the atlanto-axial anomalies found in canine and human CPHD patients with an LHX3 mutation. Three client-owned Czechoslovakian wolfdogs and 1 client-owned German shepherd dog, previously diagnosed with pituitary dwarfism caused by an LHX3 mutation, with neurological signs indicating a cervical spinal disorder. Radiography, computed tomography, and magnetic resonance imaging of the cranial neck and skull, necropsy, and histology. Diagnostic imaging identified abnormal positioning of the dens axis and incomplete ossification of the suture lines between the ossification centers of the atlas with concurrent atlanto-axial instability and dynamic compression of the spinal cord by the dens axis. The malformations and aberrant motion at C1-C2 were confirmed at necropsy and histology. The atlanto-axial abnormalities of the dwarf dogs resemble those encountered in human CPHD patients with an LHX3 mutation. These findings suggest an association between the LHX3 mutation in dogs with CPHD and atlanto-axial malformations. Consequently, pituitary dwarfs should be monitored closely for neurological signs. Copyright © 2015 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of American College of Veterinary Internal Medicine.

  4. Atlanto-axial instability in rheumatoid arthritis: a review | Omar ...

    African Journals Online (AJOL)

    High index of suspicion and early intervention results in good outcomes and prevents neurological outcome. Conclusion: Cervical spine involvement in rheumatoid arthritis is common and debilitating. Atlanto-axial instability is the commonest form. Early diagnosis and treatment is key in management. Early selective choice ...

  5. Posterior atlanto-occipital and atlanto-axial area and its surgical interest

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    Newton José Godoy Pimenta


    Full Text Available Classic anatomical studies describe two membranes – atlanto-occipital and atlanto-axial in the posterior aspect of the craniocervical region. During many surgical procedures in this area, however, we have not found such membranes. Objective To clarify the anatomical aspects and structures taking part of the posterior atlanto-occipital and atlanto-axial area. Method Analysis of histological cuts of three human fetuses and anatomical studies of 8 adult human cadavers. Results In both atlanto-occipital and atlanto-axial areas, we have observed attachment between suboccipital deep muscles and the spinal cervical dura. However, anatomical description of such attachments could not be found in textbooks of anatomy. Conclusion Our study shows the absence of the classical atlanto-occipital and atlanto-axial membranes; the occipito-C1 and C1-C2 posterior intervals are an open area, allowing aponeurotic attachment among cervical dura mater and posterior cervical muscles.

  6. Atlanto-axial rotatory fixation caused by spontaneous intracerebral haemorrhage in a child. (United States)

    Kombogiorgas, Dimitris; Hussain, Ihsan; Sgouros, Spyros


    Atlanto-axial rotatory fixation is rare in children and usually associated with upper respiratory tract infection or trauma. We present a patient who developed the condition acutely as a consequence of rapidly evolving hemiplegia secondary to intracerebral haemorrhage. A previously well 12-year-old boy suddenly developed left hemiparesis within 30 min. Soon after, he developed painful torticollis. On examination, a dense left hemiplegia was associated with left facial and hypoglossal weakness. On computerised tomography (CT) scan there was an intracerebral haemorrhage in the deep aspect of the right frontal lobe in the corona radiata, with extension in the ventricular system. The plain radiographs of the cervical spine, and CT scan later, confirmed the presence of C1-C2 rotatory subluxation. The haematoma was aspirated stereotactically through a burr hole, and at the same session, the subluxation was reduced by manipulation and traction of the cervical spine. The patient was treated with a hard collar. The torticollis did not recur. The hemiparesis resolved within 6 months. A subsequent magnetic resonance imaging and magnetic resonance angiography scan indicated possible arterio-venous malformation (AVM) at the site of the haemorrhage, which was confirmed with digital subtraction angiography. The AVM was surgically excised 1 year from the original haemorrhage. In the absence of any other predisposing factor, it is postulated that the acute atlanto-axial rotatory subluxation was secondary to the acute loss of muscular tone due to the acute hemiparesis. This explains that the subluxation has not recurred a year after, while the hemiparesis has completely resolved.

  7. Retro-odontoid ''ghost'' pseudotumours in atlanto-axial instability caused by rheumatoid arthritis

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    Kenez, J. (Dept. of Neurology, Semmelweis Medical Univ., Budapest (Hungary)); Turoczy, L. (Dept. of Neurosurgery, National Inst. of Traumatology, Budapest (Hungary)); Barsi, P. (Dept. of Neurology, Semmelweis Medical Univ., Budapest (Hungary)); Veres, R. (Dept. of Neurosurgery, National Inst. of Traumatology, Budapest (Hungary))


    Among 27 cases of marked atlanto-axial instability investigated in the last 10 years we found three with reducible dislocation, in which a cystic 'ghost' pseudo-tumours appeared behind the odontoid, maintaining cord compression even in the reduced position, thus influencing the strategy of operative treatment. The cervical spine and the craniocervical region were examined by conventional tomogrpaphy, myelotomography, CT, CT myelography (following melography), and recently in some cases with MRI. (orig./UWA)

  8. Condylus tertius with atlanto-axial rotatory fixation: an unreported association

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    Udare, Ashlesha Satish [M.G.M. Hospital, Department of Radiology, Kamothe, Navi Mumbai (India); Global Hospital Super Speciality and Transplant Centre, Department of Radiology, Mumbai (India); Navi Mumbai, Maharashtra (India); Bansal, Divya; Patel, Bhavin [M.G.M. Hospital, Department of Radiology, Kamothe, Navi Mumbai (India); Mondel, Prabath Kumar [P.D. Hinduja Hospital, Department of Radiology, Mahim, Mumbai (India); Aiyer, Siddharth [Shatabdi Hospital, Department of Orthopedics, Chembur, Mumbai (India)


    The ''condylus tertius'' or the ''third occipital condyle'' is an embryological remnant of the proatlas sclerotome. Anatomically, it is attached to the basion and often articulates with the anterior arch of the atlas and the odontoid apex; hence, it is also called the ''median occipital condyle''. It is a rare anomaly of the cranio-vertebral junction (CVJ) that can lead to instability and compression of important surrounding neurovascular structures. We report a case of a 16-year-old boy who presented with suboccipital neck pain, torticollis and right sided hemiparesis. Plain radiographs revealed an increased atlanto-dental interspace (ADI) with a retroflexed odontoid. Open mouth view showed asymmetry of the articular processes of the atlas with respect to the dens. Computed tomography (CT) of the CVJ delineated the third occipital condyle. Furthermore, on dynamic CT study, a type 3 atlanto-axial rotatory fixation (AARF) was clearly demonstrated. Magnetic resonance imaging (MRI) of the CVJ revealed severe right-sided spinal cord compression by the retroflexed and rightward deviated dens. It also revealed disruption of the left alar and transverse ligaments. The patient was treated with 8 weeks of cranial traction and reasonable alignment was obtained. This was followed by C1-C2 lateral mass screw fixation and C1-C2 interlaminar wiring to maintain the alignment. A review of the literature did not reveal any cases of condylus tertius associated with non-traumatic AARF. An accurate knowledge of the embryology and imaging features of this rare CVJ anomaly is useful in the prompt diagnosis and management of such patients. (orig.)

  9. Unilateral atlanto-axial fractures in near side impact collisions: An under recognized entity in cervical trauma

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    Andrew M Lozen


    Full Text Available Objective: Nearside impact collisions presenting with lateral mass fractures of atlanto-axial vertebrae contralateral to the impact site represents a rare fracture pattern that does not correlate with previously described injury mechanism. We describe our clinical experience with such fractures and propose a novel description of biomechanical forces involved in this unique injury pattern. The findings serve to alert clinicians to potentially serious consequences of associated unrecognized and untreated vertebral artery injury. Material and Methods : In addition to describing our clinical experience with three of these fractures, a review of Crash Injury Research and Engineering Network (CIREN database was conducted to further characterize such fractures. A descriptive analysis of three recent lateral mass fractures of the atlanto-axial segment is coupled with a review of the CIREN database. A total of 4047 collisions were screened for unilateral fractures of atlas or axis. Information was screened for side of impact and data regarding impact velocity, occupant injuries and use of restraints. Results: Following screening of unilateral fractures of atlas and axis for direct side impacts, 41 fractures were identified. Cross referencing these cases for occurrence contralateral to side of impact identified four such fractures. Including our recent clinical experience, seven injuries were identified: Five C1 and two C2 fractures. Velocity ranged from 14 to 43 km/h. Two associated vertebral artery injuries were identified. Conclusions: Complexity of the atlanto-axial complex is responsible for a sequence of events that define load application in side impacts. This study demonstrates the vulnerability of vertebral artery to injury under unique translational forces and supports the use or routine screening for vascular injury. Diminished sensitivity of plain radiography in identifying these injuries suggests that computerized tomography should be used in

  10. Biomechanics of Atlanto-Occipital and Atlanto-Axial Joint Injuries, (United States)


    possible, up to 130 and is limited by the tension in the rear ligaments , and in the case of injuries to these ligaments the angle of in- clination can...hitting their head from the front while riding a motorcycle , that is, during horizontal action of the force causing the injury . 5...which may be the cause of injury due to displacement of the tooth of the epistrophaeus or a ligament injury . / During a fall on the head from the

  11. Establishment and evaluation of a prognostic model for surgical outcomes of patients with atlanto-axial dislocations. (United States)

    Guo, Shuai; Chen, Jie; Yang, Baohui; Li, Haopeng


    Objective Atlanto-axial dislocations (AADs) are potentially fatal disturbances with high spinal cord compression syndrome. As surgeons are still uncertain who is likely to benefit the most from surgery, a prediction tool is needed to provide decision-making support. Methods The model was established based on 108 patients with AADs using multiple binary logistic regression analysis and evaluated by calibration plot and the area under the receiver operating curve (AUC). Bootstrapping was used for internal validation. Results The prognostic model can be expressed as: logit(P) = -2.2428 + 0.3168SCOPE - 2.0375SIGNAL, in which two covariates were accepted (SCORE represents the preoperative modified Japanese Orthopedic Association (mJOA) score and SIGNAL represents the intramedullary hyperintense T2-weighted imaging (T2WI) with AUC = 0.8081). Conclusions The model was internally valid, and the preoperative mJOA score and hyperintense T2WI were important predictors of outcomes. The threshold was defined as logit(P) = -0.7282 according to the receiver operating curve (ROC).

  12. 'Pseudofacets' or 'supernumerary facets' in congenital atlanto-axial dislocation: boon or bane? (United States)

    Salunke, Pravin; Futane, Sameer; Sharma, Manish; Sahoo, Sushant; Kovilapu, Udaybhanu; Khandelwal, N K


    Certain abnormal contact points, appearing like additional joints (pseudofacets) were observed between atlas and axis in a subset of patients with congenital atlantoaxial dislocation (CAAD). The origin, function and bearing on management of such pseudofacets remain largely undetermined. The object is to study 'pseudofacets'or 'accessory joints' in patients with CAAD and to analyze the possible genesis, role and bearing of these on surgery and fusion rates. 35 patients with CAAD were analyzed. Reconstructed images of CT craniovertebral junction passing through these pseudo and true facets were studied. A novel method was devised to measure the faceto-isthmic angle of axis, both in patients with CAAD and normal subjects. Operative details and fusion rates were studied in patients with pseudofacets and compared with those without it. Eight out of 35 patients (6 Irreducible CAAD and 2 with RCAAD) had pseudofacets. These are seen posterior to the true facets and resemble partially formed joints. The C2 facet was acutely bent over its isthmus in these patients. The direction of these pseudofacets appeared to counter the abnormal mobility at C1-2 true facets. Intraoperatively, they posed a visual hindrance to reach up to true facets for placement of spacers and lateral mass screws, requiring extensive drilling. At the same time, they did help in distraction and increased the surface for fusion between C1 and C2 in cases where sublaminar wiring alone was used. Fusion rates were 100 % in patients with pseudofacets. Pseudofacets may be a result of genetic aberration and nature's mechanism to restrict abnormal C1-2 mobility in CAAD by imparting some stability. Their presence hinders the visualization making it difficult to reach upto the true facets, thus a bane. They may require extensive drilling when direct posterior approach is used, thereby disrupting the natural restrictive mechanism. However, the flattened surfaces provide an increased area for postoperative bony

  13. Atlanto-Axial Instability in People with Down’s Syndrome and its Impact on the Ability to Perform Sports Activities – A Review

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    Myśliwiec Andrzej


    Full Text Available Atlanto-axial instability (AAI is a developmental anomaly often occurring in persons with Down’s syndrome (DS. According to various reports, AAI affects from 6.8 to 27% of the population with DS. The aim of this review was to illustrate the issue of AAI with regard to the progressively changing state of scientific knowledge. The extended distance between the rear surface of the frontal arcus of the C1 cervical vertebra and the anterior surface of C2 cervical vertebra dens (anterior atlanto-odontoid distance, AAOD indicates the occurrence of AAI and is detectable through X-ray examination. Hypoplasia of the C2 dens, also detectable through X-ray examination, is another suggested risk factor for AAI. According to current data, the methodology of taking measurements is inconsistent, which leads to errors in interpretation. As research focusing on AAI was progressing, new data emerged from other studies on persons with DS, suggesting that neurological symptoms in persons with DS that indicated the occurrence of spinal cord compression were an important factor in medical imaging detection of AAI. One of the main arguments supporting this thesis is that in isolated cases spinal cord (SC damage was noted during screening examinations conducted on a large population of subjects. Moreover, cases in which the neurological symptoms indicate spinal cord compression existed long before the occurrence of the actual damage also remain of significant importance. Therefore, it is necessary to promote neurological studies on persons with DS to enable early diagnosis of spinal cord compression and, at the same time, reduce the use of medical imaging in cases of neurological symptoms.

  14. Controversies in neurosurgery: Irreducible basilar invagination and atlanto-axial dislocation: A trans-oral procedure may be avoided in a majority, but still may be required in some cases

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    P Sarat Chandra


    Full Text Available Basilar invagination (BI and atlanto-axial dislocation (AAD are mostly irreducible in nature and are quite complex pathologies to manage. Traditionally they required a trans-oral excision of odontoid process followed by a posterior instrumented fusion. This has been challenged recently, where a single staged posterior only procedure addresses both reduction and decompression in the same sitting. This evidence was based on earlier publication and also on the author′s own experience, where he described a new technique (distraction, compression, extension and reduction, which performed for the 1 st time a 2-axis movement in the cranio-vertebral junction (CVJ allowing effective reduction of both AAD and BI. This technique has now become a standard in the author′s armentorium for management of CVJ anomalies and allowed a single stage posterior only surgery for 95% of these pathologies managed by him. Although this technique could address a majority of cases of developmental BI and AAD, it becomes important to understand that a trans-oral excision of dens followed by a posterior instrumented fusion will still be required in some cases. These include certain cases of clival segmentation anomalies, very severe BI, infective pathologies like tuberculosis with circumferential compression and bony destruction and tumors. The following review article is based on the author′s personal experience of over 500 cases and discusses the advantages and limitations of single staged surgery and the indications of trans-oral surgery in this rapidly evolving field.

  15. Congenital Spondylolytic Spondylolisthesis of C2 Vertebra Associated With Atlanto-Axial Dislocation, Chiari Type I Malformation, and Anomalous Vertebral Artery: Case Report With Review Literature. (United States)

    Sardhara, Jayesh; Pavaman, Sindgikar; Das, Kuntal; Srivastava, Arun; Mehrotra, Anant; Behari, Sanjay


    Congenital spondylolytic spondylolisthesis of C2 vertebra resulting from deficient posterior element of the axis is rarely described in the literature. We describe a unique case of agenesis of posterior elements of C2 with craniovertebral junction anomalies consisting of osseous, vascular, and soft tissue anomalies. A 26-year-old man presented with symptoms of upper cervical myelopathy of 12 months' duration. A computed tomography scan of the cervical spine including the craniovertebral junction revealed spondylolisthesis of C2 over C3, atlantoaxial dislocation, occipitalization of the atlas, hypoplasia of the odontoid, and cleft posterior C1 arch. Additionally, the axis vertebra was found devoid of its posterior elements except bilaterally rudimentary pedicles. Magnetic resonance imaging revealed tonsilar herniation, suggesting associated Chiari type I malformation. CT angiogram of the vertebral arteries displayed persistent bilateral first intersegmental arteries crossing the posterior aspect of the C1/2 facet joint. This patient underwent foramen magnum decompression, C3 laminectomy with occipito-C3/C4 posterior fusion using screw and rod to maintain the cervical alignment and stability. We report this rare constellation of congenital craniovertebral junction anomaly and review the relevant literature. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Rheumatoid arthritis of the atlanto-axial joint. Ascertainment of the inflammatory changes by means of CT MRI with contrast medium; Rheumatoide Arthritis des kraniozervikalen Uebergangs. Erfassung der entzuendlichen Veraenderungen mittels KM-gestuetzter CT und MRT

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    Neuhold, A. [Inst. fuer Bildgebende Diagnostik, KH Rudolfinerhaus, Wien (Austria); Czerny, C. [Inst. fuer Bildgebende Diagnostik, KH Rudolfinerhaus, Wien (Austria); Stiskal, M. [Zentralroentgeninstitut, KH Lainz (Austria); Boehm, G. [Inst. fuer Pathologische Anatomie, Univ. Wien (Austria); Smolen, J. [2. Medizinische Abt., KH Lainz (Austria)


    A total of 136 patients with rheumatoid arthritis underwent MRI with sagittal T1-weighted spin echo sequences before and after i.v. administration of Gd-DTPA and with a 15-min delay. In addition, T2-weighted gradient echo sequences were performed. Conventional radiographs, including tomography in sagittal and a.p. planes, were also taken of all patients; 51 were also examined by CT before and after i.v. administration on contrast medium and in addition with a 15-min delayed series. The signal intensities of MRI and the changes in density caused by contrast uptake on CT were examined visually and measured quantitatively. The inflammatory changes were classified in four phases by the MRI and CT findings and hostological results. A correlation (p<0.05) was found with the erythrocyte sedimentation rate. MRI was superior to CT in 10% of cases. A discrete effusion in the anterior junction was missed in 4 cases and a hypervascular panus formation in 1 case by CT. The CT was superior to the other methods in detecting bony lesions and calcifications in the atlantoedental region. (orig./VHE) [Deutsch] Bei 136 Patienten mit rheumatoider Arthritis (RA) wurden Nativroentgen, Magnetresonanztomographie (MRT) und in 51 Faellen eine Computertomographie (CT) des atlantoaxialen Gelenkes angefertigt bzw. durchgefuehrt. Das Signalverhalten der entzuendlichen Veraenderungen wurde auf T1-gewichteten (T1W) Spinecho- (SE) und T2-gewichteten Gradientenechosequenzen (GE) visuell befundet und die Signalintensitaetszunahmen nach intravenoeser Kontrastmittel (KM)-Applikation von Gadolinium-DTPA unter Heranziehung der T1W SE-Sequenzen quantitativ ausgewertet. Auch das KM-Aufnahmeverhalten der entzuendlichen Veraenderungen wurde mittels CT quantitativ untersucht. Durch die visuelle und quantitative Auswertung konnten die entzuendlichen Veraenderungen in 4 Stadien eingeteilt werden, welche mit der Blutsenkungsgeschwindigkeit (BSG) korrelierten (p<0,05). Die Magnetresonanztomographie war der Computertomographie in der Erfassung der entzuendlichen Veraenderungen in 10% der Faelle ueberlegen. Eine diskrete Ergussansammlung im anterioren atlantoaxialen Gelenkspalt wurde bei 4 Patienten, ein hypervaskularisiertes Granulationsgewebe im Apexbereich in einem Fall von der CT nicht erfasst. Die CT hingegen war den anderen Methoden in der Erfassung von ossaeren Veraenderungen bzw. Verkalkungen ueberlegen. (orig./VHE)



    Marques, Luis Miguel Sousa; Romero, Clara; Cabral, José Gabriel Monteiro de Barros


    ABSTRACT Surgical treatment of craniocervical junction pathology has evolved considerably in recent years with the implementation of short fixation techniques rather than long occipito-cervical fixation (sub-axial). It is often difficult and sometimes misleading to determine the particular bone and vascular features (high riding vertebral artery, for instance) using only the conventional images in three orthogonal planes (axial, sagittal and coronal). The authors describe a rare clinical case...

  18. Anesthetic management of a child with Down’s Syndrome having atlanto axial instability


    Basant Bhattarai; AH Kulkarni; S Kalingarayar; MP Upadya


    Down's syndrome is the most commonly encountered congenital anomaly in medical practice. These patients are of special concern to medical practice because of their associated problems with regard to respiratory, cardiovascular and other systemic problems. As these patients present for repeated surgeries like dental extraction, facial reconstruction and fixation of cervical spine, these patients pose challenges to the anesthesiologist because of their unique set of problems, namely atlantoaxia...

  19. Course of atlanto-axial involvement and disc narrowing of the cervical spine in rheumatoid arthritis

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    de Carvalho, A.; Graudal, H.


    In 188 patients with rheumatoid arthritis 585 radiological examinations of the cervical spine were performed. Subluxation of C1-2 was found more often than expected; it was often the only radiological change in that segment, and its degree was not related to the duration of the disease. Lateral radiographs taken in full flexion were important for the diagnosis. Age over 40 years at the onset of RA, increased ESR at least on one occasion and seropositivity were related to more severe degrees of involvement. The presence of subcutaneous nodules, high titres of the Rose-Waaler reaction and the presence of antinuclear antibodies had no definite relation to the degree of involvement.

  20. Anesthetic management of a child with Down's syndrome having atlanto axial instability. (United States)

    Bhattarai, B; Kulkarni, A H; Kalingarayar, S; Upadya, M P


    Down's syndrome is the most commonly encountered congenital anomaly in medical practice. These patients are of special concern to medical practice because of their associated problems with regard to respiratory, cardiovascular and other systemic problems. As these patients present for repeated surgeries like dental extraction, facial reconstruction and fixation of cervical spine, these patients pose challenges to the anesthesiologist because of their unique set of problems, namely atlantoaxial instability, small trachea, congenital heart disease and repeated chest infections due to lowered immunity. Their reactivity to inhalational anesthetics and atropine is variable. Here we present an interesting case report of a child with Down's syndrome who presented with atlantoaxial instability for MRI of cervical spine under general anesthesia.

  1. Translation of Hecker's 1922 "the occipital-atlanto-axial ligament system": A study in comparative anatomy. (United States)

    Oakes, Peter C; Sardi, Juan Pablo; Iwanaga, Joe; Topale, Nitsa; Oskouian, Rod J; Tubbs, R Shane


    In 1922, Paul Hecker, a French physician and Head of Anatomy at the Medical College of Strasbourg, published a sentinel thesis on the ligaments of the craniocervical junction based on a study of comparative anatomy. Unfortunately, this dissertation has been lost to history and until now, was unavailable in the English language. Herein, we present a translation of Hecker's work with an update in its nomenclature, which with modern imaging capabilities of the craniocervical junction is germane and timely. Clin. Anat. 30:322-329, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  2. Atlanto-axial approach for cervical myelography in a Thoroughbred horse with complete fusion of the atlanto-occipital bones (United States)

    Aleman, Monica; Dimock, Abigail N.; Wisner, Erik R.; Prutton, Jamie W.; Madigan, John E.


    A 2-year-old Thoroughbred gelding with clinical signs localized to the first 6 spinal cord segments (C1 to C6) had complete fusion of the atlanto-occipital bones which precluded performing a routine myelogram. An ultrasound-assisted myelogram at the intervertebral space between the atlas and axis was successfully done and identified a marked extradural compressive myelopathy at the level of the atlas and axis, and axis and third cervical vertebrae. PMID:25392550

  3. Irreducible Atlanto-Axial Dislocation in Neglected Odontoid Fracture Treated with Single Stage Anterior Release and Posterior Instrumented Fusion (United States)

    Rathod, Ashok Keshav; Chaudhary, Kshitij Subhash


    It is a well-know fact that type 2 odontoid fractures frequently go into nonunion. If left untreated, patients may develop irreducible atlantoaxial dislocation (AAD). We describe the surgical management of two patients with neglected odontoid fractures and irreducible AAD treated with single stage anterior release followed by posterior instrumented fusion. Both patients presented with history of neglected trauma and progressive myelopathy. Traction under anesthesia failed to achieve reduction of AAD. Anterior release was done by trans-oral approach in one patient and retrophayngeal approach in the other. Posterior fixation was performed with transarticular screws in both the patients. Both patients had full neurological recovery and demonstrated fusion at follow-up. Anterior release followed by posterior instrumented correction may be an effective alternative to the traditional means of treating irreducible dislocations associated with neglected odontoid fractures. PMID:27114778

  4. Primary extraparenchymal hemorrhage of the posterior cranal fossa as a premonitory symptom of atlanto-axial instability; Traumatische extraparenchymale Blutung der hinteren Schaedelgrube als Warnsymptom einer atlantoaxialen Instabilitaet

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    Holl, K.; Rolli, K.; Olschowski, A.; Wurm, G. [Neurochirurgische Abt., Landesnervenklinik Linz (Austria); Nussbaumer, K. [Neuroradiologische Abt., Landesnervenklinik Linz (Austria)


    The contribution discusses the cases of five patients with cranio-cerebral trauma, (four children and one adult patient), where CT examination revealed extraparenchymal hemorrhage of the posterior cranal fossa, which did not fit into their pattern of intracranial trauma and therefore gave reason to suspect a lesion of the upper cervical spine. The various types of hemorrhage found are explained, as well as the underlying cervical spine lesions, and the choice of respective therapies which proved to be successful. (orig./CB) [German] Wir berichten ueber fuenf Patienten nach Schaedel-Hirn-Trauma, deren gemeinsamer Befund in der kraniellen Computertomographie eine extraparenchymale Blutung der hinteren Schaedelgrube (HSG) ohne Zusammenhang mit dem uebrigen intrakraniellen Verletzungsmuster bzw. ohne sonstige intrakranielle Verletzung war. Es handelte sich um vier Kinder und einen Erwachsenen mit einem Durchschnittsalter von 8,8 (4-22) Jahren. Drei dieser Patienten wiesen eine epidurale Blutung am Clivus bzw. am Foramen magnum auf, bei einem Patienten handelte es sich um eine Subarachnoidalblutung um das Cerebellum, bei einem weiteren Patienten lag eine Blutung im IV. Ventrikel vor. Diese infratentoriellen Blutungen waren der erste Hinweis, dass eine Verletzung in der oberen Halswirbelsaeule (HWS) vorliegen koennte. Es wurde bei den vier Kindern als zugrundeliegende Ursache der Blutung eine ligamentaere Verletzung C1/C2 diagnostiziert, nur bei dem erwachsenen Patienten lag eine knoecherne Verletzung C1/C2 vor. Die Therapie erfolgte in den vier Faellen mit Instabilitaet chirurgisch, bei dem Patienten ohne Instabilitaet konservativ. Nach einem mittleren Nachbeobachtungszeitraum von 5,2 Jahren waren alle operierten Patienten klinisch gebessert bzw. weiterhin neurologisch unauffaellig. Es konnte bei allen Patienten eine stabile Situation C1/C2 bei guter Funktionalitaet der HWS nachgewiesen werden. (orig.)

  5. Joint ventures

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig

    Afhandlingen analysere de konkurrenceretlige og selskabsretlige regler som er bestemmende for hvordan et joint venture samarbejde er struktureret......Afhandlingen analysere de konkurrenceretlige og selskabsretlige regler som er bestemmende for hvordan et joint venture samarbejde er struktureret...

  6. Joint Disorders (United States)

    A joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including Arthritis - inflammation of a joint. It causes pain, stiffness, and swelling. Over time, ...

  7. Joint Injection/Aspiration (United States)

    ... A Patient / Caregiver Treatments Joint Injection / Aspiration Joint Injections (Joint Aspirations) Fast Facts Joint aspiration is used ... is derived from a joint aspiration or joint injection? Joint aspiration usually is done for help with ...

  8. Ceramic joints (United States)

    Miller, Bradley J.; Patten, Jr., Donald O.


    Butt joints between materials having different coefficients of thermal expansion are prepared having a reduced probability of failure of stress facture. This is accomplished by narrowing/tapering the material having the lower coefficient of thermal expansion in a direction away from the joint interface and not joining the narrow-tapered surface to the material having the higher coefficient of thermal expansion.

  9. Joint Commission (United States)

    ... Commission Websites Quick Links The Center for Transforming Healthcare Blogs DataMart Event ... Table of Contents and Abstracts for The Joint Commission Journal on Quality and Patient Safety Monday October 2, ...

  10. Joint pain (United States)

    ... or conditions. It may be linked to arthritis , bursitis , and muscle pain . No matter what causes it, ... Autoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Crystals in the joint: Gout (especially ...

  11. Joint purpose?

    DEFF Research Database (Denmark)

    Pristed Nielsen, Helene


    of anti-discrimination in Europe today? And what empirical evidence may be found for such a joint approach? The paper discusses how the contemporary EU context differs from the American context which prompted Crenshaw to raise the point about intersectionality, and it analyses documents and interviews...

  12. Joint Hypermobility: What Causes Loose Joints? (United States)

    ... result in a higher incidence of dislocations and sprains. Your doctor might suggest physical therapy to help strengthen the muscles surrounding these joints. See your doctor if your loose joints also cause you pain. Rarely, joint hypermobility is a sign ...

  13. Joint mobilization. (United States)

    Saunders, Deborah Gross; Walker, J Randy; Levine, David


    Therapeutic touch has been used in human beings to soothe aches and pains. Most dogs also seem to enjoy being touched. Manual therapy techniques are skilled hand movements intended to improve tissue extensibility; increase range of motion; induce relaxation; mobilize or manipulate soft tissue and joints; modulate pain; and reduce soft tissue swelling, inflammation, or restriction. The intent of this article is to provide an overview of the principles of manual therapy, followed by selected treatment techniques for the hip, stifle, elbow, shoulder, carpus.and thoracic and lumbar spine. The techniques of G.D. Maitland, an Australian physical therapist who developed a clinically based approach in the 1960s and 1970s, are emphasized.

  14. Reliability of Tubular Joints

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Thoft-Christensen, Palle

    In this paper the preliminary results obtained by tests on tubular joints are presented. The joints are T-joints and the loading is static. It is the intention in continuation of these tests to perform tests on other types of joints (e.g. Y-joints) and also with dynamic loading. The purpose of th...

  15. Joint Replacement (Finger and Wrist Joints) (United States)

    ... artificial joint Damage to vessels, nerves or other structures in the region of the surgery Alternatives Some alternate procedures for treating arthritis include: Joint injections Oral medications such as aspirin or anti-inflammatory medicines Hand therapy exercises and ...

  16. Joint x-ray (United States)

    X-ray - joint; Arthrography; Arthrogram ... x-ray technologist will help you position the joint to be x-rayed on the table. Once in place, pictures are taken. The joint may be moved into other positions for more ...

  17. Butt Joint Tool Commissioning

    Energy Technology Data Exchange (ETDEWEB)

    Martovetsky, N N


    ITER Central Solenoid uses butt joints for connecting the pancakes in the CS module. The principles of the butt joining of the CICC were developed by the JAPT during CSMC project. The difference between the CSMC butt joint and the CS butt joint is that the CS butt joint is an in-line joint, while the CSMC is a double joint through a hairpin jumper. The CS butt joint has to carry the hoop load. The straight length of the joint is only 320 mm, and the vacuum chamber around the joint has to have a split in the clamp shell. These requirements are challenging. Fig.1 presents a CSMC joint, and Fig.2 shows a CS butt joint. The butt joint procedure was verified and demonstrated. The tool is capable of achieving all specified parameters. The vacuum in the end was a little higher than the target, which is not critical and readily correctable. We consider, tentatively that the procedure is established. Unexpectedly, we discover significant temperature nonuniformity in the joint cross section, which is not formally a violation of the specs, but is a point of concern. All testing parameters are recorded for QA purposes. We plan to modify the butt joining tool to improve its convenience of operation and provide all features necessary for production of butt joints by qualified personnel.

  18. Joint Replacement (Finger and Wrist Joints) (United States)

    ... alternate procedures for treating arthritis include: Joint injections Oral medications such as aspirin or anti-inflammatory medicines Hand therapy exercises and protective splints Arthrodesis surgery to fuse bones together, which relieves pain by eliminating motion be-tween damaged joint surfaces ...

  19. Generalised joint hypermobility and knee joint hypermobility

    DEFF Research Database (Denmark)

    Junge, Tina; Henriksen, Peter; Hansen, Sebrina


    AIM: Several biomechanical factors, such as knee joint hypermobility (KJH), are suggested to play a role in the etiology of knee joint symptoms and knee osteoarthritis. Nevertheless, the prevalence or consequences of KJH solely or included in the classification of generalized joint hypermobility...... (GJHk) is unknown for a general population. Therefore, the objectives were to report the prevalence of self-reported GJHk and KJH, as well as the association of these conditions to knee joint symptoms, severity and duration of symptoms, and health-related quality of life (HRQoL) in a Danish adult...... population. METHOD: This study is a cross-sectional population-based survey of 2056 Danish adults. Respondents received online questionnaires of GJHk and KJH, knee joint symptoms, the severity and duration of these, as well as HRQoL. RESULTS: Total response rate was 49% (n = 1006). The prevalence of self...

  20. MP Joint Arthritis (United States)

    ... crack extends into the joint Certain medical conditions ( rheumatoid arthritis , gout and pseudogout , psoriasis, etc.) Infections, often after a cut, puncture or animal bites where bacteria are introduced into the joint and cause rapid ...

  1. Knee joint replacement - slideshow (United States)

    ... this page: // Knee joint replacement - series—Normal anatomy To use the ... to slide 4 out of 4 Overview The knee is a complex joint. It contains the distal ...

  2. Managing Joint Production Motivation

    DEFF Research Database (Denmark)

    Lindenberg, Siegwart; Foss, Nicolai Juul


    We contribute to the microfoundations of organizational performance by proffering the construct of joint production motivation. Under such motivational conditions individuals see themselves as part of a joint endeavor, each with his or her own roles and responsibilities; generate shared...... representations of actions and tasks; cognitively coordinate cooperation; and choose their own behaviors in terms of joint goals. Using goal-framing theory, we explain how motivation for joint production can be managed by cognitive/symbolic management and organizational design....

  3. Distal radioulnar joint injuries


    Thomas, Binu P.; Raveendran Sreekanth


    Distal radioulnar joint is a trochoid joint relatively new in evolution. Along with proximal radioulnar joint , forearm bones and interosseous membrane, it allows pronosupination and load transmission across the wrist. Injuries around distal radioulnar joint are not uncommon, and are usually associated with distal radius fractures,fractures of the ulnar styloid and with the eponymous Galeazzi or Essex_Lopresti fractures. The injury can be purely involving the soft tissue especially the triang...

  4. International joint ventures

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig


    The article analysis problems connected with corporate joint ventures. Among others the possible conflicts between the joint venture agreement and the statutes of the companies is examined, as well as certain problems connected to the fact that the joint venture partners have created commen contr...

  5. Bridges Expansion Joints


    Sergey W. Kozlachkow


    The survey is concerned with the expansion joints, used in bridge constructions to compensate medium and significant operational linear and spatial displacements between adjacent spans or between bridge span and pier. The analysis of design features of these types of expansion joints, their advantages and disadvantages, based on operational experience justified the necessity to design constructions, meeting the modern demands imposed to expansion joints.

  6. Bridges Expansion Joints

    Directory of Open Access Journals (Sweden)

    Sergey W. Kozlachkow


    Full Text Available The survey is concerned with the expansion joints, used in bridge constructions to compensate medium and significant operational linear and spatial displacements between adjacent spans or between bridge span and pier. The analysis of design features of these types of expansion joints, their advantages and disadvantages, based on operational experience justified the necessity to design constructions, meeting the modern demands imposed to expansion joints.

  7. Elbow joint instability

    DEFF Research Database (Denmark)

    Olsen, Bo Sanderhoff; Henriksen, M G; Søjbjerg, Jens Ole


    The effect of simultaneous ulnar and radial collateral ligament division on the kinematics of the elbow joint is studied in a cadaveric model. Severance of the anterior part of the ulnar collateral ligament and the annular ligament led to significant elbow joint instability in valgus and varus...... of the specimens was recorded. The reproducibility of the instability pattern suggests that this model is suitable for evaluating stabilizing procedures aimed at correction of elbow joint instability before these procedures are introduced into patient care....

  8. Jointly Poisson processes


    Johnson, D. H.; Goodman, I. N.


    What constitutes jointly Poisson processes remains an unresolved issue. This report reviews the current state of the theory and indicates how the accepted but unproven model equals that resulting from the small time-interval limit of jointly Bernoulli processes. One intriguing consequence of these models is that jointly Poisson processes can only be positively correlated as measured by the correlation coefficient defined by cumulants of the probability generating functional.

  9. Bridges Expansion Joints

    National Research Council Canada - National Science Library

    Sergey W. Kozlachkow


    .... The analysis of design features of these types of expansion joints, their advantages and disadvantages, based on operational experience justified the necessity to design constructions, meeting...

  10. MR diagnosis of temporomandibular joint. A study of joint effusion

    Energy Technology Data Exchange (ETDEWEB)

    Kaneda, Takashi; Yamashiro, Mitsuaki; Ozawa, Kaoru; Suzuki, Hiromi; Okada, Hiroyuki; Yamamoto, Hirotsugu [Nihon Univ., Matsudo, Chiba (Japan). School of Dentistry


    The purposes of this study were to evaluate the relationship between correlation of MR joint effusion of the temporomandibular joint and disk position, to evaluate the relationship between joint effusion and aging, and to assess the frequency of MR joint effusion of bilateral temporomandibular joints. The temporomandibular joints of 192 patients with clinical symptoms of temporomandibular joint disorders were imaged bilaterally using high field, surface-coil MR imaging. Oblique sagittal and coronal proton density-weighted and T2-weighted images were obtained. Imaging findings of joint effusion were correlated with disk position, aging, and bilateral temporomandibular joints. MR showed effusion in 4% of the joints with normal superior disk position, 36% of the joints with disk displacement with reduction, and 45% of the joints with disk displacement without reduction. There were significant differences in the incidence of joint effusion between normal disk position and anterior disk displacement with or without reduction. Younger patients less than 40 years were significant higher the incidence of joint effusion than those of older patients. A significant association was seen between joint effusion and aging. MR showed effusion in 17% of the unilateral temporomandibular joint, 24% of the bilateral temporomandibular joints. There was no significant difference between unilateral and bilateral case. These results indicated that joint effusion using MR imaging was associated with varied temporomandibular joint pathologic states. (author)

  11. Creep of timber joints

    NARCIS (Netherlands)

    Van de Kuilen, J.W.G.


    A creep analysis has been performed on nailed, toothed-plates and split-ring joints in a varying uncontrolled climate. The load levels varied between 30% and 50% of the average ultimate short term strength of these joints, tested in accordance with ISO 6891. The climate in which the tests were

  12. 13. Sacroiliac joint pain

    NARCIS (Netherlands)

    Vanelderen, P.; Szadek, K.M.; Cohen, S.P.; Witte, J.; Lataster, A.; Patijn, J.; Mekhail, N.; van Kleef, M.; van Zundert, J.


    The sacroiliac joint accounts for approximately 16% to 30% of cases of chronic mechanical low back pain. Pain originating in the sacroiliac joint is predominantly perceived in the gluteal region, although pain is often referred into the lower and upper lumbar region, groin, abdomen, and/ or lower

  13. Appendicular joint dislocations. (United States)

    Hindle, Paul; Davidson, Eleanor K; Biant, Leela C; Court-Brown, Charles M


    This study defines the incidence and epidemiology of joint dislocations and subluxations of the appendicular skeleton. All patients presenting acutely to hospital with a dislocation or subluxation of the appendicular skeleton from a defined population were included in the study. There were 974 dislocations or subluxations over one year between the 1st November 2008 and the 31st October 2009. There was an overall joint dislocation incidence of 157/10(5)/year (188/10(5)/year in males and 128/10(5)/year in females). Males demonstrated a bimodal distribution with a peak incidence of 446/10(5)/year at 15-24 years old and another of 349/10(5)/year in those over 90 years. Females demonstrate an increasing incidence from the seventh decade with a maximum incidence of 520/10(5)/year in those over 90 years. The most commonly affected joints are the glenohumeral (51.2/10(5)/year), the small joints of the hand (29.9/10(5)/year), the patellofemoral joint (21.6/10(5)/year), the prosthetic hip (19.0/10(5)/year), the ankle (11.5/10(5)/year), the acromioclavicular joint (8.9/10(5)/year) and the elbow (5.5/10(5)/year). Unlike fractures, dislocations are more common in the both the most affluent and the most socially deprived sections of the population. Joint disruptions are more common than previously estimated. Copyright © 2013 Elsevier Ltd. All rights reserved.

  14. Acromioclavicular joint dislocations. (United States)

    Babhulkar, Ashish; Pawaskar, Aditya


    Acromioclavicular (AC) dislocation is a common injury especially among sportsmen. There is still a lack of consensus on whether to conserve or operate type III AC joint dislocations. Even among surgeons inclined to operate AC joint dislocations there is no unanimity on which surgical technique. There are a plethora of choices between mechanical fixation or synthetic materials or biologic anatomic reconstructions. Even among surgeons, there is a choice between open repairs and the latest-arthroscopic reconstructions. This review of AC joint dislocations intends to analyze the available surgical options, a critical analysis of existing literature, actual technique of anatomic repair, and also accompanying complications.

  15. Anterior glenohumeral joint dislocations. (United States)

    Dodson, Christopher C; Cordasco, Frank A


    The glenohumeral joint is the most mobile articulation in the body and the most commonly dislocated diarthroidal joint. Anterior dislocation is by far the most common direction and can lead to instability of the glenohumeral joint, which ranges from subtle increased laxity to recurrent dislocation. Overtime, understanding of anterior shoulder dislocations and the resulting instability has improved. Likewise, significant advances in arthroscopic equipment have allowed use of the arthroscope to address anatomically the various lesions that cause instability. This article reviews the anatomy, pathophysiology, clinical evaluation, and treatment of anterior shoulder instability.

  16. Joint Quantum Institute (United States)

    Federal Laboratory Consortium — The Joint Quantum Institute (JQI) is pursuing that goal through the work of leading quantum scientists from the Department of Physics of the University of Maryland...

  17. Wrist joint assembly (United States)

    Kersten, L.; Johnson, J. D. (Inventor)


    A wrist joint assembly is provided for use with a mechanical manipulator arm for finely positioning an end-effector carried by the wrist joint on the terminal end of the manipulator arm. The wrist joint assembly is pivotable about a first axis to produce a yaw motion, a second axis is to produce a pitch motion, and a third axis to produce a roll motion. The wrist joint assembly includes a disk segment affixed to the terminal end of the manipulator arm and a first housing member, a second housing member, and a third housing member. The third housing member and the mechanical end-effector are moved in the yaw, pitch, and roll motion. Drive means are provided for rotating each of the housings about their respective axis which includes a cluster of miniature motors having spur gears carried on the output drive shaft which mesh with a center drive gear affixed on the housing to be rotated.

  18. Distal radioulnar joint injuries

    National Research Council Canada - National Science Library

    Thomas, Binu P; Sreekanth, Raveendran


    .... Injuries around distal radioulnar joint are not uncommon, and are usually associated with distal radius fractures,fractures of the ulnar styloid and with the eponymous Galeazzi or Essex_Lopresti fractures...

  19. Joint Aspiration (Arthrocentesis) (United States)

    ... include juvenile idiopathic arthritis (or JIA, formerly called rheumatoid arthritis, or JRA), systemic lupus erythematosus (SLE), and Lyme disease. Joint aspiration is diagnostic but it also can be therapeutic, helping to ...

  20. Improved orthopedic arm joint (United States)

    Dane, D. H.


    Joint permits smooth and easy movement of disabled arm and is smaller, lighter and less expensive than previous models. Device is interchangeable and may be used on either arm at the shoulder or at the elbow.

  1. Resealing concrete pavement joints (United States)


    The primary objective of this study was to evaluate the relative performance of the selected joint sealant materials. Other objectives were to determine the effect of selected sealant configurations and installation methods, and to identify sealant m...

  2. Concrete pavement joint deterioration. (United States)


    Concrete pavements are an important part of our national infrastructure. In recent years the relatively small number of reported joints deteriorating prematurely in concrete pavements around Indiana has increased. Changes over the past 45 years in IN...

  3. Joint Services Electronics Program. (United States)


    Compound Semiconductors." 4 ......... I-*. Univesity of California. Berkeley Electronics Research Laboratory Joint Services Electronics Program August 15...reduction techniques [SCH-66,MCG- 73,HAM-75], for essentially i educing the proportionality constant. A significant portion of the probabilistic literature

  4. Hip joint replacement (United States)

    ... a part of the pelvic bone called the acetabulum) The upper end of the thighbone (called the ... Other reasons for replacing the hip joint are: Fractures in the thigh bone. Older adults often have ...

  5. os odontoideum

    African Journals Online (AJOL)

    vertebral column and is also the least stable.1 Os odon- toideum frequently leads to atlanto-axial instability with spinal-cord compression.2 Atlanto-axial instability can arise from multiple causes including inflammatory arthritides, trauma, infection, laxity of the transverse ligament, e.g. trisomy 21 and other congenital abnor-.

  6. Successfully Developing Joint Leaders (United States)


    units” (HQ/USA, 1998, 4). For example, Infantrymen proceed to Fort Benning, Georgia, an Aviation officer to Fort Rucker , Alabama, an Armor officer...Supreme Command. New York, NY: Anchor Books, 2002. Colaizzi, Jennifer . “Pinnacle course offers two and three-star commanders joint education...Personal Interview. January 2005. Snider, Don M. “Jointess, Defense Transformation, and the Need for a New Joint Warfare Profession.” Parameters

  7. The Standard Joint Unit. (United States)

    Casajuana Kögel, Cristina; Balcells-Olivero, María Mercedes; López-Pelayo, Hugo; Miquel, Laia; Teixidó, Lídia; Colom, Joan; Nutt, David John; Rehm, Jürgen; Gual, Antoni


    Reliable data on cannabis quantities is required to improve assessment of cannabis consumption for epidemiological analysis and clinical assessment, consequently a Standard Joint Unit (SJU) based on quantity of 9-Tetrahydrocannabinol (9-THC) has been established. Naturalistic study of a convenience sample recruited from February 2015-June 2016 in universities, leisure spaces, mental health services and cannabis clubs in Barcelona. Adults, reporting cannabis use in the last 60 days, without cognitive impairment or language barriers, answered a questionnaire on cannabis use and were asked to donate a joint to further determine their 9-THC and Cannabidiol (CBD) content. 492 participants donated 315 valid joints. Donators were on average 29 years old, mostly men (77%), single (75%), with at least secondary studies (73%) and in active employment (63%). Marijuana joints (N=232) contained a median of 6.56mg of 9-THC (Interquartile range-IQR=10,22) and 0.02mg of CBD (IQR=0.02); hashish joints (N=83) a median of 7.94mg of 9-THC (IQR=10,61) and 3.24mg of CBD (IQR=3.21). Participants rolled 4 joints per gram of cannabis and paid 5€ per gram (median values). Consistent 9-THC-content in joints lead to a SJU of 7mg of 9-THC, the integer number closest to the median values shared by both cannabis types. Independently if marijuana or hashish, 1 SJU = 1 joint = 0.25 g of cannabis = 7 mg of 9-THC. For CBD, only hashish SJU contained relevant levels. Similarly to the Standard Drink Unit for alcohol, the SJU is useful for clinical, epidemiological and research purposes. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Traumatic thumb carpometacarpal joint dislocations. (United States)

    Bosmans, B; Verhofstad, M H J; Gosens, T


    Isolated traumatic dislocation of the thumb carpometacarpal joint, also called the trapeziometacarpal joint, is a rare injury. Controversy still exists concerning which ligaments are the true key stabilizers for the joint and therefore need to be damaged to result in dislocation, and optimal treatment strategies for thumb carpometacarpal joint dislocations are the subject of continuing debate. We give a review of the literature concerning traumatic dislocations of the carpometacarpal joint of the thumb and propose a treatment algorithm.

  9. Temporomandibular joint examination reviewed

    Directory of Open Access Journals (Sweden)

    L. Guarda Nardini


    Full Text Available The temporo-mandibular joint (TMJ it’s a joint closely related to the skull base, the spine, and the jaws; all these anatomical structures must be taken in consideration when evaluating pain involving the tmj. In order to detect patients affected by pathology or dysfunctions of the tmj, physical examination is of great value in orienting the diagnosis. Inspection must consider the symmetry of the body, the dental status and the type of occlusion. Palpation is a way to assess contractiont involving the muscles of the masticatory system and of the neck. Auscultation, based on articular noise provides means to determine whether we are dealing with degeneration of the joint or a dislocation of the intrarticular disc. In order to confirm the diagnosis obtained with the clinical evaluation, it’s useful to perform imaging techniques as opt, tomography and TC of the tmj and electromyokineosiography – index of the mandibular functionality and of the muscles status. MRI and dynamic MRI are among the non invasive exams which give the greatest amount of information, regarding the disc position and the joint degeneration. Arthroscopy is an invasive technique that allows early diagnosis of degeneration and is helpful to reveal early inflammatory processes of the joint.

  10. Dissimilar metals joint evaluation (United States)

    Wakefield, M. E.; Apodaca, L. E.


    Dissimilar metals tubular joints between 2219-T851 aluminum alloy and 304L stainless steel were fabricated and tested to evaluate bonding processes. Joints were fabricated by four processes: (1) inertia (friction) weldings, where the metals are spun and forced together to create the weld; (2) explosive welding, where the metals are impacted together at high velocity; (3) co-extrusion, where the metals are extruded in contact at high temperature to promote diffusion; and (4) swaging, where residual stresses in the metals after a stretching operation maintain forced contact in mutual shear areas. Fifteen joints of each type were prepared and evaluated in a 6.35 cm (2.50 in.) O.D. size, with 0.32 cm (0.13 in.) wall thickness, and 7.6 cm (3.0 in) total length. The joints were tested to evaluate their ability to withstand pressure cycle, thermal cycle, galvanic corrosion and burst tests. Leakage tests and other non-destructive test techniques were used to evaluate the behavior of the joints, and the microstructure of the bond areas was analyzed.

  11. Studies of welded joints

    Directory of Open Access Journals (Sweden)

    J. M. Krupa


    Full Text Available Studies of a welded joint were described. The joint was made as a result of the reconstruction of a truss and one of the possible means to make a repair. The studies were of a simulation character and were targeted at the detection of welding defects and imperfections thatshould be eliminated in a real structure. A model was designed and on this model the tests and examinations were carried out. The modelwas made under the same conditions as the conditions adopted for repair. It corresponded to the real object in shape and dimensions, and in the proposed technique of welding and welding parameters. The model was composed of five plates joined together with twelve beads.The destructive and non-destructive tests were carried out; the whole structure and the respective welds were also examined visually. Thedefects and imperfections in welds were detected by surface methods of inspection, penetration tests and magnetic particle flaw detection.The model of the welded joint was prepared by destructive methods, a technique that would never be permitted in the case of a realstructure. For the investigations it was necessary to cut out the specimens from the welded joint in direction transverse to the weld run. The specimens were subjected to metallographic examinations and hardness measurements. Additionally, the joint cross-section was examined by destructive testing methods to enable precise determination of the internal defects and imperfections. The surface methods were applied again, this time to determine the severity of welding defects. The analysis has proved that, fabricated under proper conditions and with parameters of the welding process duly observed, the welded joint has good properties and repairs of this type are possible in practice.

  12. Transversely Compressed Bonded Joints

    DEFF Research Database (Denmark)

    Hansen, Christian Skodborg; Schmidt, Jacob Wittrup; Stang, Henrik


    The load capacity of bonded joints can be increased if transverse pressure is applied at the interface. The transverse pressure is assumed to introduce a Coulomb-friction contribution to the cohesive law for the interface. Response and load capacity for a bonded single-lap joint was derived using...... non-linear fracture mechanics. The results indicated a good correlation between theory and tests. Furthermore, the model is suggested as theoretical base for determining load capacity of bonded anchorages with transverse pressure, in externally reinforced concrete structures....

  13. Temporomandibular joint examination reviewed


    L. Guarda Nardini


    The temporo-mandibular joint (TMJ) it’s a joint closely related to the skull base, the spine, and the jaws; all these anatomical structures must be taken in consideration when evaluating pain involving the tmj. In order to detect patients affected by pathology or dysfunctions of the tmj, physical examination is of great value in orienting the diagnosis. Inspection must consider the symmetry of the body, the dental status and the type of occlusion. Palpation is a way to assess contractiont inv...


    Directory of Open Access Journals (Sweden)

    T. I. Zlobina


    Full Text Available Joint involvement in syphilis has been considered as casuistry in recent years. At the same time, the high incidence of primary syphilis and the notified cases of late neurosyphilis may suggest that joint involvement in this disease is by no means always verified. Traditionally there are two forms of syphilitic arthritis: primary synovial (involving the articular membranes and sac and primary bone (involving the articular bones and cartilages ones. The paper describes the authors' clinical case of the primary bone form of articular syphilis in a 34-year-old man. 

  15. Atlantoaxial dislocation. (United States)

    Jain, Vijendra K


    Atlanto-axial dislocations (AADs) may be classified into four varieties depending upon the direction and plane of the dislocation i.e. anteroposterior, rotatory, central, and mixed dislocations. However, from the surgical point of view these are divided into two categories i.e. reducible (RAADs) and irreducible (IAADs). Posterior fusion is the treatment of choice for RAAD. Transarticular screw fixation with sub-laminar wiring is the most stable& method of posterior fusion. Often, IAAD is due to inadequate extension in dynamic X-ray study which may also be due to spasm of muscles. If the anatomy at the occipito-atlanto-axial region {O-C1-C2; O: occiput, C1: atlas, C2: axis} is normal on X-ray, the dislocation should be reducible. In case congenital anomalies at O-C1-C2 and IAAD are seen on flexion/extension studies of the cervical spine, the C1-C2 joints should be seen in computerized tomography scan (CT). If the C1-C2 joint facet surfaces are normal, the AAD should be reducible by cervical traction or during surgery by mobilizing the joints. The entity termed "dolichoodontoid" does not exist. It is invariably C2-C3 (C3- third cervical vertebra) fusion which gives an appearance of dolichoodontoid on plain X-ray or on mid-saggital section of magnetic resonance imaging (MRI) or CT scan. The central dislocation and axial invagination should not be confused with basilar invagination. Transoral odontoidectomy alone is never sufficient in cases of congenital IAAD, adequate generous three-dimensional decompression while protecting the underlying neural structures should be achieved. Chronic post-traumatic IAAD are usually Type II odontoid fractures which get malunited or nonunited with pseudoarthrosis in dislocated position. All these dislocations can be reduced by transoral removal of the offending bone, callous and fibrous tissue.

  16. New Joint Sealants. Criteria, Design and Materials. (United States)

    Building Research Inst., Inc., Washington, DC.

    Contents include--(1) sealing concrete joints, (2) sealing glass and metal joints, (3) metal and glass joint sealants from a fabricator's viewpoint, (4) a theory of adhesion for joint sealants, (5) geometry of simple joint seals under strain, (6) joint sealant specifications from a manufacturer's viewpoint, (7) joint sealant requirements from an…

  17. Keyed shear joints

    DEFF Research Database (Denmark)

    Hansen, Klaus

    This report gives a summary of the present information on the behaviour of vertical keyed shear joints in large panel structures. An attemp is made to outline the implications which this information might have on the analysis and design of a complete wall. The publications also gives a short...

  18. Imaging the temporomandibular joint

    Energy Technology Data Exchange (ETDEWEB)

    Katzberg, R.W.; Manzione, J.V.; Westesson, P.L.


    This book encompasses all imaging modalities as they apply to the Temporomandibular Joint and its disorders. The volume employs correlative line drawings to elaborate on diagnostic images. It helps teach methods of TMJ imaging and describes findings identified by different imaging modalities to both radiologists and dental clinicians.

  19. Phenomenology of Joint Attention

    African Journals Online (AJOL)


    of phenomenology by offering a phenomenology of joint attention. The first section reviews elementary. Husserlian phenomenology and introduces a system for symbolically representing the structure of intentional mental states. The second section summarizes Edith Stein's phenomenological description of empathy, the ...

  20. Acromioclavicular Joint Separations (United States)


    injuries. The sports most likely to cause AC joint dislocations are football, soccer, hockey, rugby , and skiing, among others [9, 28, 29]. The major cause...resected end of the distal clavicle was first described by Weaver and Dunn in 1972 [10]. However, the value of this technique has been ques- tioned since

  1. Joint Robotics Program (United States)


    Kotler , P.M. (1997). Marketing management : Analysis, planning, implementation, and control. Upper Saddle River, NJ: Prentice Hall...collaborations which can identify better solutions and practices in acquisition, contract, financial, logistics and program management . For further...Project Manager , Robotics Joint Project Introduction Sun Tzu wrote first about the importance of logistics over two thousand years ago (Griffith

  2. Temporomandibular Joint Septic Arthritis

    Directory of Open Access Journals (Sweden)

    Gianfranco Frojo, MD


    Full Text Available Summary:. Infection of the temporomandibular joint (TMJ is a rare pediatric condition resulting from the introduction of pathogens into the joint by hematogenous seeding, local extension, or trauma. Early recognition of the typical signs and symptoms including fever, trismus, preauricular swelling, and TMJ region tenderness are critical in order to initiate further evaluation and prevent feared complications of fibrosis, ankylosis, abnormal facial structure, or persistence of symptoms. Contrast-enhanced computed tomography with ancillary laboratory analysis including erythrocyte sedimentation rate, C-reactive protein, and white blood cell count are beneficial in confirming the suspected diagnosis and monitoring response to therapy. Initial intervention should include empiric parenteral antibiotics, early mandibular mobilization, and joint decompression to provide synovial fluid for analysis including cultures. This report describes a case of TMJ bacterial arthritis in a healthy 6-year-old male who was promptly treated nonsurgically with intravenous antibiotics and localized needle joint decompression with return to normal function after completion of oral antibiotics and physical therapy.

  3. Jointness: A Selected Bibliography (United States)


    Durell Young, and S. Rebecca Zimmerman . What It Takes: Air Force Command of Joint Operations. Santa Monica: RAND, 2009. 110pp. (U260 .S63 2009...2009. 64pp. McCaffrey, Rachel A. Reciprocally Embedding ISR [Intelligence, Surveillance, and Reconnaissance

  4. Joint Custody and Coparenting. (United States)

    Sell, Kenneth D.

    Results are presented of an intensive search of U.S. newspapers and periodicals on the joint custody of children after divorce, where both parents have continued responsibility for parenting and where the children spend part of each week, month, or year with both of the parents. Areas of concern addressed by these materials include the following:…

  5. Joint-Use Libraries (United States)

    Casstevens, Susan


    The joint-use library is a place where people of all ages, interests, and income levels can find items of interest at no personal cost. The mission of A. H. Meadows Public and High School Library in Midlothian, Texas, is to offer what other public libraries provide: educational and entertainment resources to a community. Yet, the staff also wants…

  6. Posterolateral elbow joint instability

    DEFF Research Database (Denmark)

    Olsen, Bo Sanderhoff; Søjbjerg, Jens Ole; Nielsen, K K


    Thirty-five osteoligamentous elbows were included in a study on the kinematics of posterolateral elbow joint instability during the pivot shift test (PST) before and after separate ligament cuttings in the lateral collateral ligament complex (LCLC). Division of the annular ligament or the lateral...

  7. Cervical spine instability in the course of rheumatoid arthritis - imaging methods. (United States)

    Mańczak, Małgorzata; Gasik, Robert


    Cervical spine is affected in more than a half of patients with rheumatoid arthritis (RA). Depending on the degree of damage to the individual joints and ligaments RA-related cervical spine instability takes the form of atlanto-axial subluxation, subaxial subluxation or cranial settling. In the advanced cases spinal stenosis can occur as well as spinal cord injuries with typical neurological symptoms. The identification of patients with cervical spine instability before the occurrence of neurological complications still constitutes a diagnostic challenge. The article presents the methods of cervical spine imaging with the use of plain radiographs, magnetic resonance imaging (MRI) and computed tomography (CT). We discuss the advantages and disadvantages associated with each method and the possibility of its application in the diagnosis of cervical spine instability in RA. The knowledge of the above mentioned issues is indispensable to select an appropriate time for surgical intervention.

  8. Cervical spine instability in the course of rheumatoid arthritis – imaging methods

    Directory of Open Access Journals (Sweden)

    Małgorzata Mańczak


    Full Text Available Cervical spine is affected in more than a half of patients with rheumatoid arthritis (RA. Depending on the degree of damage to the individual joints and ligaments RA-related cervical spine instability takes the form of atlanto-axial subluxation, subaxial subluxation or cranial settling. In the advanced cases spinal stenosis can occur as well as spinal cord injuries with typical neurological symptoms. The identification of patients with cervical spine instability before the occurrence of neurological complications still constitutes a diagnostic challenge. The article presents the methods of cervical spine imaging with the use of plain radiographs, magnetic resonance imaging (MRI and computed tomography (CT. We discuss the advantages and disadvantages associated with each method and the possibility of its application in the diagnosis of cervical spine instability in RA. The knowledge of the above mentioned issues is indispensable to select an appropriate time for surgical intervention.

  9. Normal range of Atlanta-dental interval

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Y. L.; Lee, S. C.; Lee, K. H.; Sung, J. H.; Joo, K. B.; Lee, S. R.; Hahm, C. K. [Hanyang University School of Medicine, Seoul (Korea, Republic of)


    The roentgenologic diagnosis of lateral subluxation of the atlanto-axial joint is very difficult because the only presentation is increase of the atlanto-dental interval. This study was carried out with 70 volunteers for normal value of atlanto-dental interval. We measured these intervals from lateral roentgenograms of cervical spine in neutral, flexion, and extension position of the neck. The results were as follows: 1. The mean value of atlanto-dental interval in all subjects was 1.54+-0.52mm in neutral, 1.59+-0.62mm in flexion, and 1.46+-0.48mm in extension position. 2. After thirty years of age the atlanto-dental interval was getting narrower according to aging. 3. In neutral and flexion positions there is no difference in atlanto-dental intervals, but in extension position it was significantly narrowed.

  10. Acupuncture for peripheral joint osteoarthritis.

    NARCIS (Netherlands)

    Manheimer, Eric; Cheng, K.; Linde, Klaus; Lao, Lixing; Yoo, Junghee; Wieland, Susan; van der Windt, Daniëlle Awm; Berman, Brian M.; Bouter, Lex M.


    BACKGROUND: Peripheral joint osteoarthritis is a major cause of pain and functional limitation. Few treatments are safe and effective. OBJECTIVES: To assess the effects of acupuncture for treating peripheral joint osteoarthritis. SEARCH STRATEGY: We searched the Cochrane Central Register of

  11. Steroid injections - tendon, bursa, joint (United States)

    ... gov/ency/article/007678.htm Steroid injections - tendon, bursa, joint To use the sharing features on this ... can be injected into a joint, tendon, or bursa. Description Your health care provider inserts a small ...

  12. Strength Variation of Parachute Joints (United States)

    Mollmann, Catherine


    A parachute joint is defined as a location where a component is sewn or connected to another component. During the design and developmental phase of a parachute system, the joints for each structural component are isolated and tested through a process called seam and joint testing. The objective of seam and joint testing is to determine the degradation on a single component due to interaction with other components; this data is then used when calculating the margin of safety for that component. During the engineering developmental phase of CPAS (Capsule Parachute Assembly System), the parachute system for the NASA Orion Crew Module, testing was completed for every joint of the six subsystems: the four parachutes (main, drogue, pilot, and FBCP [forward bay cover parachute]), the retention release bridle, and the retention panels. The number of joint tests for these subsystems totaled 92, which provides a plethora of data and results for further analysis. In this paper, the data and results of these seam and joint tests are examined to determine the effects, if any, of different operators and sewing machines on the strength of parachute joints. Other variables are also studied to determine their effect on joint strength, such as joint complexity, joint strength magnitude, material type, and material construction. Findings reveal that an optimally-run seam and joint test program could result in an increased understanding of the structure of the parachute; this should lead to a parachute built with optimal components, potentially saving system weight and volume.

  13. Peripheral degenerative joint diseases

    Directory of Open Access Journals (Sweden)

    Nilzio Antonio da Silva


    Full Text Available Osteoarthritis, a degenerative joint disease, is the most commonrheumatic disorder mainly in a geriatric population. Manifestationsare pain, stiffness and functional loss in the affected joint.According to etiology it is classifi ed as primary (or idiopathicand secondary. Some risk factors for disease development aregenetics, race, age, sex, obesity, occupational activities andarticular biomechanics. Pathogenesis is the same for any cause orlocalization, being catabolic alterations, with synthesis, inhibitionand reparing intent of the cartilage matrix. Metalloproteinases andcytokines (IL-1,IL-6,TNF-α actions promote infl ammatory reactionand cartilage degradation. Pain, the most important symptom,does not correlate with radiologic fi ndings. Peripheral osteoarthritisoccurs predominantly in the knee, hip and hand. Diagnosis is basedon clinical features, laboratorial tests and radiological changes.Rheumatological associations’ guidelines for treatment includenon-pharmacologic (education, physiotherapy, assistive devices,and pharmacologic (analgesics, anti-infl ammatory drugs therapyand surgery. Arthroplasty seems to work better than medicines, butshould be used if other treatments have failed.

  14. Temporomandibular joint disorder (review). (United States)

    Dugashvili, G; Menabde, G; Janelidze, M; Chichua, Z; Amiranashvili, I


    Etiopathogenesis and clinical management of TMJD integrates a number of medical disciplines. In particular, dentistry, oral - facial surgery, neurology, rheumatology and so on. Nowadays there is no unified strategy for the management of this disease. Most cases of temporomandibular disorder (TMD) respond to simple treatment and the prognosis is good. Symptoms usually remit with simple care. In cases of secondary involvement of temporomandibular joint (TMJ), the prognosis depends on the primary disease. A comprehensive, chronological history and physical and examination of the patient, including dental history and examination, is essential to diagnose the specific condition to decide further investigations, if any, and to provide specific treatment. in severe cases, a joint consultation of a dentist, neurologist and rheumatologist is needed.

  15. Joint International Accelerator School

    CERN Multimedia

    CERN Accelerator School


    The CERN and US Particle Accelerator Schools recently organised a Joint International Accelerator School on Beam Loss and Accelerator Protection, held at the Hyatt Regency Hotel, Newport Beach, California, USA from 5-14 November 2014. This Joint School was the 13th in a series of such schools, which started in 1985 and also involves the accelerator communities in Japan and Russia.   Photo courtesy of Alfonse Pham, Michigan State University.   The school attracted 58 participants representing 22 different nationalities, with around half from Europe and the other half from Asia and the Americas. The programme comprised 26 lectures, each of 90 minutes, and 13 hours of case study. The students were given homework each day and had an opportunity to sit a final exam, which counted towards university credit. Feedback from the participants was extremely positive, praising the expertise and enthusiasm of the lecturers, as well as the high standard and quality of their lectures. Initial dis...

  16. Outpatient Total Joint Arthroplasty. (United States)

    Bert, Jack M; Hooper, Jessica; Moen, Sam


    Outpatient total joint arthroplasty (OTJA) allows for a safe, cost effective pathway for appropriately selected patients. With current pressures on arthroplasty surgeons and their associated institutions to reduce costs per episode of care, it is important to define the steps and challenges associated with establishing an outpatient arthroplasty program. Several studies have outlined techniques of selecting patients suitable for this type of postoperative pathway. With emerging concerns about patients who undergo outpatient arthroplasty being at increased risk of medical complications, which may lessen projected cost savings, it is important to identify value-based strategies to optimize patient recovery after OTJA. This article reviews digital techniques for patient selection and data collection, operating room efficiency systems, and provides a summary of methods to build and maintain value in outpatient total joint replacement within the framework of bundled payment reimbursement.

  17. The Joint Cities

    Directory of Open Access Journals (Sweden)

    Romano Fistola


    Full Text Available The new connections, which high speed train allows to activate among the metropolitan systems, seem to be able to give life to new urban macro-structures for which the transfer time, among the main poles of the railway segment, becomes comparable to an inside moving into the city and therefore considered as an inter-functional mobility. The tunnel effect generated by the high speed connection seems to be able to allow a new temporal and functional joint among the metropolitan systems consequently supporting the possibility, for the users, to move themselves among the different urban functions belonging to the different cities. The birth of these urban aggregations seems to drive towards new megalopolis, which we can define for the first time with the term: joint-city. For this new metropolitan settlement it seems to be very interesting to investigate the constitutive peculiarities, the systemic articulation, its relational structures, the evolutionary scenarios, and so on. The urban functions (activities can be considered as structures of relationships between people that allows to define "organizational links" inside the community; the urban functions are located in specific places inside urban container or in open spaces. The urban functions represent the urban engines and the functional system can be thought as the “soul of the city", abstract but essential to its survival. In the definition set out here the analysis is carried out for many interconnected urban functional system points (specifically those in Rome and Naples. The new high speed railway has to be considered not only as a new channel of mobility between cities, but as a real possibility of joint between the functional systems of the two centres. A final consideration can be carried out in relation to the possibility of implementing new measures of governance of urban transformations considering the new macro-city: the "Joint City".

  18. Australias Joint Approach (United States)


    Chapter 2. The most significant change is that the section on tools for the Needs Phase, mentioned earlier in this paper, has been deleted . In late...considering how they can be linked into common joint functions, runs the risk of becoming stuck in a replacement syndrome for capability development. 2...culture will be aided by the FPR’s implementation proposal to that Defence creates a culture where corporate behaviour is valued and rewarded. 313

  19. Joint Mission Command Implementation (United States)


    1 AIR WAR COLLEGE AIR UNIVERSITY JOINT MISSION COMMAND IMPLEMENTATION by Michael Dane Acord, COL, US Army A Research Report Submitted to...assigned to the Air War College, Air University, Maxwell Air Force Base (AFB), AL. Following the Army Command and General Staff College and School...holds a Bachelor’s Degree in Biology and two Masters Degrees, a Masters in Management from Troy University and a Master of Military Arts and Sciences

  20. Redefining Murder: Joint Enterprise


    Mitchell-Rodd, Nicola


    This article explores the evolution of secondary liability and the unforgiving doctrine of joint enterprise in homicide cases. Exploration of the current law ensues to determine if the distinct decisions of their Lordships in both Powell and Rahman have failed to sufficiently clarify the law; followed by in depth analysis of the Law Commission and Ministry of Justice proposals to reform this infamously disputed area of law.

  1. Prosthetic elbow joint (United States)

    Weddendorf, Bruce C. (Inventor)


    An artificial, manually positionable elbow joint for use in an upper extremity, above-elbow, prosthetic is described. The prosthesis provides a locking feature that is easily controlled by the wearer. The instant elbow joint is very strong and durable enough to withstand the repeated heavy loadings encountered by a wearer who works in an industrial, construction, farming, or similar environment. The elbow joint of the present invention comprises a turntable, a frame, a forearm, and a locking assembly. The frame generally includes a housing for the locking assembly and two protruding ears. The forearm includes an elongated beam having a cup-shaped cylindrical member at one end and a locking wheel having a plurality of holes along a circular arc on its other end with a central bore for pivotal attachment to the protruding ears of the frame. The locking assembly includes a collar having a central opening with a plurality of internal grooves, a plurality of internal cam members each having a chamfered surface at one end and a V-shaped slot at its other end; an elongated locking pin having a crown wheel with cam surfaces and locking lugs secured thereto; two coiled compression springs; and a flexible filament attached to one end of the elongated locking pin and extending from the locking assembly for extending and retracting the locking pin into the holes in the locking wheel to permit selective adjustment of the forearm relative to the frame. In use, the turntable is affixed to the upper arm part of the prosthetic in the conventional manner, and the cup-shaped cylindrical member on one end of the forearm is affixed to the forearm piece of the prosthetic in the conventional manner. The elbow joint is easily adjusted and locked between maximum flex and extended positions.

  2. The international joint commission


    Clamens, Murray


    For over 92 years the International Joint Commission (IJC), United States and Canada, has effectively served the two nations in approving and providing continuous oversight of water resource projects along the 5000-mile common border, in assisting the governments in preventing and resolving issues and disagreements regarding the use of these waters, and in addressing other environmental issues affecting or potentially affecting one or both of the countries. During the first years of the 20th...

  3. 2009 Joint CBRN Conference (United States)


    Angeles, CA USC Rand Arroyo Center Tampa, FL University of South Florida Tempe, AZ ASU Research Park Austin, TX University of Texas Houghton, MI...Engagement 16 Maneuver Enhancement Brigade X A unique multi-functional unit to support Maneuver & Joint Forces commanders One of the five modular ...forward deployed CBRN detection capabilities • Key capabilities will focus on a modular approach – Analytical equipment – Analytical processes

  4. Preliminary bolted-joint data (United States)

    Wichorek, G. R.


    Bolted-joint strength and failure modes for advanced graphite/polyimide composite laminates at 116K (-250 F), room temperature, and 589K (600 F) were determined to provide preliminary design data. The bolted-joint test setup for the low and elevated temperature tests is described. Test results are reported on a quasi-isotropic laminate of Celion 6000/PMR-15. Single bolt, double lap shear specimens were tested to obtain maximum joint strength and failure mode. The effect of joint geometry and temperature on joint strength and failure mode is presented.

  5. Laboratory characterization of rock joints

    Energy Technology Data Exchange (ETDEWEB)

    Hsiung, S.M.; Kana, D.D.; Ahola, M.P.; Chowdhury, A.H.; Ghosh, A. [Southwest Research Inst., San Antonio, TX (United States). Center for Nuclear Waste Regulatory Analyses


    A laboratory characterization of the Apache Leap tuff joints under cyclic pseudostatic and dynamic loads has been undertaken to obtain a better understanding of dynamic joint shear behavior and to generate a complete data set that can be used for validation of existing rock-joint models. Study has indicated that available methods for determining joint roughness coefficient (JRC) significantly underestimate the roughness coefficient of the Apache Leap tuff joints, that will lead to an underestimation of the joint shear strength. The results of the direct shear tests have indicated that both under cyclic pseudostatic and dynamic loadings the joint resistance upon reverse shearing is smaller than that of forward shearing and the joint dilation resulting from forward shearing recovers during reverse shearing. Within the range of variation of shearing velocity used in these tests, the shearing velocity effect on rock-joint behavior seems to be minor, and no noticeable effect on the peak joint shear strength and the joint shear strength for the reverse shearing is observed.

  6. 49 CFR 213.351 - Rail joints. (United States)


    ... 49 Transportation 4 2010-10-01 2010-10-01 false Rail joints. 213.351 Section 213.351... Rail joints. (a) Each rail joint, insulated joint, and compromise joint shall be of a structurally sound design and dimensions for the rail on which it is applied. (b) If a joint bar is cracked, broken...

  7. Joint-sparing Corrections in Malunited Lisfranc Joint Injuries. (United States)

    Nery, Caio; Raduan, Fernando; Baumfeld, Daniel


    Lisfranc fracture-dislocations are very serious and potentially disabling injuries. Unfortunately, they are often misdiagnosed. Multiplanar midfoot deformities that result from these fracture-dislocations are precursors of joint degeneration and significant functional disabilities. Anatomic reduction with different types of internal fixation is an efficient method to reconstruct midfoot alignment and stability. Joint-preserving reconstruction techniques emerge as a viable alternative to corrective fusion as they achieve stable joint realignment with preserved motion. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Joint Advisory Appeals Board

    CERN Multimedia


    The Joint Advisory Appeals Board was convened to examine the appeal lodged by Mr Aloïs Girardoz with regard to classification and advancement. As the appellant has not objected, the Board's report and the Director-General's decision will be brought to the notice of the personnel in accordance with Article R VI 1.20 of the Staff Regulations. The relevant documents will therefore be posted on the notice boards of the Administration Building (N° 60) from 15 to 29 August 2003. Human Resources Division Tel. 74128

  9. Joint Advisory Appeals Board

    CERN Multimedia


    The Joint Advisory Appeals Board was convened to examine the appeal lodged by Mr Poul Frandsen concerning his assimilation into the new career structure. As the appellant has not objected, the report of the Board and the final decision of the Director-General are brought to the notice of the personnel in accordance with Article R VI 1.20 of the Staff Regulations. The relevant documents will therefore be posted on the notice boards of the Administration Building (N° 60) from 13 to 24 January 2003. Human Resources Division Tel. 74128

  10. Temporomandibular Joint Imaging. (United States)

    Tamimi, Dania; Jalali, Elnaz; Hatcher, David


    The temporomandibular joint (TMJ) is an anatomically and biomechanically complex structure. Understanding how this structure grows and functions is essential to accurate radiographic evaluation. This article discusses the anatomy, function, and growth and development of the TMJ and how growth changes can affect the morphology of the craniofacial structures. Accordingly, the radiographic appearance of the entities that may alter the TMJ are discussed, including developmental, degenerative, inflammatory, and traumatic changes. Both osseous imaging and soft tissue imaging are shown. Copyright © 2017 Elsevier Inc. All rights reserved.


    CERN Multimedia

    Human Resources Division


    The Joint Advisory Appeals Board was convened to examine the appeal lodged by Mr Gert Jan Bossen with regard to dependent child allowance. As the appellant has not objected, the report of the Board and the final decision of the Director-General are brought to the notice of the personnel in accordance with Article R VI 1.20 of the Staff Regulations. The relevant documents will therefore be posted on the notice boards of the Administration Building (N° 60) from 1st to 15 March 2002. Human Resources Division Tel. 74128

  12. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department


    The Joint Advisory Appeals Board was convened to examine an appeal lodged by a member of the personnel with regard to advancement. The person concerned has requested that the report of the Board and the final decision of the Director-General be brought to the notice of the personnel in accordance with Article R VI 1.20 of the Staff Regulations. The relevant documents will therefore be posted on the notice boards of the Administration Building (No. 60) from 24 March to 10 April 2006. Human Resources Department Tel. 74128

  13. Joint Advisory Appeals Board

    CERN Multimedia


    The Joint Advisory Appeals Board has examined the internal appeal lodged by a former member of the personnel, a beneficiary of the CERN Pension Fund, against the calculation of his pension in the framework of the Progressive Retirement Programme.   The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the attention of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be available from 26 July to 11 August 2013 at the following link. HR Department Head Office

  14. [Temporomandibular joint disc surgery]. (United States)

    Potier, J; Maes, J-M; Nicot, R; Dumousseau, T; Cotelle, M; Ferri, J


    Temporomandibular joint (TMJ) disorders are a common disease and may be responsible for major functional and painful repercussions. Treatment is not consensual. The literature highlights the role of conservative treatments (physiotherapy, analgesics, splints) in a first attempt. Minimally invasive surgical techniques (arthroscopy, arthrocentesis) have developed rapidly in recent decades. They have proven effective and reliable, especially in patients suffering from irreducible or reducible anterior disc dislocation or presenting with arthopathies. The goal of our work was to make an update about disk surgery. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  15. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department


    The Joint Advisory Appeals Board was convened to examine an internal appeal lodged by a member of the personnel with regard to the decision not to grant him an indefinite contract. The person concerned has requested that the report of the Board and the final decision of the Director-General be brought to the notice of the members of the personnel, in accordance with Article R VI 1.18 of the Staff Regulations. The relevant documents will therefore be posted on the notice board of the Main building (Bldg. 60) from 24 September to 7 October 2007. Human Resources Department


    CERN Multimedia

    Personnel Division


    The Joint Advisory Appeals Board was convened to examine the appeal lodged by Mr Joào Bento with regard to residential category. As the appellant has not objected, the recommendations of the Board and the final decision of the Director-General are brought to the notice of the personnel in accordance with Article RÊVIÊ1.20 of the Staff Regulations.The relevant documents will therefore be posted on the notice boards of the Administration Building (N¡ 60) from 29 October to 12 November 1999.Personnel DivisionTel. 74128


    CERN Multimedia

    Human Resources Division


    The Joint Advisory Appeals Board was convened to examine the appeal lodged by Mr Olivier Francis Martin with regard to indefinite contract. As the appellant has not objected, the report of the Board and the final decision of the Director-General are brought to the notice of the personnel in accordance with Article R VI 1.20 of the Staff Regulations. The relevant documents will therefore be posted on the notice boards of the Administration Building (N° 60) from 8 to 25 June 2001.

  18. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department


    The Joint Advisory Appeals Board has examined the internal appeal lodged by a member of the personnel with regard to the decision not to grant him an indefinite contract. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the notice of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be posted on the notice board of the Main Building (Bldg. 500) from 26 May to 6 June 2008. Human Resources Department (73911)

  19. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department


    The Joint Advisory Appeals Board has examined the internal appeal lodged by a member of the personnel against the decision to grant him only a periodic one-step advancement for the 2006 reference year. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the attention of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be posted on the notice board of the Main Building (Bldg. 500) from 1 September to 14 September 2008. Human Resources Department (73911)

  20. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department


    The Joint Advisory Appeals Board has examined the internal appeal lodged by a member of the personnel with regard to the decision not to award him a periodic one-step advancement for the 2006 reference year. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the notice of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be posted on the notice board of the Main building (Bldg. 500) from 17 March to 30 March 2008. Human Resources Department Tel. 73911

  1. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department


    The Joint Advisory Appeals Board was convened to examine an internal appeal lodged by a member of the personnel with regard to the decision not to grant him an indefinite contract. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the notice of the members of the personnel, in accordance with Article R VI 1.18 of the Staff Regulations. These documents will therefore be posted on the notice board of the Main Building (Bldg. 60) from 21 January to 3 February 2008. Human Resources Department (73911)

  2. Joint Advisory Appeals Board

    CERN Multimedia

    HR Department


    The Joint Advisory Appeals Board has examined the internal appeal lodged by a member of the personnel against the decision to grant him only a periodic one-step advancement for the 2006 reference year. The person concerned has not objected to the report of the Board and the final decision of the Director-General being brought to the attention of the members of the personnel. In application of Article R VI 1.18 of the Staff Regulations, these documents will therefore be posted on the notice board of the Main building (bldg. 500) from 1 September to 14 September 2008. Human Resources Department (73911)

  3. Joint Advisory Appeals Board

    CERN Multimedia


    The Joint Advisory Appeals Board was convened to examine the appeal lodged by Mrs Judith Igo-Kemenes concerning the application of procedures foreseen by Administrative Circular N§ 26 (Rev. 3). As the appellant has not objected, the report of the Board and the final decision of the Director-General are brought to the notice of the personnel in accordance with Article R VI 1.20 of the Staff Regulations. The relevant documents will therefore be posted on the notice boards of the Administration Building (N° 60) from 6 to 20 June 2003. Human Resources Division Tel. 74128

  4. Joint-Sparing Corrections of Malunited Chopart Joint Injuries. (United States)

    Schneiders, Wolfgang; Rammelt, Stefan


    Treatment of malunion and nonunion at the Chopart joint aims at axial realignment of the midfoot to the hindfoot and restoration of the normal relationship of the lateral and medial columns of the foot. In carefully selected patients with intact cartilage, joint-preserving osteotomies are feasible at all 4 bony components of the Chopart joint to restore near-normal function. Priority should be given to the anatomic reconstruction of the talonavicular joint because it is essential for global foot function. Patients must be counseled about the risk of progressive arthritis or osteonecrosis necessitating late fusion. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. From joint to single audits

    DEFF Research Database (Denmark)

    Holm, Claus; Thinggaard, Frank


    This study analyses audit quality differences between audits by a single big audit firm and joint audits with either one or two big audit firms. We exploit the unique situation in Denmark beginning on 1 January 2005, at which time a long-standing mandatory joint audit system for listed companies...... was replaced by a voluntary joint audit system. First, we report the results of a survey of Danish CFOs’ views on and their experiences with the choice of single or joint audits and their perceptions of audit quality. Second, based on data from the mandatory joint audit abolition year and the following two...... years, we test the audit quality differences using abnormal accruals. Most CFOs perceive that audit quality by a single big four audit firm is the same as it is in joint audits with either one or two big four audit firms. The results of our empirical analysis are in line with the perceptions. We find...

  6. Jointly Sponsored Research Program

    Energy Technology Data Exchange (ETDEWEB)

    Everett A. Sondreal; John G. Hendrikson; Thomas A. Erickson


    U.S. Department of Energy (DOE) Cooperative Agreement DE-FC26-98FT40321 funded through the Office of Fossil Energy and administered at the National Energy Technology Laboratory (NETL) supported the performance of a Jointly Sponsored Research Program (JSRP) at the Energy & Environmental Research Center (EERC) with a minimum 50% nonfederal cost share to assist industry in commercializing and effectively applying highly efficient, nonpolluting energy systems that meet the nation's requirements for clean fuels, chemicals, and electricity in the 21st century. The EERC in partnership with its nonfederal partners jointly performed 131 JSRP projects for which the total DOE cost share was $22,716,634 (38%) and the nonfederal share was $36,776,573 (62%). Summaries of these projects are presented in this report for six program areas: (1) resource characterization and waste management, (2) air quality assessment and control, (3) advanced power systems, (4) advanced fuel forms, (5) value-added coproducts, and (6) advanced materials. The work performed under this agreement addressed DOE goals for reductions in CO{sub 2} emissions through efficiency, capture, and sequestration; near-zero emissions from highly efficient coal-fired power plants; environmental control capabilities for SO{sub 2}, NO{sub x}, fine respirable particulate (PM{sub 2.5}), and mercury; alternative transportation fuels including liquid synfuels and hydrogen; and synergistic integration of fossil and renewable resources.

  7. Joint collaborative technology experiment (United States)

    Wills, Michael; Ciccimaro, Donny; Yee, See; Denewiler, Thomas; Stroumtsos, Nicholas; Messamore, John; Brown, Rodney; Skibba, Brian; Clapp, Daniel; Wit, Jeff; Shirts, Randy J.; Dion, Gary N.; Anselmo, Gary S.


    Use of unmanned systems is rapidly growing within the military and civilian sectors in a variety of roles including reconnaissance, surveillance, explosive ordinance disposal (EOD), and force-protection and perimeter security. As utilization of these systems grows at an ever increasing rate, the need for unmanned systems teaming and inter-system collaboration becomes apparent. Collaboration provides a means of enhancing individual system capabilities through relevant data exchange that contributes to cooperative behaviors between systems and enables new capabilities not possible if the systems operate independently. A collaborative networked approach to development holds the promise of adding mission capability while simultaneously reducing the workload of system operators. The Joint Collaborative Technology Experiment (JCTE) joins individual technology development efforts within the Air Force, Navy, and Army to demonstrate the potential benefits of interoperable multiple system collaboration in a force-protection application. JCTE participants are the Air Force Research Laboratory, Materials and Manufacturing Directorate, Airbase Technologies Division, Force Protection Branch (AFRL/RXQF); the Army Aviation and Missile Research, Development, and Engineering Center Software Engineering Directorate (AMRDEC SED); and the Space and Naval Warfare Systems Center - Pacific (SSC Pacific) Unmanned Systems Branch operating with funding provided by the Joint Ground Robotics Enterprise (JGRE). This paper will describe the efforts to date in system development by the three partner organizations, development of collaborative behaviors and experimentation in the force-protection application, results and lessons learned at a technical demonstration, simulation results, and a path forward for future work.

  8. Phytomedicine in Joint Disorders

    Directory of Open Access Journals (Sweden)

    Dorin Dragos


    Full Text Available Chronic joint inflammatory disorders such as osteoarthritis and rheumatoid arthritis have in common an upsurge of inflammation, and oxidative stress, resulting in progressive histological alterations and disabling symptoms. Currently used conventional medication (ranging from pain-killers to biological agents is potent, but frequently associated with serious, even life-threatening side effects. Used for millennia in traditional herbalism, medicinal plants are a promising alternative, with lower rate of adverse events and efficiency frequently comparable with that of conventional drugs. Nevertheless, their mechanism of action is in many cases elusive and/or uncertain. Even though many of them have been proven effective in studies done in vitro or on animal models, there is a scarcity of human clinical evidence. The purpose of this review is to summarize the available scientific information on the following joint-friendly medicinal plants, which have been tested in human studies: Arnica montana, Boswellia spp., Curcuma spp., Equisetum arvense, Harpagophytum procumbens, Salix spp., Sesamum indicum, Symphytum officinalis, Zingiber officinalis, Panax notoginseng, and Whitania somnifera.

  9. Inflammatory response in equine joints


    Ley, Cecilia


    Proinflammatory cytokines mediate inflammatory responses as well as regulate tissue metabolism. Thus, they may provide a link between inflammation and other pathologic findings seen in equine joint disease. The aims of this thesis were to gain a deeper understanding of the development of chondral pathology in equine osteoarthritis (OA) by obtaining increased knowledge of inflammatory processes in the joint, and to investigate proinflammatory cytokines as markers of joint pathology. Measuremen...

  10. Variable Joint Elasticities in Running (United States)

    Peter, Stephan; Grimmer, Sten; Lipfert, Susanne W.; Seyfarth, Andre

    In this paper we investigate how spring-like leg behavior in human running is represented at joint level. We assume linear torsion springs in the joints and between the knee and the ankle joint. Using experimental data of the leg dynamics we compute how the spring parameters (stiffness and rest angles) change during gait cycle. We found that during contact the joints reveal elasticity with strongly changing parameters and compare the changes of different parameters for different spring arrangements. The results may help to design and improve biologically inspired spring mechanisms with adjustable parameters.

  11. Causes of persistent joint pain after arthrocentesis of temporomandibular joint. (United States)

    Honda, Kosuke; Yasukawa, Yoko; Fujiwara, Masanori; Abe, Tetsuya; Urade, Masahiro


    The present study was undertaken to elucidate the factors responsible for the failure of arthrocentesis to cure persistent joint pain in patients with nonreducing articular disc displacement in the temporomandibular joint (TMJ). Thirty-six patients with internal derangement of the TMJ were selected. Magnetic resonance imaging was used to examine the configuration and position of the articular discs, cortical changes, and bone marrow abnormalities in the condyle and the presence of joint effusion. Arthrocentesis was then performed, and the patients were followed for 6 weeks. The results were then classified as poor or improved. The effects of arthrocentesis did not depend on the configuration of the disc, disc position and motion, or bone marrow abnormalities. Joints with no or minimal amounts of joint effusion achieved a good response to arthrocentesis. Joints with erosive cortical changes of the condyle were less responsive to arthrocentesis. Persistent joint pain after arthrocentesis is generally associated with extensive amounts of joint effusion or erosive cortical changes of the condyle. Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  12. Temporomandibular joint arthrography

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Hyung Sik; Lee, Kyung Soo; Kim, Myoung Joon; Jun, Young Hwan; Chang, Duk Soo; Jung, Don Young; Jung, In Won [Capital Armed Forces General Hospital, Seoul (Korea, Republic of)


    The stress and occlusion disturbance are very important etiologic factors in the temporomandibular joint (TMJ) pain dysfunction syndromes. Authors performed TMJ arthrograms in the patients with TMJ problem such as pain, click sound, limited motion and locking, etc. The following results noted: 1. The arthrographic findings of 22 TMJ were analyzed. a) Normal: 6 cases b) Anterior disc displacement with rediction: 6 cases {center_dot} Early reduction: 2 cases {center_dot} Intermediate reduction: 3 cases {center_dot} Late reduction: 1 case c) Anterior disc displacement without reduction: 6 cases {center_dot} Two cases had adhesion between the posterior portion of disc and the posterior surfaces of the articular eminence. 2. Among 22 cases, the clinical findings of 16 cases (73%) were compatible with arthrographic findings. 6 cases showed disparity between them.

  13. 49 CFR 213.121 - Rail joints. (United States)


    ... 49 Transportation 4 2010-10-01 2010-10-01 false Rail joints. 213.121 Section 213.121..., DEPARTMENT OF TRANSPORTATION TRACK SAFETY STANDARDS Track Structure § 213.121 Rail joints. (a) Each rail joint, insulated joint, and compromise joint shall be of a structurally sound design and dimensions for...

  14. 14 CFR 29.935 - Shafting joints. (United States)


    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Shafting joints. 29.935 Section 29.935... STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Powerplant Rotor Drive System § 29.935 Shafting joints. Each universal joint, slip joint, and other shafting joints whose lubrication is necessary for operation must...

  15. 14 CFR 27.935 - Shafting joints. (United States)


    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Shafting joints. 27.935 Section 27.935... STANDARDS: NORMAL CATEGORY ROTORCRAFT Powerplant Rotor Drive System § 27.935 Shafting joints. Each universal joint, slip joint, and other shafting joints whose lubrication is necessary for operation must have...

  16. Engine mounts and structural joints

    Indian Academy of Sciences (India)

    properly implemented, a separate problem-specific solution must be constructed for each joint/structure problem considered. A more general set of analysis tools and design dynamics is required to understand existing designs better and to develop alternate joints based on new or improved welding processes. A problem is ...

  17. Robotic joint experiments under ultravacuum (United States)

    Borrien, A.; Petitjean, L.


    First, various aspects of a robotic joint development program, including gearbox technology, electromechanical components, lubrication, and test results, are discussed. Secondly, a test prototype of the joint allowing simulation of robotic arm dynamic effects is presented. This prototype is tested under vacuum with different types of motors and sensors to characterize the functional parameters: angular position error, mechanical backlash, gearbox efficiency, and lifetime.

  18. Joint mathematical weekend in Copenhagen

    DEFF Research Database (Denmark)

    Raussen, Martin


    Notes from the 2008 joint mathematical weekend (29.02-02.03.2008) organized by the Danish Mathematical Society......Notes from the 2008 joint mathematical weekend (29.02-02.03.2008) organized by the Danish Mathematical Society...

  19. [Metacarpophalangeal joint injuries and sequelae]. (United States)

    Meier, R


    Injuries of the metacarpophalangeal joints of the thumb and fingers are of a bony or ligamentous nature. They can heal without subsequent problems if correctly diagnosed and treated but incorrect or absent diagnostics and therapy can result in chronic instability, dislocation, fusion as well as subsequent arthritis and functional limitations. They can lead to substantial impairment of the gripping function. Fractures with inclusion of joints and with fragments sufficiently large for refixation are as a rule treated operatively just as differences in torsion and instability. Persisting instabilities are secondarily stabilized by ligamentoplasty and arthritis of the metacarpophalangeal joint of the thumb is treated by fusion. For metacarpophalangeal joints of the fingers the main concern is preserving motion. Established salvage operations for arthritis include denervation, resection arthroplasty and systematic arthrolysis for impairment of the joint and contractures with intact joint surfaces. Even in chronic conditions, with appropriate treatment good functional results for metacarpophalangeal joints of the thumb and fingers can be achieved. This article presents the current pathophysiological principles and concepts for diagnostics and therapy of acute and chronic injuries of the metacarpophalangeal joints of fingers and thumbs.

  20. Active joints for microrobot limbs

    NARCIS (Netherlands)

    Elwenspoek, Michael Curt; Smith, L.; Hok, B.

    In this contribution we propose an electrostatic actuator for active joints. The active joint consists of two plates, one of which is a bilayer and bent by the bimorph effect. The plates are clamped to each other at one edge. A voltage between the plates leads to a very large field at the clamp

  1. [Effects of exercise on joints. (United States)

    Moriyama, Hideki

    Joints are composed of several different tissues(cartilage, capsule, meniscus, and ligament), and articular cartilage plays an important role in maintaining mechanical competence during exercise. Weight-bearing exercise has several benefit, including improved blood and synovial fluid circulation in a given joint. Consistent moderate activities facilitate cycles of anabolism and catabolism. Mechanical stresses are crucial for the maintenance of the morphologic and functional integrity of articular cartilage. Healthy cartilage is exposed by hydrostatic pressure and tensile strain, when cartilage degeneration develops, abnormal cartilage is exposed by shear stress. Moderate(physiological)exercise is characterized by a range of equilibrium between matrix anabolic and catabolic processes, or anabolism beyond catabolism. Joints are susceptible to insufficient or excessive activities, leading to joint degeneration. Lack of exercise is known to induce joint contracture seen clinically as a consequence of disuse changes, and excess mechanical stresses induce joint destruction such as osteoarthritis. Joint diseases resulting from insufficient or excessive activities are new and major challenging issues with our aging population. Thus, it is highly desirable to have an effective and efficient treatment to improve and protect against these joint diseases, and thereby to solve these clearly unanswered issues.

  2. Arthroscopy of the ankle joint

    NARCIS (Netherlands)

    van Dijk, C. N.; Scholte, D.


    Ankle arthroscopy has become a standard procedure for a variety of indications. Joint distraction is applied by many authors. A recent retrospective multicentre study provoked the following questions. Is there an indication for diagnostic arthroscopy? Can arthroscopic surgery of the ankle joint be

  3. Joint audits - benefit or burden?

    DEFF Research Database (Denmark)

    Holm, Claus; Thinggaard, Frank

    In this paper we examine whether there are perceived and observed benefits or burdens from using two audit firms instead of one. In 2005 the mandatory joint audit requirement was abolished in Denmark. This provides a unique setting for studying the consequences and implications of going from...... a joint audit regime to a single auditor/voluntary joint audit regime. The dataset used in this paper has been collected for the full population of non-financial Danish companies listed on the Copenhagen Stock Exchange (CSE) in the years 2004 and 2005. We find that a majority of firms perceive joint...... audits to be a net burden. Furthermore, based on DeAngelo's (1981) initial audit pricing model and legislators' claim that joint audits are an unnecessary economic burden to the companies we predict and find discounts (of around 25%) in audit fees in companies that change to single audits. The primary...

  4. Joint action aesthetics. (United States)

    Vicary, Staci; Sperling, Matthias; von Zimmermann, Jorina; Richardson, Daniel C; Orgs, Guido


    Synchronized movement is a ubiquitous feature of dance and music performance. Much research into the evolutionary origins of these cultural practices has focused on why humans perform rather than watch or listen to dance and music. In this study, we show that movement synchrony among a group of performers predicts the aesthetic appreciation of live dance performances. We developed a choreography that continuously manipulated group synchronization using a defined movement vocabulary based on arm swinging, walking and running. The choreography was performed live to four audiences, as we continuously tracked the performers' movements, and the spectators' affective responses. We computed dynamic synchrony among performers using cross recurrence analysis of data from wrist accelerometers, and implicit measures of arousal from spectators' heart rates. Additionally, a subset of spectators provided continuous ratings of enjoyment and perceived synchrony using tablet computers. Granger causality analyses demonstrate predictive relationships between synchrony, enjoyment ratings and spectator arousal, if audiences form a collectively consistent positive or negative aesthetic evaluation. Controlling for the influence of overall movement acceleration and visual change, we show that dance communicates group coordination via coupled movement dynamics among a group of performers. Our findings are in line with an evolutionary function of dance-and perhaps all performing arts-in transmitting social signals between groups of people. Human movement is the common denominator of dance, music and theatre. Acknowledging the time-sensitive and immediate nature of the performer-spectator relationship, our study makes a significant step towards an aesthetics of joint actions in the performing arts.


    NARCIS (Netherlands)



    For studying the relationship between condylar hypermobility of the temporomandibular joint (TMJ) and osteoarthrosis (OA), 13 patients with bilateral condylar hypermobility were evaluated clinically and radiographically, 30 years after non-surgical treatment. The evaluation included range of motion,

  6. Constant time joint bilateral filtering using joint integral histograms. (United States)

    Zhang, Ke; Lafruit, Gauthier; Lauwereins, Rudy; Van Gool, Luc


    In this brief, we present a constant time method for the joint bilateral filtering. First, we propose an image data structure, coined as joint integral histograms (JIHs). Extending the classic integral images and the integral histograms, it represents the global information of two correlated images. In a JIH, the value at each bin indicates an integral determined by the two images. Then, the joint bilateral filtering is transformed to computation and manipulation of histograms. Utilizing the JIHs, we are capable of joint bilateral filtering in constant time. Its performance is validated in a digital photography approach using Flash-noFlash image pairs. Compared with the brute-force method, the proposed method achieves a speedup factor of 2-3 orders of magnitude while producing similar filtering results.

  7. Sideline Management of Joint Dislocations. (United States)

    Schupp, Christian M; Rand, Scott E; Hanson, Travis W; Lee, Bryan M; Jafarnia, Korsh; Jia, Yuhang; Moseley, J Bruce; Seaberg, John P; Seelhoefer, Gregory M


    Athletes can sustain a large variety of injuries from simple soft tissue sprains to complex fractures and joint dislocations. This article reviews and provides the most recent information for sports medicine professionals on the management of simple and complex joint dislocations, i.e., irreducible and/or associated with a fracture, from the sidelines without the benefit of imaging. For each joint, the relevant anatomy, common mechanisms, sideline assessment, reduction techniques, initial treatment, and potential complications will be discussed, which allow for the safe and prompt return of athletes to the field of play.

  8. Temporomandibular Joint Anatomy and Derangements

    Directory of Open Access Journals (Sweden)

    Bahadır Odabaş


    Full Text Available Temporomandibular joint (TMJ is a diartrodial joint which is located just before the outer ear way and between the mandibular fossa and mandibular condyle. TMJ has rotation and translation movements. Approximately the 30-50 percent of the population has joint click. Most of the patients which have TMJ click may suffer from disc displacement. By the presence of disharmony between TMJ and occlusion and masticatory muscles, natural balance disappears. Therefore the function of the craniomandibular system and the factors that affects dysfunction must be considered when treatment planning is built.

  9. Joint action aesthetics.

    Directory of Open Access Journals (Sweden)

    Staci Vicary

    Full Text Available Synchronized movement is a ubiquitous feature of dance and music performance. Much research into the evolutionary origins of these cultural practices has focused on why humans perform rather than watch or listen to dance and music. In this study, we show that movement synchrony among a group of performers predicts the aesthetic appreciation of live dance performances. We developed a choreography that continuously manipulated group synchronization using a defined movement vocabulary based on arm swinging, walking and running. The choreography was performed live to four audiences, as we continuously tracked the performers' movements, and the spectators' affective responses. We computed dynamic synchrony among performers using cross recurrence analysis of data from wrist accelerometers, and implicit measures of arousal from spectators' heart rates. Additionally, a subset of spectators provided continuous ratings of enjoyment and perceived synchrony using tablet computers. Granger causality analyses demonstrate predictive relationships between synchrony, enjoyment ratings and spectator arousal, if audiences form a collectively consistent positive or negative aesthetic evaluation. Controlling for the influence of overall movement acceleration and visual change, we show that dance communicates group coordination via coupled movement dynamics among a group of performers. Our findings are in line with an evolutionary function of dance-and perhaps all performing arts-in transmitting social signals between groups of people. Human movement is the common denominator of dance, music and theatre. Acknowledging the time-sensitive and immediate nature of the performer-spectator relationship, our study makes a significant step towards an aesthetics of joint actions in the performing arts.

  10. Campus/Industry Joint Ventures. (United States)

    McDonald, Eugene J.


    Opportunities for joint economic ventures of colleges and industry are discussed, and a variety of ventures undertaken by Duke University are outlined, including a health club, hotel, and office building. Tax and financing considerations are noted. (MSE)

  11. Education: A Joint Transformation Enabler

    National Research Council Canada - National Science Library

    Alexander, Renita


    ... in an organization not known for its adaptability. Underlying the pursuit of transformational concepts necessary to respond to 21st century challenges is an emphasis on joint operations and doctrine...

  12. US Joint Ventures 2014 revision (United States)

    US Fish and Wildlife Service, Department of the Interior — A joint venture is a self-directed partnership of agencies, organizations, corporations, tribes, or individuals that has formally accepted the responsibility of...

  13. Finishing touch to joint venture

    CERN Multimedia


    "A new process for polishing titanium and its alloys has been announced following an agreement between Bripol (an Anopol/Delmet joint venture) of Birmingham and the European Organisation for Nuclear Reseach (CERN) in Geneva" (1 paragraph).

  14. Joint Performance and Planning System (United States)

    US Agency for International Development — A joint State/USAID system hosted by State that integrates resource and performance information at the program level and enables more flexible and frequent entry of...

  15. Joint Planning, Education, and Execution

    National Research Council Canada - National Science Library

    Vanasse, Margaret


    .... Two key facets of the legislation were the intent to increase attention to the formulation of strategy and contingency planning, and the implementation of mandatory joint education and training...

  16. Torsion testing of bed joints

    DEFF Research Database (Denmark)

    Hansen, Klavs Feilberg; Pedersen, Carsten Mørk


    This paper describes a simple test method for determining the torsion strength of a single bed joint between two bricks and presents results from testing using this test method. The setup for the torsion test is well defined, require minimal preparation of the test specimen and the test can...... be carried out directly in a normal testing machine. The torsion strength is believed to be the most important parameter in out-of-plane resistance of masonry walls subjected to bending about an axis perpendicular to the bed joints. The paper also contains a few test results from bending of small walls about...... an axis perpendicular to the bed joints, which indicate the close connection between these results and results from torsion tests. These characteristics make the torsion strength well suited to act as substitute parameter for the bending strength of masonry about an axis perpendicular to the bed joints....

  17. Modeling of Human Joint Structures. (United States)


    from its original or relaxed length. In such an extension, the stress-strain law becomes highly nonlinear and classical theory of elasticity, which is...this report will be applied to the knee joint. Brantigan and Voshell [1941] presented a review of the conflicting theories on the function of knee...and the anatomy of the joint. This was concluded to be due to the solution technique which was not solving all the equations simultaneously, and

  18. [Arthrodesis of the trapeziometacarpal joint]. (United States)

    Pillukat, T; Mühldorfer-Fodor, M; Fuhrmann, R; Windolf, J; van Schoonhoven, J


    Bony fusion of the trapeziometacarpal joint. High demands concerning stability and strength of the thumb in primary or secondary osteoarthritis (e.g., posttraumatic osteoarthritis following injuries to the carpometacarpal joint of the thumb); instability in the absence of osteoarthritis due to malformations, ligamentous laxicity, and joint hypermobility; malformations; improvement of hand function in neurological disorders; salvage procedure after carpometacarpal arthroplasty provided bone stock is sufficient. Osteoarthritis or stiffness of adjacent joints, activities demanding maximal mobility of the thumb, insufficient bone stock. Resection of the articular surfaces of the trapeziometacarpal joint via a dorsal approach. After temporary K‑wire transfixation, application of a dorsal T‑shaped plate (fixed angled or not), replacement of the K‑wire with a lag screw. Immobilization for 8 weeks (radial below-elbow cast including the thumb metacarpophalangeal joint); standard radiographs on second postoperative day and after 8 weeks; removal of stitches after 2 weeks; with bony healing after removal of the cast, guided exercises to increase strength and mobility; full loading for manual tasks after 3 months. With regards to strength, stability, and pain reduction, results are rated as good and excellent with a high degree of patient satisfaction. Disadvantages are implant-related complications and nonhealing of the fusion in an average of 13% of patients. Nevertheless, the procedure is still indicated in young manual workers who tolerate some limitations of mobility.

  19. Experimental use of Evazote joint materials (United States)

    Coley, J. O.


    The performance of Evazote joint material is discussed. Merits and shortcomings noted in evaluations are listed. This material is designed to be used in expansion joints in roadways, bridges, sidewalks, roofs and walls, as well as other areas requiring a waterproof filler. Evazote material has been placed in joints on one bridge and in a number of highly expansive joints in prestressed concrete pavement.

  20. 12 CFR 347.107 - Joint ventures. (United States)


    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Joint ventures. 347.107 Section 347.107 Banks... INTERNATIONAL BANKING § 347.107 Joint ventures. (a) Joint ventures. If a bank, directly or indirectly, acquires or holds an equity interest in a foreign organization that is a joint venture, and the bank or its...

  1. Joint action without and beyond planning

    DEFF Research Database (Denmark)

    Blomberg, Olle


    to perform “our” joint action. I reject this constraint and argue that some joint actions (such as a joint manoeuvre performed by two figure skaters) are joint in virtue of each participant having what I call ‘socially extended intention-in-action’ that overlap. In chapter 5, I review empirical work...

  2. 47 CFR 76.912 - Joint certification. (United States)


    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Joint certification. 76.912 Section 76.912... CABLE TELEVISION SERVICE Cable Rate Regulation § 76.912 Joint certification. (a) Franchising authorities may apply for joint certification and may engage in joint regulation, including, but not limited to...

  3. Joint Task Force Headquarters Master Training Guide (United States)


    e) JCMT . (f) Corporate Services. 1 IPA/IPL (Imagery Product Archives/Imagery Product Library). 2 COLISEUM. 3 DITDBS. 4 MIDB. 5 FTP. 6 5D...JCMOTF Joint Civil-Military Operations Task Force JCMT Joint Collection Management Tools JCN Joint Communications Network JCSAR Joint Combat Search and

  4. 49 CFR 234.233 - Rail joints. (United States)


    ... 49 Transportation 4 2010-10-01 2010-10-01 false Rail joints. 234.233 Section 234.233..., Inspection, and Testing Maintenance Standards § 234.233 Rail joints. Each non-insulated rail joint located... than joint bars and the bonds shall be maintained in such condition to ensure electrical conductivity. ...

  5. 14 CFR 23.693 - Joints. (United States)


    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Joints. 23.693 Section 23.693 Aeronautics... Systems § 23.693 Joints. Control system joints (in push-pull systems) that are subject to angular motion... factor may be reduced to 2.0 for joints in cable control systems. For ball or roller bearings, the...

  6. Optical Rotary Joint For Data Transfer (United States)

    Becker, Fred J.


    Proposed joint increases bandwidth and reduces errors. Scheme for transferring digital data across rotary joint uses light instead of electrical signals. Optical joint offers greater bandwidth and operates at considerably lower error rate. Concept applied to transfer of highspeed data to rotating antennas or across joints of robots and manipulators in automated manufacturing.

  7. Joint Airspace Management and Deconfliction (JASMAD) (United States)


    as they traverse in a designated polygonal airspace ( filtered from display...components to be demonstrated at multiple Joint User Group ( JUG ) Warfighter evaluation events and eventually provided to Northrop-Grumman PRB as software...System JASMAD Joint AirSpace Management And Deconfliction JAT Joint Accelerated Targeting JUG Joint Users Group MOD Ministry of Defence MSL Mean

  8. Reliability of Tubular Joints:part 1


    Sørensen, John Dalsgaard; Thoft-Christensen, Palle


    In this paper the preliminary results obtained by tests on tubular joints are presented. The joints are T-joints and the loading is static. It is the intention in continuation of these tests to perform tests on other types of joints (e.g. Y-joints) and also with dynamic loading.The purpose of the test is partly to obtain empirical data for the ultimate load-carrying capacity of tubular T-joints and partly to obtain some experience in performing tests with tubular joints.It is well known that ...

  9. Joint venture instability: a life cycle approach


    Roy Chowdhury, Prabal; Roy Chowdhury, Indrani


    Joint ventures represent one of the most fascinating developments in international business. In the last few decades, the rate of joint venture formation has accelerated dramatically. Nowadays joint ventures are much more widespread and occur in industries like telecommunications, biotechnology etc. At the same time, however, it must be noted that joint ventures are very unstable. In this paper we survey the phenomenon of joint venture instability. We draw on the relative recent theoretical l...

  10. An analysis of a joint shear model for jointed media with orthogonal joint sets; Yucca Mountain Site Characterization Project

    Energy Technology Data Exchange (ETDEWEB)

    Koteras, J.R.


    This report describes a joint shear model used in conjunction with a computational model for jointed media with orthogonal joint sets. The joint shear model allows nonlinear behavior for both joint sets. Because nonlinear behavior is allowed for both joint sets, a great many cases must be considered to fully describe the joint shear behavior of the jointed medium. An extensive set of equations is required to describe the joint shear stress and slip displacements that can occur for all the various cases. This report examines possible methods for simplifying this set of equations so that the model can be implemented efficiently form a computational standpoint. The shear model must be examined carefully to obtain a computationally efficient implementation that does not lead to numerical problems. The application to fractures in rock is discussed. 5 refs., 4 figs.

  11. Induction brazing of complex joints

    DEFF Research Database (Denmark)

    Henningsen, Poul; Zhang, Wenqi; Bay, Niels


    Induction brazing is a fast and appropriate method for industrial joining of complex geometries and metal combinations. In all types of brazing processes it is important to heat the joint interface of the two materials to the same, high temperature. If one of the specimens is warmer than the other...... materials has large influence on the heating time and temperature distribution in induction heating. In order to ensure high and uniform temperature distribution near the interface of a joint between dissimilar materials the precise coil geometry and position is of great importance. The present paper...... presents a combined numerical and experimental method for fast determination of appropriate coil geometry and position in induction brazing tube-to-plate joints of different ratios between tube and plate thickness and different combinations of the materials stainless steel, brass and copper. The method has...

  12. Rheumatoid arthritis affecting temporomandibular joint

    Directory of Open Access Journals (Sweden)

    Amandeep Sodhi


    Full Text Available Rheumatoid arthritis (RA is a chronic, systemic, autoimmune inflammatory disorder that is characterized by joint inflammation, erosive properties and symmetric multiple joint involvement. Temporomandibular joint (TMJ is very rare to be affected in the early phase of the disease, thus posing diagnostic challenges for the dentist. Conventional radiographs fail to show the early lesions due to its limitations. More recently cone-beam computed tomography (CBCT has been found to diagnose the early degenerative changes of TMJ and hence aid in the diagnosis of the lesions more accurately. Our case highlights the involvement of TMJ in RA and the role of advanced imaging (CBCT in diagnosing the bony changes in the early phase of the disease.

  13. Temporomandibular joint in rheumatoid arthritis

    Energy Technology Data Exchange (ETDEWEB)

    Syrjaenen, S.M.

    The temporomandibular joint (TMJ) was investigated clinically and by orthopantomography in 110 patients with rheumatoid arthritis (RA) and in 73 control subjects. Clinical symptoms in the TMJ were established in 34% of the RA patients and in 18% of the controls. Radiographic abnormalities were found in 60% of the RA patients compared with 15% in the controls. No single radiographic abnormality was characteristic of joint involvement by RA. The most common radiologic features in RA patients were changes in the morphology of the condylar head and articular eminentia, marginal irregularities, reduced mobility, and an anterior position of the condylar head. No abnormalities were encountered in the early stage of the disease, which at least in part could be attributed to the inherent limitations of orthopantomography. The incidence of joint lesions increased with duration of the RA. (orig.).

  14. Periprosthetic joint infection: Current concept

    Directory of Open Access Journals (Sweden)

    Vinay K Aggarwal


    Full Text Available Periprosthetic joint infection (PJI is one of the most devastating and costly complications following total joint arthroplasty (TJA. Diagnosis and management of PJI is challenging for surgeons. There is no "gold standard" for diagnosis of PJI, making distinction between septic and aseptic failures difficult. Additionally, some of the greatest difficulties and controversies involve choosing the optimal method to treat the infected joint. Currently, there is significant debate as to the ideal treatment strategy for PJI, and this has led to considerable international variation in both surgical and nonsurgical management of PJI. In this review, we will discuss diagnosis and management of PJI following TJA and highlight some recent advances in this field.

  15. Joint US/German Conference

    CERN Document Server

    Gulledge, Thomas; Jones, Albert


    This proceedings volume contains selected and refereed contributions that were presented at the conference on "Recent Developments and New Perspectives of Operations Research in the Area of Production Planning and Control" in Hagen/Germany, 25. - 26. June 1992. This conference was organized with the cooperation of the FernuniversiHit Hagen and was jointly hosted by the "Deutsche Gesellschaft fur Operations Research (DGOR)" and the "Manufacturing Special Interest Group of the Operations Research Society of America (ORSA-SIGMA)". For the organization of the conference we received generous financial support from the sponsors listed at the end of this volume. We wish to express our appreciation to all supporters for their contributions. This conference was the successor of the JOInt ORSA/DGOR-conference in Gaithersburg/Maryland, USA, on the 30. and 31. July 1991. Both OR-societies committed themselves in 1989 to host joint conferences on special topics of interest from the field of operations research. This goal ...

  16. Estimation of joint position error. (United States)

    Agostini, Valentina; Rosati, Samanta; Balestra, Gabriella; Trucco, Marco; Visconti, Lorenzo; Knaflitz, Marco


    Joint position error (JPE) is frequently used to assess proprioception in rehabilitation and sport science. During position-reposition tests the subject is asked to replicate a specific target angle (e.g. 30° of knee flexion) for a specific number of times. The aim of this study is to find an effective method to estimate JPE from the joint kinematic signal. Forty healthy subjects were tested to assess knee joint position sense. Three different methods of JPE estimation are described and compared using a hierarchical clustering approach. Overall, the 3 methods showed a high degree of similarity, ranging from 88% to 100%. We concluded that it is preferable to use the more user-independent method, in which the operator does not have to manually place "critical" markers.

  17. Transverse Reinforcement of Adhesive Joints (United States)

    Sapozhnikov, S.; Shakirov, A.


    The shear of single-lap adhesive joints causes significant peel stresses in the adhesive layer, which is a particularly urgent problem for low-modulus polyurethane compositions. An experimental and computational analysis of various methods for increasing the load-bearing capacity of the joints by their strengthening with metallic z-elements was carried out. This strengthening hinders their delamination by the action of peel stresses, which allows one to reduce the overall dimensions and weight of adhesive joints. Two main strengthening methods were considered: with steel tapping screws (of diameter 2.5 mm) and blind aluminum rivets (of diameter 4.0 mm). The peculiarity of the strengthening lies in the fact that z-elements of minimum available diameter were used for reducing the effect of stress concentrations on the strength of the joints. The test of specimens for each type of strengthening showed an average increase in the ultimate load by 40% for the threaded reinforcements and by 10% for the rivets. During an analysis of stress state of the joints by the FEM, the nonlinear behavior of constituent materials and stress concentration in the region of reinforcing elements were taken into account. The mechanical properties of the adhesive layer and the GFRP covering were determined in separate experiments. The analysis showed that the weight of the reinforced adhesive joints could be lowered by 20-25% relative to that of unreinforced ones without reducing their load-bearing capacity. An additional effect caused by using the threaded reinforcing elements was a more than threefold increase in their rigidity as compared with that of analogous nonreinforced ones.

  18. Comparison of the use of notched wedge joints vs. traditional butt joints in Connecticut (United States)


    Performance of Hot Mix Asphalt (HMA) longitudinal joints have been an item of increasing scrutiny in : Connecticut. The traditional butt joint has typically been the method used in Connecticut. These joints : have been reportedly opening up, creating...

  19. Arthroscopic arthodesis of subtalar joint. (United States)

    Muraro, Gerardo Muñoz; Carvajal, Patricio Fuentes


    Isolated subtalar arthrodesis is well accepted for treatment of pathologic conditions of the subtalar joint associated with pain, instability, and deformity that do not respond to conservative treatment. The most frequent indications are primary talocalcaneal or posttraumatic arthrosis; congenital malformations (coalition); or inflammatory diseases. In the last years, arthroscopic subtalar arthrodesis has become an established technique in treatment of the subtalar arthrosis in the absence of deformities, misalignment and bone loss. As this technique limits soft tissue damages, it may diminish hospitalization days. However, this technique necessitates basic experience in arthroscopy of small joints and knowledge of specific anatomy. Copyright © 2011 Elsevier Inc. All rights reserved.

  20. Rothia prosthetic knee joint infection. (United States)

    Trivedi, Manish N; Malhotra, Prashant


    Rothia species - Gram-positive pleomorphic bacteria that are part of the normal oral and respiratory flora - are commonly associated with dental cavities and periodontal disease although systemic infections have been described. We describe a 53-year-old female with rheumatoid arthritis complicated by prosthetic knee joint infection due to Rothia species, which was successfully treated by surgical removal of prosthesis and prolonged antimicrobial therapy. The issue of antibiotic prophylaxis before dental procedures among patients with prosthetic joint replacements is discussed. Copyright © 2012. Published by Elsevier B.V.

  1. Evaluation of Rock Joint Coefficients (United States)

    Audy, Ondřej; Ficker, Tomáš


    A computer method for evaluation of rock joint coefficients is described and several applications are presented. The method is based on two absolute numerical indicators that are formed by means of the Fourier replicas of rock joint profiles. The first indicator quantifies the vertical depth of profiles and the second indicator classifies wavy character of profiles. The absolute indicators have replaced the formerly used relative indicators that showed some artificial behavior in some cases. This contribution is focused on practical computations testing the functionality of the newly introduced indicators.

  2. Leaving a joint audit system

    DEFF Research Database (Denmark)

    Holm, Claus; Thinggaard, Frank


    with the auditors than in a equally shared joint audit, and that the auditors' incentives to offer an initial fee discount are bigger. Research limitations/implications: The number of observations is constrained by the small Danish capital market. Future research could take a more qualitative research approach...... deciding to switch to single auditors. Fee discounts do not seem to reflect long-lasting efficiency gains on the part of the audit firm. Orginality/value: Denmark is the first country to leave a mandatory joint audit system, so this is the first time that it is possible to study fee effects related to this....

  3. [Divorce and joint physical custody]. (United States)

    Golse, B


    This work first recalls the definition of joint physical custody, as well as the current legal procedure for obtaining it, its practical implementation, the financial implications for parents, and finally some statistics. Some psychological and psychopathological reflections on the impact of divorce on children are then presented before considering the question of joint physically custody with regard to attachment theory and depending on the age of the child (a great caution seems to be required before three years). The article concludes with a brief discussion of parental alienation syndrome. Copyright © 2014. Published by Elsevier SAS.

  4. Finger Proximal Interphalangeal Joint Dislocation. (United States)

    Ramponi, Denise; Cerepani, Mary Jo


    Finger dislocations are common injuries that are often managed by emergency nurse practitioners. A systematic physical examination following these injuries is imperative to avoid complications. Radiographic views, including the anteroposterior, lateral, and oblique views, are imperative to evaluate these finger dislocations. A dorsal dislocation of the proximal interphalangeal (PIP) joint is the most common finger dislocation type often easily reduced. A volar PIP dislocation can often be difficult to reduce and may result in finger deformity. Finger dislocations should be reduced promptly. Referral to an orthopedic hand specialist is required if the dislocation is unable to be reduced or if the finger joint is unstable following reduction attempts.

  5. Dual joint space arthrography in temporomandibular joint disorders: Comparison with single inferior joint space arthrography

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Hyung Sik; Chang, Duk Soo; Lee, Kyung Soo; Kim, Woo Sun; Sung, Jung Ho; Jun, Young Hwan [Capital Armed Forces General Hospital, Seoul (Korea, Republic of)


    The temporomandibular joint(TMJ) is really a complex of two synovial space separated by fibrocartilaginous disc. Single inferior joint space arthrography is commonly performed for evaluation of TMJ disorders, which is known to be superior in demonstrating joint dynamics. But it reveals only the inferior surface of the disc. Therefore, dual space arthrography is superior to demonstrate the soft tissue anatomic feature of the joint such as disc position and shape. Authors performed 83 TMJ arthrograms in TMJ problems. Initially, the inferior joint space was done and then the superior space was sequentially contrasted. The follow results were noted: 1. In all cases, dual space arthrography revealed accurate disc shape and positions. 2. Concordant findings between the two techniques: 68 cases (82%). Discordance between the two techniques: 15 cases (18%) 3. Possible causes of discordance between inferior and dual space arthrography. a) Normal varians of anterior recess: 3 cases b) Posterior disc displacement: 4 cases c) Influence of the patient's head position change :4 cases d) False perforation: 2 cases e) Reduction change: 2 cases 4. In 5 cases with anterior displacement, dual space arthrography gave additional findings such as adhesion within the superior space, which could not be evaluated by single inferior space.

  6. Defending the Joint Force: Lessons Learned from Joint Base Balad (United States)


    the enemy’s aerial power by destroying his nests and eggs on the ground than to hunt his flying birds in the air.”1 This concept is reflected in defending its own assets and those of the joint force.  1. Giulio Douhet, The Command of the Air, trans. Dino Ferrari (1942; new imprint

  7. Jointness for the Rest of Us: Reforming Joint Professional Development (United States)


    achieve this end, reform of the present joint development system is required so that legal, cultural , and organizational barriers that hinder...12 Cultural Conflict……...........................................................................................16 Organizational Issues...definitions used in this thesis are as follows: Education - A process and a series of activities that enable an individual to assimilate and develop

  8. Bone and Joint Infections in Older Adults. (United States)

    Mears, Simon C; Edwards, Paul K


    Bone and joint infections in the elderly patient include septic native joints, osteomyelitis, and prosthetic joint infection. Infections are difficult to treat and require a team approach. Surgical debridement and intravenous antibiotics are the keys to treatment. Prosthetic joint infections often need a two-stage approach to treatment. First the infected joint is removed and the infection treated, then a second prosthetic joint is placed. Prosthetic joint infection is becoming the most common complication after joint replacement surgery. Outcomes of treatment of bone and joint infections are related to the severity of the infection and condition of the host. Because the elderly are often frail, treatment is challenging. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Prosthesis of the wrist-joint

    Energy Technology Data Exchange (ETDEWEB)

    Feldmeier, C.


    Function of the hand-joint and the well-being of patients can be severely affected by arthrosis of the wrist-joint. Therapeutically, arthrodesis usually results in a painfree status of stiffness. A painless and well functioning joint can be achieved by alloplastic joint replacement or resurfacing. The possibilities and clinical results in cases of arthrosis of the carpo-metacarpal joint of the thumb, pseudarthrosis of the scaphoid, aseptic necrosis of the Lunate and severe arthrosis of the radio-carpal joint are demonstrated.

  10. What Determines Joint Venture Termination?

    DEFF Research Database (Denmark)

    Nielsen, Bo Bernhard


    Joint venture (JV) research continues to flourish as researchers seek to advance our understanding of why so many JVs fail. Cui and Kumar (this issue) take a contingency approach to explain how and why business relatedness may provide new insights as to what determines JV termination...

  11. Durability of building joint sealants (United States)

    Christopher C. White; Kar Tean Tan; Donald L. Hunston; R. Sam Williams


    Predicting the service life of building joint sealants exposed to service environments in less than real time has been a need of the sealant community for many decades. Despite extensive research efforts to design laboratory accelerated tests to duplicate the failure modes occurring in field exposures, little success has been achieved using conventional durability...

  12. Evading the joint decision trap

    DEFF Research Database (Denmark)

    Stenbæk, Jørgen; Jensen, Mads Christian Dagnis


    is applied, including the concept of the joint-decision trap. The paper finds that the outcome was made possible by compensating the member states that were worst affected by the policy changes. A coalition of net contributors, centered on Germany and the United Kingdom, was influential regarding the overall...

  13. The Rationale for Joint Mobilization. (United States)

    Burkhardt, Sandy

    This paper presents an overview of the functions of connective tissue and the mechanisms of joint injury and contracture formation in relation to therapeutic exercise. The components of connective tissue operation are explained, including fibroblasts, macrophages, plasma cells, and collagen. An examination of the histology of connective tissue as…

  14. Recruitment of knee joint ligaments

    NARCIS (Netherlands)

    Blankevoort, L.; Huiskes, R.; de Lange, A.


    On the basis of earlier reported data on the in vitro kinematics of passive knee-joint motions of four knee specimens, the length changes of ligament fiber bundles were determined by using the points of insertion on the tibia and femur. The kinematic data and the insertions of the ligaments were

  15. Arthrography of the ankle joint

    Energy Technology Data Exchange (ETDEWEB)

    Crespi Porro, R.; Zellner, A.; Puricelli, G.; Quaglia, R.; Chelazzi, G.


    Arthrography of the ankle joint was first carried out by Johnson and Palmer at the Military Hospital in Stockholm in 1940. Arthrography can be used for judging the integrity of the articular cartilage, of osteochondritis dissecans, arthritis or adhesive capsulitis. The literature shows, however, that more than 95% of the patients on whom this examination has been performed has suffered from acute trauma.

  16. Joint Attention and Anthropological Difference

    Czech Academy of Sciences Publication Activity Database

    Urban, Petr


    Roč. 11, č. 1 (2014), s. 59-70 ISSN 1718-0198 R&D Projects: GA ČR GAP401/10/1164 Institutional support: RVO:67985955 Keywords : joint attention * anthropological difference * phenomenology * great apes * shared intentionality Subject RIV: AA - Philosophy ; Religion

  17. Rock-solid artificial joints

    NARCIS (Netherlands)

    Bonger, S.


    Engineers from TU Delft and doctors from Leiden are joining forces to make loose-fitting artificial joints a thing of the past. They are at the forefront in terms of minimally invasive interventions, which make cutting open patients unnecessary. “Nobody else is doing this yet.”

  18. The Joint Accomplishment of Identity (United States)

    Hand, Victoria; Gresalfi, Melissa


    Identity has become a central concept in the analysis of learning from social perspectives. In this article, we draw on a situative perspective to conceptualize identity as a "joint accomplishment" between individuals and their interactions with norms, practices, cultural tools, relationships, and institutional and cultural contexts.…

  19. Diagnosis of Sacroiliac Joint Syndrome

    Directory of Open Access Journals (Sweden)

    Ya.V. Fishchenko


    Full Text Available Background. Sacroiliac joints are the cause of pain syndromes in 15–30 % of patients, who complained of pain in lumbosacral spine. In this connection, the relevant issue is the differential diagnosis of pain syndromes in the sacroiliac joint with discogenic, arthrogenic and myofascial pain syndromes. The aim of the study was to assess the informativeness of different diagnostic tests during the diagnosis of sacroiliac pain syndromes, either alone or in combination, using as a verifying procedure the diagnostic block with local anesthetic performed under X-ray control. Materials and methods. We have observed 90 patients aged from 30 to 78 years with one- or two-sided pain syndrome in the lumbosacral spine, with or without irradiation in the lower limb, its duration was more than 2 months. Results. The highest sensitivity was observed in Gaenslen’s test (83 % as compared to other tests with lower overdiagnosis (73 %. The positive predictive value of this test was equal to 79 %. Conclusions. Tests in combination with diagnostic block can effectively diagnose the pathology of sacroiliac joint and differentiate it from discogenic or arthrogenic pathology of the lumbar spine and degenerative diseases of the hip joints.

  20. Multilevel joint competing risk models (United States)

    Karunarathna, G. H. S.; Sooriyarachchi, M. R.


    Joint modeling approaches are often encountered for different outcomes of competing risk time to event and count in many biomedical and epidemiology studies in the presence of cluster effect. Hospital length of stay (LOS) has been the widely used outcome measure in hospital utilization due to the benchmark measurement for measuring multiple terminations such as discharge, transferred, dead and patients who have not completed the event of interest at the follow up period (censored) during hospitalizations. Competing risk models provide a method of addressing such multiple destinations since classical time to event models yield biased results when there are multiple events. In this study, the concept of joint modeling has been applied to the dengue epidemiology in Sri Lanka, 2006-2008 to assess the relationship between different outcomes of LOS and platelet count of dengue patients with the district cluster effect. Two key approaches have been applied to build up the joint scenario. In the first approach, modeling each competing risk separately using the binary logistic model, treating all other events as censored under the multilevel discrete time to event model, while the platelet counts are assumed to follow a lognormal regression model. The second approach is based on the endogeneity effect in the multilevel competing risks and count model. Model parameters were estimated using maximum likelihood based on the Laplace approximation. Moreover, the study reveals that joint modeling approach yield more precise results compared to fitting two separate univariate models, in terms of AIC (Akaike Information Criterion).

  1. A study on composite adhesive lap joint (United States)

    Zeng, Qinggang

    In this study, a novel design of adhesive single-lap joint was proposed and investigated. In this new design, load eccentricity as well as singular peel stresses in the joint interface were avoided. In fact, numerical calculations show that, in the new design, the interfacial normal stress becomes compressive in the joint end region, and the shear load is more evenly transferred over the length of the joint. Experimental results using cross-ply carbon/epoxy composites as adherends show that the strength of the new joint is significantly higher than that of the conventional single lap joint. Efforts were made to investigate effects of the four most relevant design parameters of the wavy joint on the critical interfacial stress distributions. By careful selecting the design parameters, interfacial stresses can further be optimized. Test results with unidirectional composite adherends confirm that joint strength can further be improved through careful design. In order to fully demonstrate advantage of the new wavy-lap joint over the conventional single-lap joint, fatigue tests were carried out to determine durability performance of the wavy-lap joint. Fatigue tests show that under the same loading conditions, i.e. same maximum load levels or same load percentage levels, fatigue performance of the wavy-lap joint is much better than that of the conventional single-lap joint. Further study shows that fatigue life of adhesive joint, either flat or wavy, is strongly dependent on loading frequency. This is due to the fact that FM73 adhesive is a viscoelastic material. With the increase of frequency, fatigue lives of both joints also increase. However, the wavy joint still outperforms the flat joint at all loading frequencies.

  2. Simplifying Bridge Expansion Joint Design and Maintenance (United States)


    This report presents a study focused on identifying the most durable expansion joints for the South : Carolina Department of Transportation. This is performed by proposing a degradation model for the : expansion joints and updating it based on bridge...

  3. Military Airlift: The Joint Cargo Aircraft Program

    National Research Council Canada - National Science Library

    Knight, William


    Joint Cargo Aircraft (JCA) is a joint acquisition program between the Army and the Air Force designed to procure a commercial off-the-shelf aircraft, capable of meeting Army requirements for "direct support" to maneuver units...

  4. Military Airlift: The Joint Cargo Aircraft Program

    National Research Council Canada - National Science Library

    Hess, Allan


    Joint Cargo Aircraft (JCA) is a joint acquisition program between the Army and Air Force intended to procure a commercial off-the-shelf aircraft capable of meeting Army and Air Force requirements for intra-theater airlift...

  5. Hypothyroidism: Does It Cause Joint Pain? (United States)

    Hypothyroidism: Does it cause joint pain? Can hypothyroidism cause joint pain? I have hypothyroidism and have been experiencing severe arthritis-like pain in my shoulders and hips. Answers from Todd B. ...

  6. Arthritis Mechanisms May Vary by Joint (United States)

    ... Issues Subscribe August 2016 Print this issue Arthritis Mechanisms May Vary by Joint En español Send us ... joints have unique patterns of chemical tags—called epigenetic markers—that differ between rheumatoid arthritis and osteoarthritis. ...

  7. Strategic Mobility 21 Joint Sea Based Logistics

    National Research Council Canada - National Science Library

    Mallon, Lawrence G


    The Joint Deployment and Distribution Support Platform (JDDSP) design concept developed by SM21 includes distribution support for joint sea-based forces in its design and will support many of the to...

  8. Business process solution `Joint MEISTER`; Gyomu shien solution `Joint MEISTER`

    Energy Technology Data Exchange (ETDEWEB)

    Watanabe, Y.; Ito, S. [Fuji Electric Co. Ltd., Tokyo (Japan)


    The business process solution `Joint{sub M}EISTER` can be ranked among computer systems represented by groupware and WWW applications. This paper describes its typical system, ExchangeUSE work flow solution, and the effect of its introduction, citing a concrete case. The Company A introduced the ExchangeUSE work flow for traveling expenses adjustment and attendance, and has gained a reduction of 7 man-months/month. (author)

  9. Jointness for the Rest of Us: Reforming Joint Professional Development (United States)


    of Military Education : Twenty-Five Years Later." Orbis: A Journal of World Affairs Vol. 56, no. 1 (2012): 136, http...Therefore, education , training, and leadership development programs that teach members of the joint force how to incorporate new technological... Journal of Strategic Studies 35.vol 6 (May 2012): 799-827. Johnson-Freese, Joan. "The Reform of Military Education : Twenty-Five Years Later

  10. Limited finger joint mobility in diabetes


    Brice, J E H; Johnston, D I; Noronha, J.L.


    Limited finger joint mobility was assessed in 112 diabetic children, in their first-degree relatives, and in 50 unrelated non-diabetic children. In 42% of the diabetic children there was limited joint mobility, but 14% of them had more severe involvement. Limited joint mobility was correlated with increasing age, early presentation, and longer duration of diabetes. First-degree relatives of affected diabetic children had a higher incidence (35%) of limited joint mobility compared with relativ...

  11. Joint laxity in the performing arts. (United States)

    Bird, H


    Traditional scoring systems for the assessment of joint flexibility are reviewed and reasons for variation in joint laxity are defined. The value of controlled joint laxity in the hands and arms of musicians is then discussed as well as the desirability of adjusting laxity at the various joints used in the different styles of dance, some of them ethnic, that depend on the specific articular characteristics of each different dancer.

  12. Unfavourable results in temporomandibular joint ankylosis surgery (United States)

    Jagannathan, Mukund; Munoli, Amarnath V.


    Temporomandibular joint (TMJ) ankylosis is a debilitating condition usually afflicting children and young adults. Treatment is surgical, i.e., release of the ankylosed joint/s with or without interposition arthroplasty and correction of secondary deformities (mandibular retrusion and asymmetry) This article deals with identifying potential setbacks in TMJ ankylosis surgery and preventing them. PMID:24501459

  13. Molecular monitoring of equine joint homeostasis

    NARCIS (Netherlands)

    de Grauw, J.C.


    Chronic joint disorders are a major cause of impaired mobility and loss of quality of life in both humans and horses. Regardless of the primary insult, any joint disorder is characterized by an upset in normal joint homeostasis, the balance between tissue anabolism and catabolism that is normally

  14. 30 CFR 36.24 - Engine joints. (United States)


    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Engine joints. 36.24 Section 36.24 Mineral... Construction and Design Requirements § 36.24 Engine joints. (a) Cylinder head. The joint between the cylinder head and block of the engine shall be fitted with a metal or metal-clad gasket satisfactory to MSHA...

  15. 24 CFR 570.308 - Joint requests. (United States)


    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Joint requests. 570.308 Section 570... requests. (a) Joint requests and cooperation agreements. (1) Any urban county and any metropolitan city located, in whole or in part, within that county may submit a joint request to HUD to approve the...

  16. 22 CFR 228.34 - Joint ventures. (United States)


    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Joint ventures. 228.34 Section 228.34 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES ON SOURCE, ORIGIN AND NATIONALITY FOR COMMODITIES AND... Financing § 228.34 Joint ventures. A joint venture or unincorporated association is eligible only if each of...

  17. Space shuttle SRM field joint: Review paper

    Directory of Open Access Journals (Sweden)

    S. Mohammad Gharouni


    Full Text Available Due to Challenger space shuttle accident in 1986, significant research has been done concerning structural behavior of field joints in solid rocket boosters (SRB. The structural deformations between the clevis inner leg and the tang (male-to-female parts of joint, the sealing of the O-ring to prevent the hot gas in joints, has been neglected causing the failure of the vehicle. Redesigning the field joint in SRB engine by accurate analysis of dynamic and thermal loads and by design of insulator and good O-ring, the leakiness of combustion hot gases was eliminated. Some parts of field joint such as capture feature (CF and its third O-ring, J-leg insulator and shim were added to redesigned field joint. Also, some adjustments in sealing system and pins were done to promote the efficiency of the field joint. Due to different experimental analysis on assembled field joints with default imperfections, redesigned joints operated well. These redesigned field joints are commonly used in aerospace and mechanical structures. This paper investigates the original and the redesigned field joints with additional explanations of different parts of the redesigned joints.

  18. Ultrasonography research of knee joint injury




    Ultrasonographic studies were conducted in 468 patients with complaints of pain in the knee joint between the ages of 35 to 58 years (mean age 48 years). Traumatic injuries are identified as fractures joint, tendon ruptures quadriceps, gap lateral ligaments and the patellar tendon, meniscus damage, as well as changes that may be accompanied at these injuries. Semiotics joint damage elements are described.


    African Journals Online (AJOL)



    Dec 12, 2000 ... Jesse, E., Owen, D. and Sher, K. The benign hypermobile joint syndrome. Arth. Rheum. 1980; 23:1053 - 1056. 8. Al-Rawi, Z.S. and Al-Rawi, Z.T. Joint hypermobility in women with genital prolapse. Lancet. 1982; 1439- 1441. 9. Bird, H., Calguneri, M. and Wright, V. Changes in joint laxity during pregnancy.

  20. 49 CFR 192.233 - Miter joints. (United States)


    ... 49 Transportation 3 2010-10-01 2010-10-01 false Miter joints. 192.233 Section 192.233... BY PIPELINE: MINIMUM FEDERAL SAFETY STANDARDS Welding of Steel in Pipelines § 192.233 Miter joints. (a) A miter joint on steel pipe to be operated at a pressure that produces a hoop stress of 30...

  1. 49 CFR 178.345-4 - Joints. (United States)


    ... 49 Transportation 2 2010-10-01 2010-10-01 false Joints. 178.345-4 Section 178.345-4 Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION... Containers for Motor Vehicle Transportation § 178.345-4 Joints. (a) All joints between the cargo tank shell...

  2. Residual load carrying capacity of timber joints

    NARCIS (Netherlands)

    Kuilen, J.W.G. van de


    Timber joints that have been preloaded for 2 to 8 years have been short term tested in accordance with EN 26891. The applied load levels varied between 30% and 50% of the average short term strength. The study comprised nailed, toothed-plate and split-ring joints. All joints were made of spruce and

  3. 14 CFR 25.693 - Joints. (United States)


    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Joints. 25.693 Section 25.693 Aeronautics... STANDARDS: TRANSPORT CATEGORY AIRPLANES Design and Construction Control Systems § 25.693 Joints. Control system joints (in push-pull systems) that are subject to angular motion, except those in ball and roller...

  4. 49 CFR 583.15 - Joint ownership. (United States)


    ... model year. (6) The allied suppliers for the jointly owned carline are the suppliers that are wholly... ownership. (a) A carline jointly owned and/or produced by more than one manufacturer shall be attributed to... requirements in this part with respect to the jointly owned carline. However, carline determinations must be...

  5. Hydrocolonotherapy ankle joints after injuries

    Directory of Open Access Journals (Sweden)

    Volodymyr Muchin


    Full Text Available Purpose: to improve efficiency of gydrokinesitherapy by means of specially designed devices and monolasts for patients after ankle joint injuries. Material & Methods: there are pedagogical methods, clinical and radiological methods, anthropometric measurements and goniometry were used. Results: the author's technique of hydrokinesitherapy with application hydrokinesimechanotherapy device in the program of physical rehabilitation which provides optimum conditions for the recovery process was developed. Conclusions: the specially designed hydrokinesomechanotherapeutic device and monolasts are allow strictly controlled movement in all planes of the ankle joint, which contributes to the acceleration of the recovery; the conducted anthropometric and goniometric studies were indicate more rapid elimination of edema, increase movement amplitude, carries opposition to the development of contractures and muscle atrophy.

  6. Bony ankylosis of temporomandibular joint

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Byeong Do; Yoon, Young Nam; Um, Ki Doo; Ra, Jong Ill; Lee, Wan [School of Dentistry, Wonkwang University, Iksan (Korea, Republic of)


    Ankylosis of joint is defined as limited movement due to infection, trauma, or surgical procedure. A 59-year-old female with a chief complaint of limited movements during mouth opening had a positive history of trauma to her right TMJ area about 5 years ago. From that time, progressive mouth opening limitation and intermittent pain have occurred. At the time of admission the patient showed mandibular deviation to the right side during mouth opening, with a maximum opening limited to 5 mm. On plain radiographs, right condylar enlargement and joint space reduction by newly formed bony tissues were observed. CT scans showed right condylar enlargement, cortical sclerosis, and thickening of the condyle, articular fossa and articular eminence.

  7. Wilmar joint market model, Documentation

    Energy Technology Data Exchange (ETDEWEB)

    Meibom, P.; Larsen, Helge V. [Risoe National Lab. (Denmark); Barth, R.; Brand, H. [IER, Univ. of Stuttgart (Germany); Weber, C.; Voll, O. [Univ. of Duisburg-Essen (Germany)


    The Wilmar Planning Tool is developed in the project Wind Power Integration in Liberalised Electricity Markets (WILMAR) supported by EU (Contract No. ENK5-CT-2002-00663). A User Shell implemented in an Excel workbook controls the Wilmar Planning Tool. All data are contained in Access databases that communicate with various sub-models through text files that are exported from or imported to the databases. The Joint Market Model (JMM) constitutes one of these sub-models. This report documents the Joint Market model (JMM). The documentation describes: 1. The file structure of the JMM. 2. The sets, parameters and variables in the JMM. 3. The equations in the JMM. 4. The looping structure in the JMM. (au)

  8. Chronic Periprosthetic Hip Joint Infection

    DEFF Research Database (Denmark)

    Lange, Jeppe; Troelsen, Anders; Søballe, Kjeld


    INTRODUCTION: Limited information is available regarding the treatment strategy and prognosis of non-selected patients treated for chronic periprosthetic hip joint infection. Such information is important as no head-to-head studies on treatment strategies are available. The purpose of this study...... is to report on the treatment strategy and prognosis of a non-selected, consecutive patient population. METHODS: We identified 130 patients in the National Patient Registry, consecutively treated for a chronic periprosthetic hip joint infection between 2003-2008 at 11 departments of orthopaedic surgery. We...... chart review with a minimum of 5 years follow-up by the nationwide electronic patient record system. RESULTS: After primary revision surgery, 53 patients (41%) had a spacer in situ, 64 (50%) had a resection arthroplasty and 13 (9%) did not have the infected implant removed. 63% were re...

  9. Corrosion damage of rivet joints

    Directory of Open Access Journals (Sweden)

    Michal Černý


    Full Text Available The work describes the effect of the atmospheric corrosion upon the mechanical properties of blind rivets. The subject of given research is: corrosion of metal materials, system resistance, design modification and others means of prevention against the corrosion attack. The problem of blind rivets, blind rivet setting, setting equipment, terminology and definitions, characteristic, and special blind rivet setting is also analysed. The experiment itself, the experimental method and the evaluation of the test are described. Mechanism of riveted joint damage produced by galvanic corrosion is proposed. Considerable corrosion damage occurred at combination of the joint members and connected materials with different electrochemical potentials. Exposition to the corroding environment produces release of rivet clam, together with decrease of rivet stiffness. The proof of these mechanisms is documented by functional dependence F – ∆L and metallographic tests.

  10. Joint hypermobility syndrome in rheumatology

    Directory of Open Access Journals (Sweden)

    A. M. Satybaldyev


    Full Text Available Joint hypermobility syndrome (JHS is a disease characterized by symptoms of locomotor system involvement in the absence of obvious systemic rheumatic diseases (RDs. JHS accompanied by the symptomatology of RDs should be distinguished from isolated joint hypermobility, in which there are no complaints even in cases of its generalized manifestations and the patients feel virtually healthy. The paper provides an overview of the literature on the JHS. It gives diagnostic criteria for JHS (the Brighton criteria encompasses the Beighton score and the clinical manifestation of damages to the locomotor apparatus, visceral organs, and skin in this syndrome. Autonomic nervous system dysfunction as a possible manifestation of JHS and its impact on the daily life of patients are discussed. Attention is paid to the prevention and treatment of JHS. 

  11. The joint capsule and joint laxity in dogs with hip dysplasia. (United States)

    Madsen, J S


    Present knowledge of the complexity of joint diseases makes it difficult to investigate the causes and early pathogenesis of canine hip dysplasia. Clinical signs of canine hip dysplasia including joint laxity may be a result of primary or secondary alterations of the joint. We already know that joint laxity is related to effusive synovitis (ie, accumulation of synovial fluid) and to other primary collagenous diseases. Canine hip dysplasia may be a third collagenous disease associated with joint laxity. This paper summarizes some of the studies that investigated the relationship between joint laxity and a defect in collagen metabolism and the influence that alterations in transsynovial flow have on joint laxity.

  12. Joint Direct Attack Munition (JDAM) (United States)


    Selected Acquisition Report (SAR) RCS: DD-A&T(Q&A)823-503 Joint Direct Attack Munition (JDAM) As of FY 2017 President’s Budget Defense Acquisition...Mission and Description 6 Executive Summary 7 Threshold Breaches 8 Schedule 9 Performance 12 Track to Budget 14 Cost and Funding...15 Low Rate Initial Production 26 Foreign Military Sales 27 Nuclear Costs 29 Unit Cost 30 Cost Variance 33 Contracts 36

  13. Joint Force Quarterly. Issue 37 (United States)


    dysentery, cholera , and other diseases . Bridge, road, and other recon- struction projects numbered 1,758 during the first 18 weeks of CERP and put nearly...SJFHQ is a powerful, deploy- able joint command and control (DJC2) suite. Be- cause we will have a standardized, comprehensive suite of tools and...has his visa application from Yemen , the Immigration and Naturalization Ser- vice has his entry stamp in Los Angeles a month later, the Federal

  14. The Joint Master Operational Planner (United States)


    their professional military education did not provide them with the skills necessary to develop a deep and broad appreciation of the operational...era. Capability vs. Task Mismatch Our war colleges do a capable job at the mission of broadly educating senior officers at the O-5 and O-6 teaching the learning areas but emphasizes the importance of attaining both joint and service expertise and warfighting skills .75 Of all the

  15. Neuromechanics of the patellofemoral joint. (United States)

    Grabiner, M D; Koh, T J; Draganich, L F


    Patellofemoral joint pain is one of the most common ailments associated with visits to sports medicine clinics and can be disabling, although conservative clinical treatment has a reportedly very high success rate. Patellofemoral joint pain is often associated with improper tracking of the patella within the femoral trochlear notch. Improper tracking of the patella can be associated with increased patellofemoral contact pressures that may be a mechanical stimulus underlying patellar cartilage degeneration. In those cases in which anatomic anomalies and trauma may be excluded as the basis for improper tracking, attention is directed toward possible disruptions to the central nervous system control and contractile potential of the knee joint extensor musculature that underlies proper patellofemoral mechanics. This paper presents a review of three seminal components related to the neuromechanics of patellofemoral function; patellofemoral tracking, patellofemoral contact pressures, and neuromotor control of patellofemoral agonists. It is the intent of the authors to illuminate areas requiring further basic and clinical research and provide a point of departure for this work.

  16. Tuberculosis of the temporomandibular joint. (United States)

    Assouan, C; Anzouan, K; Nguessan, N D; Millogo, M; Horo, K; Konan, E; Zwetyenga, N


    Extrapulmonary and extra-spinal tuberculosis (TB) is rare, even in countries where the disease is endemic. Ten percent of these localizations are cervico-facial. Involvement of the temporomandibular joint (TMJ) is very unusual. We present the features of such a case. We looked for patients managed for TMJ TB in 2 Maxillofacial Surgery departments and in 1 Pneumology & Phthisiology Department since 1992. The second part of the study was a literature review. One case was found in our departments and 15 other cases were found in published data. Most patients were women with mean age of 39.9 years (5 to 68). Pre-auricular swelling was the predominant functional sign, often without fever or change in the health status. The biological and radiological abnormalities were non-specific (osteolysis, joint pinching, etc.). No lung involvement was observed. The joint recovered its normal function after appropriate management. Tuberculosis of the TMJ is difficult to diagnose given its rarity and the non-specific nature of clinical and paraclinical signs. It must be considered in the differential diagnosis for common diseases of the TMJ whether TB is endemic or not. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  17. Temporomandibular joint diagnostics using CBCT (United States)

    Abrahamsson, A-K; Kristensen, M; Arvidsson, L Z


    The present review will give an update on temporomandibular joint (TMJ) imaging using CBCT. It will focus on diagnostic accuracy and the value of CBCT compared with other imaging modalities for the evaluation of TMJs in different categories of patients; osteoarthritis (OA), juvenile OA, rheumatoid arthritis and related joint diseases, juvenile idiopathic arthritis and other intra-articular conditions. Finally, sections on other aspects of CBCT research related to the TMJ, clinical decision-making and concluding remarks are added. CBCT has emerged as a cost- and dose-effective imaging modality for the diagnostic assessment of a variety of TMJ conditions. The imaging modality has been found to be superior to conventional radiographical examinations as well as MRI in assessment of the TMJ. However, it should be emphasized that the diagnostic information obtained is limited to the morphology of the osseous joint components, cortical bone integrity and subcortical bone destruction/production. For evaluation of soft-tissue abnormalities, MRI is mandatory. There is an obvious need for research on the impact of CBCT examinations on patient outcome. PMID:25369205

  18. [Joint contractures in nursing textbooks]. (United States)

    Bartoszek, G; Meyer, G; Thiesemann, R


    The transparency criteria of the German statutory health insurance on joint contracture prevention have led to controversies about the appropriate assessment, prevention and treatment as well as to various actions in nursing practice. However, appropriate nursing assessments and proven treatment options are lacking so far. It is unclear whether textbooks on nursing reflect these uncertainties. Search for textbooks on nursing through internet-based search engines and publisher registers, data extraction by one investigator and control by a second. A total of 35 textbooks with contributions on joint contractures were identified of which 25 included a definition, causes/risk factors are presented in 32 textbooks and assessments are presented in 5 books. Most often positioning into a physiological or functional neutral position and passive moving of limbs are recommended as passive prophylaxis. Recommended therapeutic and preventive options do not differ. None of the textbooks reflect that there is a lack of scientific knowledge on the subject. Textbooks on nursing do not deal with complete and scientific sound information on joint contractures.

  19. Joint Acoustic and Modulation Frequency

    Directory of Open Access Journals (Sweden)

    Les Atlas


    Full Text Available There is a considerable evidence that our perception of sound uses important features which is related to underlying signal modulations. This topic has been studied extensively via perceptual experiments, yet there are few, if any, well-developed signal processing methods which capitalize on or model these effects. We begin by summarizing evidence of the importance of modulation representations from psychophysical, physiological, and other sources. The concept of a two-dimensional joint acoustic and modulation frequency representation is proposed. A simple single sinusoidal amplitude modulator of a sinusoidal carrier is then used to illustrate properties of an unconstrained and ideal joint representation. Added constraints are required to remove or reduce undesired interference terms and to provide invertibility. It is then noted that the constraints would also apply to more general and complex cases of broader modulation and carriers. Applications in single-channel speaker separation and in audio coding are used to illustrate the applicability of this joint representation. Other applications in signal analysis and filtering are suggested.


    Loudon, Janice K


    The patellofemoral joint is a joint that can be an area of concern for athletes of various sports and ages. The joint is somewhat complex with multiple contact points and numerous tissues that attach to the patella. Joint forces are variable and depend on the degree of knee flexion and whether the foot is in contact with the ground. The sports medicine specialist must have a good working knowledge of the anatomy and biomechanics of the patellofemoral joint in order to treat it effectively.

  1. Magnetic resonance evidence of joint effusion in patients with temporomandibular joint disorders

    Energy Technology Data Exchange (ETDEWEB)

    Ko, Jee Young; Kim, Kee Deog; Park, Chang Seo [Yonsei Univ. College of Dentistry, Seoul (Korea, Republic of)


    The purpose of this study was to find the relationship among the joint status, pain and effusion in patients with temporomandibular joint disorders. Materials included 406 patients (812 joints) with clinical records and bilateral TMJ MRIs in TMJ clinic, Yongdong Severance Hospital. All joints were classified in 4 groups in MR images according to the disc status of joint; normal disc position, disc displacement with reduction (DDsR), and also 2 groups according to the bony status of joint; normal bony structure and osteoarthrosis. MR evidence of joint effusion was categorized in 4 groups according to its amount. To determine the relationship between joint pain and joint effusion, 289 patients with unilateral TMJ symptoms were selected from total materials. Joint effusion was found 8.0% in normal disc position, 32.6% in DDcR, and 59.2% in DDsR (83.1% in early state and 23.1% in late stage). Joint effusion was found 39.7% in osteoarthrosis and 35.0% in normal bony structure. Joint effusion was more found in the painful joints (49.8%) than in the painless joints (22.4%) (p<0.001). Joint effusion in the early stage of DDsR only was more found significantly in painful joints (91.9%) than in painless joints (62.1%) (p<0.001). MR evidence of joint effusion might be related to disc displacement regardless of the presence of osteoarthrosis, and the early stage of DDsR was found more frequently combined with joint effusion and joint pain.

  2. Adhesively bonded single lap joint of composites

    Directory of Open Access Journals (Sweden)

    Peter Alvarado Prieto


    Full Text Available A study of single lap joints of composite materials with and without attachments is presented. Failure of this type of joint is caused by the high peel stress in a perpendicular direction presented in the geometric singularity. It is shown that the joint strength is affected by factors such as surface preparation, the adhesive curing process and cleaning. The two configurations, with and without attachments, are compared. It is shown that the single lap joint with attachment has a higher strength than the joint without attachments when no fillet is left on the geometrical singularity. However, because of the low increase in joint strength and the complexity of manufacturing, the choice of type of joint is left to the manufacturer's judgment.

  3. Dynamic Analyses Including Joints Of Truss Structures (United States)

    Belvin, W. Keith


    Method for mathematically modeling joints to assess influences of joints on dynamic response of truss structures developed in study. Only structures with low-frequency oscillations considered; only Coulomb friction and viscous damping included in analysis. Focus of effort to obtain finite-element mathematical models of joints exhibiting load-vs.-deflection behavior similar to measured load-vs.-deflection behavior of real joints. Experiments performed to determine stiffness and damping nonlinearities typical of joint hardware. Algorithm for computing coefficients of analytical joint models based on test data developed to enable study of linear and nonlinear effects of joints on global structural response. Besides intended application to large space structures, applications in nonaerospace community include ground-based antennas and earthquake-resistant steel-framed buildings.

  4. A systematic review of sacroiliac joint interventions. (United States)

    McKenzie-Brown, Ann Marie; Shah, Rinoo V; Sehgal, Nalini; Everett, Clifford R


    The sacroiliac joint is an accepted source of low back pain with or without associated lower extremity symptoms. The diagnosis and management of sacroiliac joint pain and the role of interventional techniques have been controversial. To evaluate the clinical usefulness of sacroiliac joint interventions in the diagnosis and management of sacroiliac joint pain. A systematic review using the criteria as outlined by the Agency for Healthcare Research and Quality (AHRQ), Cochrane Review Group Criteria, and QUADAS criteria for diagnostic studies. The databases of EMBASE and MEDLINE (1966 to November 2004), and Cochrane Review were searched. The searches included systematic reviews, narrative reviews, prospective and retrospective studies, and cross-references from articles reviewed. The search strategy included sacroiliac joint pain and dysfunction, sacroiliac joint injections, interventions, and radiofrequency. The results of this systematic evaluation showed that for diagnostic purposes, there is moderate evidence showing the accuracy of comparative, controlled local anesthetic blocks. Prevalence of sacroiliac joint pain was demonstrated to be 10% to 19% by a double block paradigm. The false-positive rate of single, uncontrolled, sacroiliac joint injections was reported as 20%.For therapeutic purposes intraarticular sacroiliac joint injections with steroid and radiofrequency neurotomy were evaluated. Based on this review, there was moderate evidence for short-term and limited evidence for long-term relief with intraarticular sacroiliac joint injections. Evidence for radiofrequency neurotomy in managing sacroiliac joint pain was limited or inconclusive. The evidence for the specificity and validity of diagnostic sacroiliac joint injections was moderate.The evidence for therapeutic intraarticular sacroiliac joint injections was limited to moderate. The evidence for radiofrequency neurotomy in managing chronic sacroiliac joint pain was limited.

  5. Joint Modeling of Disease Pairs

    Directory of Open Access Journals (Sweden)

    Gergely TÓTH


    Full Text Available Aim: Exploring the spatial patterns in joint distribution of incidences of two diseases. Material and method: A Poisson-Binomial regression model was used in analysing hospitalisation counts data in Hungary, 2008. Model parameters were estimated by MCMC implemented in WinBUGS. Results: Spatial patterns of laryngeal and hypopharyngeal cancer differ significantly from that of their ratio. Conclusion: The Poisson-Binomial model proposed here might help clarify us the different spatial dependencies of the sum and the ratio of incidences of two diseases.

  6. Impact Tests of Welded Joints (United States)


    La Soci&i des Ingenieurs Soudeurs and ITn- stitut de Soudure Autogene drawn up for adoption in January 1936.3 The specimens adopted. Fig. 3, are...Specification of the Joint Commission of Society des Ingenieurs Soudeurs and Institut de Soudure Autogene, 1935. Rev. Solid. Anlog., J7, (257), 2-10 July...34, 1413-1422 and 1521-1525 (1925). " Kleiner, H., and Bossen, K., Autog. Melallb.,37, 131-139 (1934). ’» Keel, C F., J’l. de la Soudure . 22, 12-13

  7. Solder joint technology materials, properties, and reliability

    CERN Document Server

    Tu, King-Ning


    Solder joints are ubiquitous in electronic consumer products. The European Union has a directive to ban the use of Pb-based solders in these products on July 1st, 2006. There is an urgent need for an increase in the research and development of Pb-free solders in electronic manufacturing. For example, spontaneous Sn whisker growth and electromigration induced failure in solder joints are serious issues. These reliability issues are quite complicated due to the combined effect of electrical, mechanical, chemical, and thermal forces on solder joints. To improve solder joint reliability, the science of solder joint behavior under various driving forces must be understood. In this book, the advanced materials reliability issues related to copper-tin reaction and electromigration in solder joints are emphasized and methods to prevent these reliability problems are discussed.

  8. Hallux interphalangeal joint range of motion in feet with and without limited first metatarsophalangeal joint dorsiflexion. (United States)

    Munuera, Pedro V; Trujillo, Piedad; Güiza, Israel


    This work was designed to assess the degree of correlation between hallux interphalangeal joint and first metatarsophalangeal joint dorsiflexion and to compare the mobility of the hallux interphalangeal joint between participants with and without limited first metatarsophalangeal joint dorsiflexion (hallux limitus). Dorsiflexion of the hallux interphalangeal joint was measured in 60 normal feet and in 60 feet with hallux limitus to find correlations with first metatarsophalangeal joint dorsiflexion with the Spearman correlation coefficient and a simple linear regression equation. In addition, movement of the hallux interphalangeal joint was compared between normal and hallux limitus feet with the Mann-Whitney U test. Significant differences were found between the groups in mean ± SD interphalangeal joint dorsiflexion (control group: 1.17° ± 2.50° ; hallux limitus group: 10.65° ± 8.24° ; P dorsiflexion and hallux interphalangeal joint dorsiflexion (ρ = -0.766, P dorsiflexion = 27.17 - 0.381 × first metatarsophalangeal joint dorsiflexion. Hallux interphalangeal joint dorsiflexion was greater in feet with hallux limitus than in normal feet. There was a strong inverse correlation between first metatarsophalangeal joint dorsiflexion and hallux interphalangeal joint dorsiflexion.

  9. Flat H Frangible Joint Evolution (United States)

    Diegelman, Thomas E.; Hinkel, Todd J.; Benjamin, Andrew; Rochon, Brian V.; Brown, Christopher W.


    Space vehicle staging and separation events require pyrotechnic devices. They are single-use mechanisms that cannot be tested, nor can failure-tolerant performance be demonstrated in actual flight articles prior to flight use. This necessitates the implementation of a robust design and test approach coupled with a fully redundant, failure-tolerant explosive mechanism to ensure that the system functions even in the event of a single failure. Historically, NASA has followed the single failure-tolerant (SFT) design philosophy for all human-rated spacecraft, including the Space Shuttle Program. Following the end of this program, aerospace companies proposed building the next generation human-rated vehicles with off-the-shelf, non-redundant, zero-failure-tolerant (ZFT) separation systems. Currently, spacecraft and launch vehicle providers for both the Orion and Commercial Crew Programs (CCPs) plan to deviate from the heritage safety approach and NASA's SFT human rating requirements. Both programs' partners have base-lined ZFT frangible joints for vehicle staging and fairing separation. These joints are commercially available from pyrotechnic vendors. Non-human-rated missions have flown them numerous times. The joints are relatively easy to integrate structurally within the spacecraft. In addition, the separation event is debris free, and the resultant pyro shock is lower than that of other design solutions. It is, however, a serious deficiency to lack failure tolerance. When used for critical applications on human-rated vehicles, a single failure could potentially lead to loss of crew (LOC) or loss of mission (LOM)). The Engineering and Safety & Mission Assurance directorates within the NASA Johnson Space Center took action to address this safety issue by initiating a project to develop a fully redundant, SFT frangible joint design, known as the Flat H. Critical to the ability to retrofit on launch vehicles being developed, the SFT mechanisms must fit within the same

  10. Thermal treatment of dissimilar steels' welded joints (United States)

    Nikulina, A. A.; Denisova, A. S.; Gradusov, I. N.; Ryabinkina, P. A.; Rushkovets, M. V.


    In this paper combinations of chrome-nickel steel and high-carbon steel, produced by flash butt welding after heat treatment, are investigated. Light and electron microscopic studies show that the welded joints after heat treatment have a complex structure consisting of several phases as initial welded joints. A martensite structure in welded joints after thermal treatment at 300... 800 °C has been found.

  11. A Model for Joint Software Reviews (United States)


    DSTO-TR-0735 1. Introduction Joint software reviews form an important part of the Defence Acquisition Process [MIL-STD-1521B, 1985; MIL-STD-498, 1994...This section provides an introduction to software reviews by comparing inspections and joint software reviews. Joint software reviews were chosen for...Decision Making ( MCDM ) system and discusses the conflict between the objectives [Ulkucu, 1989]. There are several classes of system objectives, and conflict

  12. Athletes’ Shoulder Joints Traumas Manual Therapy Rehabilitation

    Directory of Open Access Journals (Sweden)

    A.N. Sykhorychko


    Full Text Available The examination of 60 athletes, aged 18-30, suffering from chronic pains in shoulder joints was conducted. So, 20 women and 20 men were engaged in track and field and team sports, 15 in weightlifting and strength sports, 5 women in strength sports. Shoulder Joints Traumas Manual Therapy enables to reduce pain syndrome, restore shoulder joint flexibility, normalize trophism after trauma and normalize cervicothoracic transition biomechanics.

  13. The Complex Leadership Challenges of Joint Basing (United States)


    organization, the leadership and mission accomplishment. Endnotes 1 Otto Kreisher, The Quest for Jointness, Air Force September 2001 ... Leadership , 8. 37 Ibid. 38 Colonel John Wood, e-mail message to author, December 18, 2012. 39 Kotter , Leading Change, 62. 40 Boland, “Joint Returns...The Complex Leadership Challenges of Joint Basing by Colonel William S. Galbraith United States Army

  14. Internationale joint ventures - udvalgte selskabsretlige problemstillinger

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig


    Artiklen behandler en række problemstillinger som er særlige for joint ventures stiftet i selskaber af aktie-, anpartsselskabstypen. Bl.a. behandles en række problemer omkring joint venture aftalens forhold til selskabets vedtægter samt en række problemstillinger knyttet til det forhold at der er...... etableret fælles kontrol over joint venture selskabet....

  15. How exercise influences equine joint homeostasis. (United States)

    Te Moller, Nikae C R; van Weeren, P René


    The maintenance of joint homeostasis is integral to joint health. Knowledge of the influence of exercise on joint homeostasis is not only relevant for determining sustainable levels of equine athletic training, but also for the study of early development of osteoarthritis or cartilage repair in animal models. This review provides an overview of findings derived from in vivo studies and postmortem analyses investigating exercise effects on various joint tissue components in the horse, supplemented where appropriate with data from small animal models. The concept of joint homeostasis and possible methods to quantify this are also discussed, with special attention to the potential benefits and pitfalls of biomarker analysis in synovial fluid. The main conclusion is that biomechanical loading in the form of deliberate exercise has a major influence on the delicate homeostatic balance within the tissues constituting the diarthrodial joint and on their interactions, which is crucial for proper and durable joint function. The amount and intensity of exercise can have a lasting effect on tissue characteristics in juvenile animals, but affects joint homeostasis in mature animals and can affect the delicate balance between physiologic adaptation and development of pathology. Biomarkers in synovial fluid can be helpful in assessing joint homeostasis, but their use and interpretation require caution and are often far from straightforward. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Therapeutic efficacy of facet joint blocks. (United States)

    Gorbach, Christoph; Schmid, Marius R; Elfering, Achim; Hodler, Juerg; Boos, Norbert


    The objective of our study was to investigate outcome predictors of short- and medium-term therapeutic efficacy of facet joint blocks. Forty-two patients with chronic lower back pain who were undergoing facet joint blocks at one (n = 29) or two (n = 13) levels were analyzed. All patients underwent MRI or CT of the lumbar spine within 5 months before the facet joint blocks. The facet joint blocks were performed under fluoroscopic guidance. A small amount ( 1 week) and medium-term effect (> 3 months), were collected by a structured telephone interview. CT and MRI were reviewed with regard to the extent of facet joint abnormalities. Multiple logistic regression analyses were conducted to identify outcome predictor for efficacy of facet joint blocks. A positive immediate effect was seen in 31 patients (74%). A positive medium-term effect was found in 14 patients (33%). Pain alleviated by motion (p = 0.035) and the absence of joint-blocking sensation (p = 0.042) predicted pain relief. However, the extent of facet joint osteoarthritis on MRI and CT was not a significant predictor for outcome (p = 0.57-0.95). Facet joint blocks appear to have a beneficial medium-term effect in one third of patients with chronic lower back pain and may therefore be a reasonable adjunct to nonoperative treatment. However, outcome appears to depend on clinical, not on morphologic, imaging findings.

  17. Degenerative joint disease in female ballet dancers. (United States)

    van Dijk, C N; Lim, L S; Poortman, A; Strübbe, E H; Marti, R K


    The relationship between long-term ballet dancing and eventual arthrosis of the hip, ankle, subtalar, and first metatarsophalangeal joint was examined in 19 former professional female dancers, aged 50 to 70 years. The dancers were compared with pair-matched controls. All 38 women underwent medical history taking, clinical examination, and roentgenography of the joints studied. The roentgenographs were independently judged by two investigators and grouped according to a modified classification of Hermodsson. We found a statistically significant increase in roentgenologic arthrosis of the ankle, subtalar, and first metatarsophalangeal joints in the ballet group compared with the control group. There was no significant difference regarding degenerative changes of the hip joint. However, subjects in the dance group who had evidence of degenerative changes on roentgenographs had no clinical complaints. There was a statistically significant increase in hallux valgus deformity in the ballet group (P < 0.05). The dancers also showed a statistically significant increase in flexion, external rotation, and abduction of the hip joint, dorsal flexion of the first metatarsophalangeal joint, and inversion and eversion of subtalar joint. But the control group had statistically significant increased plantar flexion of the first metatarsophalangeal joint. The most important cause of the statistically significant increase of arthrosis of the ankle and first metatarsophalangeal joints must be explained by repetitive microtrauma.

  18. Arthroscopy of the coxofemoral joint of foals. (United States)

    Honnas, C M; Zamos, D T; Ford, T S


    An arthroscopic procedure for examination of the coxofemoral joint was developed in nine foals (four cadavers, five anesthetized) to determine if access was sufficient for evaluation and surgical treatment of intra-articular lesions. The joint was distended and the arthroscope inserted through the notch (incisura trochanterica) between the cranial and caudal parts of the greater trochanter. This portal allowed examination of the cranial, lateral, and caudal aspects of the joint. Mechanical distraction of the joint through an instrument portal located 2 to 4 cm cranial and 1 to 2 cm ventral to the arthroscope portal allowed examination of the ligament of the head of the femur, the femoral head, and articular and nonarticular surfaces of the acetabulum. Adduction and rotation of the limb improved visualization of the craniomedial and caudomedial portions of the femoral head. Traction applied to the distal limb allowed visualization of the same structures that were observed when mechanical distraction was used. Traction also created space for placement of surgical instruments into the joint through the instrument portal. Access to most regions of the joint was adequate, but access to the caudal and medial aspects of the joint was limited. Three foals were killed while they were anesthetized, and their coxofemoral joints were dissected. Two foals were allowed to recover from anesthesia and were observed for 30 days after surgery. One foal was mildly lame for 2 days after surgery. The other foal was not lame after surgery. The incisions healed, and the coxofemoral joints were radiographically normal by postoperative day 30.

  19. Joint Global Change Research Institute (JGCRI) (United States)

    Federal Laboratory Consortium — The Joint Global Change Research Institute (JGCRI) is dedicated to understanding the problems of global climate change and their potential solutions. The Institute...

  20. Space shuttle SRM field joint: Review paper


    S. Mohammad Gharouni; Hamid M. Panahiha; Jafar Eskandari Jam


    Due to Challenger space shuttle accident in 1986, significant research has been done concerning structural behavior of field joints in solid rocket boosters (SRB). The structural deformations between the clevis inner leg and the tang (male-to-female parts of joint), the sealing of the O-ring to prevent the hot gas in joints, has been neglected causing the failure of the vehicle. Redesigning the field joint in SRB engine by accurate analysis of dynamic and thermal loads and by design of insula...

  1. Failure Assessment Diagram for Titanium Brazed Joints (United States)

    Flom, Yury; Jones, Justin S.; Powell, Mollie M.; Puckett, David F.


    The interaction equation was used to predict failure in Ti-4V-6Al joints brazed with Al 1100 filler metal. The joints used in this study were geometrically similar to the joints in the brazed beryllium metering structure considered for the ATLAS telescope. This study confirmed that the interaction equation R(sub sigma) + R(sub Tau) = 1, where R(sub sigma) and R(sub Tau)are normal and shear stress ratios, can be used as conservative lower bound estimate of the failure criterion in ATLAS brazed joints as well as for construction of the Failure Assessment Diagram (FAD).

  2. 21 CFR 26.73 - Joint Committee. (United States)


    ... OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS... Committee shall make its decisions by unanimous consent. The Joint Committee shall determine its own rules...


    NARCIS (Netherlands)

    Dijkstra, P.U.; DEBONT, L.G.M.; VANDERWEELE, L.T.; Boering, G.

    The purpose of this paper was to study the relationship between temporomandibular joint (TMJ) mobility and mobility of joints and to study the general character of joint mobility in 83 subjects, 55 females and 28 males (mean age 26.7, range 13-46 years). The subjects were recruited from the

  4. Joint torques and dynamic joint stiffness in elderly and young men during stepping down

    NARCIS (Netherlands)

    Lark, S.D.; Buckley, J.G.; Bennett, S.; Jones, D.A.; Sargeant, A.J.


    Objective. To compare the joint torque pattern and dynamic joint stiffness at the knee and ankle in elderly and young men during stepping down. Background. Adequate joint stiffness is critical during the single support phase to control forward and downward body momentum. Design. Six active elderly

  5. Complications Related to Metal-on-Metal Articulation in Trapeziometacarpal Joint Total Joint Arthroplasty

    DEFF Research Database (Denmark)

    Frølich, Christina; Hansen, Torben Bæk


    Adverse reactions to metal-on-metal (MoM) prostheses are well known from total hip joint resurfacing arthroplasty with elevated serum chrome or cobalt, pain and pseudo tumor formation. It may, however, also be seen after total joint replacement of the trapeziometacarpal joint using MoM articulation...

  6. Computational Intelligence : International Joint Conference

    CERN Document Server

    Dourado, António; Rosa, Agostinho; Filipe, Joaquim; Kacprzyk, Janusz


    The present book includes a set of selected extended papers from the fifth International Joint Conference on Computational Intelligence (IJCCI 2013), held in Vilamoura, Algarve, Portugal, from 20 to 22 September 2013. The conference was composed by three co-located conferences:  The International Conference on Evolutionary Computation Theory and Applications (ECTA), the International Conference on Fuzzy Computation Theory and Applications (FCTA), and the International Conference on Neural Computation Theory and Applications (NCTA). Recent progresses in scientific developments and applications in these three areas are reported in this book. IJCCI received 111 submissions, from 30 countries, in all continents. After a double blind paper review performed by the Program Committee, only 24 submissions were accepted as full papers and thus selected for oral presentation, leading to a full paper acceptance ratio of 22%. Additional papers were accepted as short papers and posters. A further selection was made after ...

  7. From Disunited to Joint Action

    Directory of Open Access Journals (Sweden)

    Kaarina Mönkkönen


    Full Text Available Inter-organizational collaboration can be understood as a product of sets of conversations that draw on existing discourses. This article examines one public organization going through a fundamental organizational change. We describe the process of construction of organizational identity after a merger by using a model describing identified forms of interaction: (a formally together, (b unidirectional interaction, (c juxtapositions, (d construction of commonality, and (e the state of joint action. There is a link between the construction of a more collectively interpreted identity and the way in which people communicate, create relationships, and network. This article highlights the relevance and meaning of conscious identity work in the process: The management’s ability and willingness to create forums for dialogue and social interaction creates potential for construction of a collectively interpreted organizational identity and promotes cooperation and collaboration.

  8. Tuberculosis of the Sternoclavicular Joint

    Directory of Open Access Journals (Sweden)

    Pratima Khare


    Full Text Available Tuberculosis may affect almost every part of the body. However, it is very uncommon for tuberculosis to involve the sternoclavicular joint. Demonstration of acid-fast bacilli, which is the gold standard for diagnosis, is extremely rare in these lesions. Diagnosis is usually based on demonstration of granulomas on histopathology. Good radiographs and imaging studies are supportive for diagnosis. We report a case of 32-year-old male who presented with a tender swelling over the medial end of the clavicle with a sinus and signs of inflammation. The fine needle aspiration of the lesion demonstrated acid-fast bacilli on Ziehl–Neelsen staining. The patient was put on antitubercular chemotherapy for 1 year and made an uneventful recovery.

  9. Osteonecrosis in the knee joint

    Energy Technology Data Exchange (ETDEWEB)

    Poeschl, M.


    The following forms are discussed: spontaneous osteonecrosis (Ahlbaeck's necrosis), which extends subchondrally into one of the femur condyles. It usually occurs in older patients, especially females. Blunt trauma may cause similar lesions. These often occur with cartilage and bone avulsions (flake fractures), which are often diagnosed much later (arthroscopy). Patellar chondropathy is increasing in frequency due to more intensive participation in sports. Pain localized at the apex of the patella (patellar apex syndrome) can develop from chondropathy, tendon lesions or primary juvenile necrosis of the patellar apex. Gas emboli occur near the knee joint during deep sea diving. Similar cartilage infarctions are seen in many hemoglobinopathies. The incidence of this is increasing due to the increased number of people immigrating from regions where these diseases are common. We have also observed vascular juvenile lesions of the epi- and metaphyses in Klippel-Trenaunay-Weber's syndrome. Their radiological appearance is similar to that of necroses.

  10. Computational Intelligence : International Joint Conference

    CERN Document Server

    Rosa, Agostinho; Cadenas, José; Dourado, António; Madani, Kurosh; Filipe, Joaquim


    The present book includes a set of selected extended papers from the sixth International Joint Conference on Computational Intelligence (IJCCI 2014), held in Rome, Italy, from 22 to 24 October 2014. The conference was composed by three co-located conferences:  The International Conference on Evolutionary Computation Theory and Applications (ECTA), the International Conference on Fuzzy Computation Theory and Applications (FCTA), and the International Conference on Neural Computation Theory and Applications (NCTA). Recent progresses in scientific developments and applications in these three areas are reported in this book. IJCCI received 210 submissions, from 51 countries, in all continents. After a double blind paper review performed by the Program Committee, 15% were accepted as full papers and thus selected for oral presentation. Additional papers were accepted as short papers and posters. A further selection was made after the Conference, based also on the assessment of presentation quality and audience in...

  11. Composite pipe to metal joint

    Energy Technology Data Exchange (ETDEWEB)

    Leslie, James C.; Leslie, II, James C.; Heard, James; Truong, Liem V.; Josephson, Marvin


    A method for making a metal to composite tube joint including selecting an elongated interior fitting constructed with an exterior barrel, reduced in exterior diameter to form a distally facing annular shoulder and then projecting still further distally to form an interior sleeve having a radially outwardly facing bonding surface. Selecting an elongated metal outer sleeve formed proximally with a collar constructed for receipt over the barrel and increased in interior diameter and projecting distally to form an exterior sleeve having a radially inwardly facing bonding surface cooperating with the first bonding surface to form an annulus receiving an extremity of a composite tube and a bond bonding the extremity of the tube to the bonding surfaces.

  12. Pain in the hip joint

    Directory of Open Access Journals (Sweden)

    Yuri Aleksandrovich Olyunin


    Full Text Available Pathological changes that develop in the hip joints (HJ have different origins and mechanisms of development, but their main manifestation is pain. The nature of this pain cannot be well established on frequent occasions. The English-language medical literature currently classifies such disorders as greater trochanter pain syndrome (GTPS. Its major signs are chronic pain and local palpatory tenderness in the outer part of HJ. The development of GTPS may be associated with inflammation of the synovial bursae situated in the greater tronchanter, as well as with tendinitis, myorrhexis, iliotibial band syndrome, and other local changes in the adjacent tissues or with systemic diseases. So GTPS may be characterized as regional pain syndrome that frequently mimics pain induced by different diseases, including myofascial pain syndrome, osteoarthrosis, spinal diseases, etc.

  13. [Temporomandibular joint, occlusion and bruxism]. (United States)

    Orthlieb, J D; Ré, J P; Jeany, M; Giraudeau, A


    Temporomandibular joint and dental occlusion are joined for better and worse. TMJ has its own weaknesses, sometimes indicated by bad functional habits and occlusal disorders. Occlusal analysis needs to be addressed simply and clearly. The term "malocclusion" is not reliable to build epidemiological studies, etiologic mechanisms or therapeutic advice on this "diagnosis". Understanding the impact of pathogenic malocclusion is not just about occlusal relationships that are more or less defective, it requires to locate them within the skeletal framework, the articular and behavioural context of the patient, and above all to assess their impact on the functions of the masticatory system. The TMJ-occlusion couple is often symbiotic, developing together in relation to its environment, compensating for its own shortcomings. However, a third partner may alter this relationship, such as bruxism, or more generally oral parafunctions, trauma or an interventionist practitioner. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  14. Alloplasty of the humeral joint. (United States)

    Górecki, Andrzej; Struzik, Sławomir


    Background. Since 1980's, shoulder arthroplasty has become more oftenly performed procedure, and for severe comminuted fractures of proximal humerus (fou r- fragmented fractures, according to Neer's classification) has become first - line therapeutic option. At the beginnig of 90's, contemporary prinicples of shoulder arthroplasty were introduced. It is assumed that 4 mechanical parameters, i.e. range of motion, joint stability, strengh and smoothness of prosthesis components contribute to shoulder function, and we sholud reach toward their reconstruction during surgical procedure. Material and Methods. In our Department from 1995 to1999 we performed 14 shoulder hemiarthroplasties using Bio-Modular prosthesis (12 women and 2 men). Patients' age ranged from 41 to 75 years (average 61.8 years). Indications included: acute comminuted proximal humerus fractures, proximal humerus malunions, and either degenerative arthritis or rheumatoid arthrits of the shoulder. Aftertreatment consisted of passive motions introduced on the first day after an operation, followed by assisted active excercises 4- 6 weeks later, and motions against resistance, allowed 2 months postoperatively. Results. The outcomes were evaluated three years after surgery, and were measured as the score in the Constant scale and as subjective patients' assesments. Improvement was seen as an increase from average 28.3 preoperative Constant score, to 60.3 postoperatively. Subjectively, excellent outcome was reported by 4 patients, good - by 7, and fair by 2 patients. Conclusions. Our experience shows that whereas indications to shoulder artrhroplasty are not frequent in cases of fractures or orthopedic conditions of the affected region, in properly selected group of patients this procedure is effective treatment option, alleviating pain and allowing for regaining well - functioning joint, but long-lasting, at leats one-year long rehabilitation programm after surgery is mandatory.

  15. 46 CFR 56.30-20 - Threaded joints. (United States)


    ... 46 Shipping 2 2010-10-01 2010-10-01 false Threaded joints. 56.30-20 Section 56.30-20 Shipping... APPURTENANCES Selection and Limitations of Piping Joints § 56.30-20 Threaded joints. (a) Threaded joints may be... other than taper pipe threads may be used for piping components where tightness of the joint depends on...

  16. 46 CFR 56.30-5 - Welded joints. (United States)


    ... 46 Shipping 2 2010-10-01 2010-10-01 false Welded joints. 56.30-5 Section 56.30-5 Shipping COAST... Selection and Limitations of Piping Joints § 56.30-5 Welded joints. (a) General. Welded joints may be used..., then: (1) The backing rings shall be removed and the inside of the joint ground smooth, or (2) The...

  17. 46 CFR 56.30-15 - Expanded or rolled joints. (United States)


    ... 46 Shipping 2 2010-10-01 2010-10-01 false Expanded or rolled joints. 56.30-15 Section 56.30-15... APPURTENANCES Selection and Limitations of Piping Joints § 56.30-15 Expanded or rolled joints. (a) Expanded or rolled joints may be used where experience or test has demonstrated that the joint is suitable for the...

  18. Joint Force Quarterly. Number 5, Summer 1994 (United States)


    Editor The Typography and Design Division of the U.S. Government Printing Office is responsible for layout and art direction. Joint Force Quarterly is... menu of joint space force options whose stated purpose is to ensure overall U.S. space superiority. All the services look to the near future when space

  19. Nomenclature and classification of temporomandibular joint disorders

    NARCIS (Netherlands)

    Stegenga, B.


    P>Currently, there are basically two approaches to classification, one based on structural and one on positional changes occurring within the joint. Despite the increase in knowledge of pathologic changes occurring within the temporomandibular joint (TMJ), the disc still seems to be a central issue

  20. A simple design rule for overlap joints

    NARCIS (Netherlands)

    Straalen, IJ.J. van


    For toughened and flexible adhesives it is found that a simple prediction model for overlap joints can be used to calculate the ultimate strength for the static load case. The absolute maximum strength for a lap joint is when the whole of the adhesive layer is at the shear yield strength. An

  1. ECOWindS Joint Action Plan

    DEFF Research Database (Denmark)


    The Joint Action Plan (JAP) is a deliverable of the ECOWindS project Work Package 4 (WP4) “Joint Action Plan”. It presents a plan of action or a roadmap for research, development, and innovation (RDI) for the Offshore Wind Service (OWS) industry. The objective of the JAP is to be an international...

  2. Temporomandibular Joint Disorders and Orofacial Pain. (United States)

    Ahmad, Mansur; Schiffman, Eric L


    Temporomandibular disorders (TMD) affect 5% to 12% of the United States population. This article discusses common conditions related to temporomandibular joints, including disc displacements, inflammatory disturbances, loose joint bodies, traumatic disturbances, and developmental conditions. Also addressed are the appropriate imaging modalities and diagnostic criteria for TMD. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. The joint venture alternative to mergers. (United States)

    Enders, R J


    However, while a joint venture may be "safe" from antitrust challenge, it is not without some practical difficulties, especially with respect to consolidating services at one location or jointly offering services provided at multiple facilities. These practical concerns include: 1. Who will exercise operational management of the joint venture? 2. How will the joint venture deal with different pricing for services that will be provided at multiple locations? 3. What criteria will be used to decide the location at which consolidated tertiary services will be offered? 4. In what circumstances can the joint venture be unwound, either in its entirety or as to discrete functions? When clinical services have been consolidated at one location, there is an appropriate concern by the other hospital that it will be unable to provide or re-enter the market for those services if the joint venture dissolves. These operational concerns, of course, are not addressed in the Consent Decree. Thus, even if a joint venture relationship survives antitrust scrutiny, the parties must still negotiate and resolve these operational issues in order for the joint venture to be viable.

  4. Analysis of Joint Ventures Financial State

    Directory of Open Access Journals (Sweden)

    Alla V. Dmitrenko


    Full Text Available The article describes the basic techniques for the analysis of businesses financial state and methods that were adapted for the joint ventures activities, analyses joint venture financial state, makes conclusions and submits reasonable proposals for improvement of its future activities

  5. Joint Ventures: A New Agenda for Education. (United States)

    Griffin, Dean


    The author states that vocational education can join in partnerships with industry, labor, and government to contribute to economic development. Examples of current programs are included. The "joint venture" concept is explained and ideas for forming joint ventures are shared. (CH)


    Directory of Open Access Journals (Sweden)

    A. G. Baindurashvili


    Full Text Available The frequency of developmental hip dysplasia among newborns and its change with ultrasound application are presented. The ultrasound estimation of coxofemoral joints in children of the first days of life is resulted and the analysis of conformity of the clinical and ultrasonic data is carried out. The tactical algorithm of screening and monitoring of coxofemoral joints is offered.



    A. G. Baindurashvili; I. Y. Chukhraeva


    The frequency of developmental hip dysplasia among newborns and its change with ultrasound application are presented. The ultrasound estimation of coxofemoral joints in children of the first days of life is resulted and the analysis of conformity of the clinical and ultrasonic data is carried out. The tactical algorithm of screening and monitoring of coxofemoral joints is offered.

  8. Joint local quasinilpotence and common invariant subspaces

    Indian Academy of Sciences (India)

    Home; Journals; Proceedings – Mathematical Sciences; Volume 116; Issue 3. Joint Local ... The concept of joint quasinilpotence plays a basic role. Our results complement recent work by ... A Fernández Valles1. Department of Mathematics, University of Cádiz, Avda. de la Universidad, s/n 11402-Jerez de la Frontera, Spain ...

  9. stabilisation of posterior sternoclavicular joint dislocation using

    African Journals Online (AJOL)

    JOINT DISLOCATION USING PALMARIS LONGUS TENDON. AUTOGRAFT: A CASE REPORT. V. M. Mutiso* .... Post operative follow up was uneventful. The skin healed well and she was commenced on physiotherapy with good ... The treatment of posterior sternoclavicular joint dislocation is varied owing to the rarity of the.

  10. Vitamin K, osteoarthritis, and joint pain (United States)

    Osteoarthritis is the leading cause of joint pain and lower extremity disability in older adults and there is no known cure. Vitamin K has been implicated on osteoarthritis because vitamin K dependent proteins are present in joint tissues, such as cartilage and bone. In order to function, vitamin K ...

  11. Behaviour of high strength steel moment joints

    NARCIS (Netherlands)

    Girão Coelho, A.M.; Bijlaard, F.S.K.


    The design of joints to European standard EN 1993 within the semi-continuous/partially restrained philosophy is restricted to steel grades up to S460. With the recent development of high performance steels, the need for these restrictions should be revisited. The semicontinuous joint modelling can

  12. Joint Route Planning under Varying Market Conditions

    NARCIS (Netherlands)

    Cruijssen, F.C.A.M.; Braysy, O.; Dullaert, W.; Fleuren, H.A.; Salomon, M.


    Purpose - To provide empirical evidence on the level of savings that can be attained by joint route planning and how these savings depend on specific market characteristics.Design/methodology/approach - Joint route planning is a measure that companies can take to decrease the costs of their

  13. CHECKing radiographic joint damage in early osteoarthritis

    NARCIS (Netherlands)

    Kinds, M.B.


    Osteoarthritis Osteoarthritis (OA) is the most common joint disease, characterized by pain and functional disability. OA commonly involves the larger joints, with symptomatic knee and hip OA affecting 6% and 3% of the adult population (age 30 years and over), respectively. The prevalence and disease

  14. Cooperative Engineering as a Joint Action (United States)

    Joffredo-Le Brun, Sophie; Morellato, Mireille; Sensevy, Gérard; Quilio, Serge


    This paper describes some elements of a specific kind of design-based research, cooperative engineering. In the first part of the paper, we argue that cooperative engineering can be analyzed through a joint action framework. We first present some conceptual tools that the Joint Action Theory in Didactics proposes in order to understand didactic…

  15. Osteoblastoma crossing the sacro-iliac joint

    Energy Technology Data Exchange (ETDEWEB)

    Whittingham-Jones, Paul; Lehovsky, Jan [Royal National Orthopaedic Hospital, Spinal Surgery, London (United Kingdom); Hughes, Richard; Saifuddin, Asif [Royal National Orthopaedic Hospital, Radiology, London (United Kingdom); Fajinmi, Matilda [Royal National Orthopaedic Hospital, Histopathology, London (United Kingdom)


    Osteoblastoma is a rare primary bone tumour which is well-described in the spine and sacrum. We report a case of histologically confirmed osteoblastoma in a 20-year-old male which crossed the sacroiliac joint. This has not previously been described to our knowledge. The imaging features of osteoblastoma and sacroiliac joint involvement by bone tumours are reviewed. (orig.)

  16. Osteoblastoma crossing the sacro-iliac joint. (United States)

    Whittingham-Jones, Paul; Hughes, Richard; Fajinmi, Matilda; Lehovsky, Jan; Saifuddin, Asif


    Osteoblastoma is a rare primary bone tumour which is well-described in the spine and sacrum. We report a case of histologically confirmed osteoblastoma in a 20-year-old male which crossed the sacroiliac joint. This has not previously been described to our knowledge. The imaging features of osteoblastoma and sacroiliac joint involvement by bone tumours are reviewed.

  17. Joint bleeding in von Willebrand disease

    NARCIS (Netherlands)

    Galen, K.P.M. van


    Von Willebrand disease (VWD) is the most common inherited bleeding disorder occurring in approximately 1/100 people. Until now, joint bleeds did not get much attention in clinical research on VWD, since mucocutaneous bleeding is predominant. However, recurrent joint bleeds lead to arthropathy, the

  18. Joint Force Quarterly. Number 18, Spring 1998 (United States)


    players reveal an entirely different persona when acting as Blue planners trying to cope with a Red CW/BW warplan. They downplay CW/BW effects on Blue...tures a JEL CD–ROM updated monthly by the Joint Doctrine Division (J-7), which welcomes comments and sug- gestions from members of the Joint Staff

  19. The analysis of adhesively bonded advanced composite joints using joint finite elements (United States)

    Stapleton, Scott E.

    The design and sizing of adhesively bonded joints has always been a major bottleneck in the design of composite vehicles. Dense finite element (FE) meshes are required to capture the full behavior of a joint numerically, but these dense meshes are impractical in vehicle-scale models where a course mesh is more desirable to make quick assessments and comparisons of different joint geometries. Analytical models are often helpful in sizing, but difficulties arise in coupling these models with full-vehicle FE models. Therefore, a joint FE was created which can be used within structural FE models to make quick assessments of bonded composite joints. The shape functions of the joint FE were found by solving the governing equations for a structural model for a joint. By analytically determining the shape functions of the joint FE, the complex joint behavior can be captured with very few elements. This joint FE was modified and used to consider adhesives with functionally graded material properties to reduce the peel stress concentrations located near adherend discontinuities. Several practical concerns impede the actual use of such adhesives. These include increased manufacturing complications, alterations to the grading due to adhesive flow during manufacturing, and whether changing the loading conditions significantly impact the effectiveness of the grading. An analytical study is conducted to address these three concerns. Furthermore, proof-of-concept testing is conducted to show the potential advantages of functionally graded adhesives. In this study, grading is achieved by strategically placing glass beads within the adhesive layer at different densities along the joint. Furthermore, the capability to model non-linear adhesive constitutive behavior with large rotations was developed, and progressive failure of the adhesive was modeled by re-meshing the joint as the adhesive fails. Results predicted using the joint FE was compared with experimental results for various

  20. The Interface of Mechanics and Nociception in Joint Pathophysiology: Insights From the Facet and Temporomandibular Joints. (United States)

    Sperry, Megan M; Ita, Meagan E; Kartha, Sonia; Zhang, Sijia; Yu, Ya-Hsin; Winkelstein, Beth


    Chronic joint pain is a widespread problem that frequently occurs with aging and trauma. Pain occurs most often in synovial joints, the body's load bearing joints. The mechanical and molecular mechanisms contributing to synovial joint pain are reviewed using two examples, the cervical spinal facet joints and the temporomandibular joint (TMJ). Although much work has focused on the macroscale mechanics of joints in health and disease, the combined influence of tissue mechanics, molecular processes, and nociception in joint pain has only recently become a focus. Trauma and repeated loading can induce structural and biochemical changes in joints, altering their microenvironment and modifying the biomechanics of their constitutive tissues, which themselves are innervated. Peripheral pain sensors can become activated in response to changes in the joint microenvironment and relay pain signals to the spinal cord and brain where pain is processed and perceived. In some cases, pain circuitry is permanently changed, which may be a potential mechanism for sustained joint pain. However, it is most likely that alterations in both the joint microenvironment and the central nervous system (CNS) contribute to chronic pain. As such, the challenge of treating joint pain and degeneration is temporally and spatially complicated. This review summarizes anatomy, physiology, and pathophysiology of these joints and the sensory pain relays. Pain pathways are postulated to be sensitized by many factors, including degeneration and biochemical priming, with effects on thresholds for mechanical injury and/or dysfunction. Initiators of joint pain are discussed in the context of clinical challenges including the diagnosis and treatment of pain.

  1. The Analysis of Adhesively Bonded Advanced Composite Joints Using Joint Finite Elements (United States)

    Stapleton, Scott E.; Waas, Anthony M.


    The design and sizing of adhesively bonded joints has always been a major bottleneck in the design of composite vehicles. Dense finite element (FE) meshes are required to capture the full behavior of a joint numerically, but these dense meshes are impractical in vehicle-scale models where a course mesh is more desirable to make quick assessments and comparisons of different joint geometries. Analytical models are often helpful in sizing, but difficulties arise in coupling these models with full-vehicle FE models. Therefore, a joint FE was created which can be used within structural FE models to make quick assessments of bonded composite joints. The shape functions of the joint FE were found by solving the governing equations for a structural model for a joint. By analytically determining the shape functions of the joint FE, the complex joint behavior can be captured with very few elements. This joint FE was modified and used to consider adhesives with functionally graded material properties to reduce the peel stress concentrations located near adherend discontinuities. Several practical concerns impede the actual use of such adhesives. These include increased manufacturing complications, alterations to the grading due to adhesive flow during manufacturing, and whether changing the loading conditions significantly impact the effectiveness of the grading. An analytical study is conducted to address these three concerns. Furthermore, proof-of-concept testing is conducted to show the potential advantages of functionally graded adhesives. In this study, grading is achieved by strategically placing glass beads within the adhesive layer at different densities along the joint. Furthermore, the capability to model non-linear adhesive constitutive behavior with large rotations was developed, and progressive failure of the adhesive was modeled by re-meshing the joint as the adhesive fails. Results predicted using the joint FE was compared with experimental results for various

  2. A minimal architecture for joint action

    DEFF Research Database (Denmark)

    Vesper, Cordula; Butterfill, Stephen; Knoblich, Günther


    What kinds of processes and representations make joint action possible? In this paper we suggest a minimal architecture for joint action that focuses on representations, action monitoring and action prediction processes, as well as ways of simplifying coordination. The architecture spells out...... minimal requirements for an individual agent to engage in a joint action. We discuss existing evidence in support of the architecture as well as open questions that remain to be empirically addressed. In addition, we suggest possible interfaces between the minimal architecture and other approaches...... to joint action. The minimal architecture has implications for theorizing about the emergence of joint action, for human-machine interaction, and for understanding how coordination can be facilitated by exploiting relations between multiple agents’ actions and between actions and the environment....

  3. Joint Attention is Slowed in Older Adults. (United States)

    Deroche, Thomas; Castanier, Carole; Perrot, Alexandra; Hartley, Alan


    The automatic propensity to orient to the location where other people are looking is the main way of establishing joint attention with others. Whereas joint attention has been mostly investigated with young adults, the present study examines age-related differences in the magnitude and time course of joint attention. Forty-three community-dwelling seniors and 43 younger adults performed a visuospatial task. The procedures closely follow those of gaze-cueing tasks commonly used to investigate joint attention. The findings revealed that a gaze-cueing effect occurs for both younger and older adults, with an equivalent average magnitude but with different time courses. The effect peaks later in older adults. Age-related differences in joint attention could be linked to a more general cognitive slowing rather than to poorer basic social skills. The present study adds to the growing interest in gerontological research regarding social attention.

  4. Anatomy and histology of the sacroiliac joints. (United States)

    Egund, Niels; Jurik, Anne Grethe


    The anatomy of joints provides an important basis for understanding the nature and imaging of pathologic lesions and their imaging appearance. This applies especially to the sacroiliac (SI) joints, which play a major role in the diagnosis of spondyloarthritis. They are composed of two different joint portions, a cartilage-covered portion ventrally and a ligamentous portion dorsally, and thus rather complex anatomically. Knowledge of anatomy and the corresponding normal imaging findings are important in the imaging diagnosis of sacroiliitis, especially by MR imaging. A certain distinction between the two joint portions by MR imaging is only obtainable by axial slice orientation. Together with a perpendicular coronal slice orientation, it provides adequate anatomical information and thereby a possibility for detecting the anatomical site of disease-specific characteristics and normal variants simulating disease. This overview describes current knowledge about the normal macroscopic and microscopic anatomy of the SI joints. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  5. Two-axis joint assembly and method (United States)

    Le, Thang D. (Inventor); Lewis, James L. (Inventor); Carroll, Monty B. (Inventor)


    In an embodiment, a two-axis joint that utilizes planar reactions to handle moments applied to the side of the joint thereby allowing the device to remain low profile and compact with minimal intrusion to the mounting surface of the two-axis joint. To handle larger moments, the diameter of the planar member can be increased without increasing the overall height of the joint assembly thereby retaining the low profile thereof. Upper and lower antifriction bearings may be positioned within a housing engage the planar member to reduce rotational friction. The upper and lower bearings and a hub which supports the planar member transfer forces produced by moments applied to the side of the joint so as to spread the forces over the area of the housing.

  6. Finite Element Modeling of Cracks and Joints

    Directory of Open Access Journals (Sweden)

    Jozef Čížik


    Full Text Available The application of finite element method to the analysis of discontinuous structural systems has received a considerable interest in recent years. Examples of problems in which discontinuities play a prominent role in the physical behaviour of a system are numerous and include various types of contact problems and layered or jointed systems. This paper gives a state-of-the-art report on the different methods developed to date for the finite element modelling of cracks and joints in discontinuous systems. Particular attention, however, has been given to the use of joint/interface elements, since their application is considered to be most appropriate for modelling of all kinds of discontinuities that may present in a structural system. A chronology of development of the main types of joint elements, including their pertinent characteristics, is also given. Advantages and disadvantages of the individual methods and types of joint elements presented are briefly discussed, together with various applications of interest.

  7. Analysis of NSTX TF Joint Voltage Measurements

    Energy Technology Data Exchange (ETDEWEB)

    R, Woolley


    This report presents findings of analyses of recorded current and voltage data associated with 72 electrical joints operating at high current and high mechanical stress. The analysis goal was to characterize the mechanical behavior of each joint and thus evaluate its mechanical supports. The joints are part of the toroidal field (TF) magnet system of the National Spherical Torus Experiment (NSTX) pulsed plasma device operating at the Princeton Plasma Physics Laboratory (PPPL). Since there is not sufficient space near the joints for much traditional mechanical instrumentation, small voltage probes were installed on each joint and their voltage monitoring waveforms have been recorded on sampling digitizers during each NSTX ''shot''.

  8. DEMES rotary joint: theories and applications (United States)

    Wang, Shu; Hao, Zhaogang; Li, Mingyu; Huang, Bo; Sun, Lining; Zhao, Jianwen


    As a kind of dielectric elastomer actuators, dielectric elastomer minimum energy structure (DEMES) can realize large angular deformations by small voltage-induced strains, which make them an attractive candidate for use as biomimetic robotics. Considering the rotary joint is a basic and common component of many biomimetic robots, we have been fabricated rotary joint by DEMES and developed its performances in the past two years. In this paper, we have discussed the static analysis, dynamics analysis and some characteristics of the DEMES rotary joint. Based on theoretical analysis, some different applications of the DEMES rotary joint were presented, such as a flapping wing, a biomimetic fish and a two-legged walker. All of the robots are fabricated by DEMES rotary joint and can realize some basic biomimetic motions. Comparing with traditional rigid robot, the robot based on DEMES is soft and light, so it has advantage on the collision-resistant.

  9. [Purulent inflammation of the fetlock joint in cattle--treatment by joint resection]. (United States)

    Geishauser, T


    A surgical method for the treatment of purulent inflammation of the fetlock joint in cattle is reported. The method involves opening of the diseased joint and complete removal of diseased tissues (articular resection). Three of four cattle with purulent inflammation of the fetlock joint could be successfully treated using this procedure. Following complete removal of the fetlock joint ossification took place. The use of the limb was little affected in all gait types following the ossification of the fetlock joint. One cow was not healed, since it was not possible to resect the affected tissues completely.

  10. The subtalar joint complex of Australopithecus sediba. (United States)

    Prang, Thomas C


    The hominin talus has figured prominently in previous studies of the functional morphology of the talocrural joint, but the talocalcaneal and talonavicular joints have received comparatively less attention despite their functional importance as components of the subtalar joint complex. An associated complete talus and calcaneus attributed to the Malapa Hominin 2 (MH2) individual of Australopithecus sediba offers the opportunity to evaluate the subtalar joint complex in an early hominin. Furthermore, detailed morphological comparisons of A. sediba to other fossil hominins such as Australopithecus africanus have not yet been conducted. Here I quantify joint curvatures and angular measurements among extant hominoids and fossil hominins to evaluate the functional morphology of the subtalar joint complex of A. sediba. Australopithecus sediba uniquely combines talocalcaneal joint morphology indicative of mobility with specializations of the talonavicular joint that provide medial midtarsal stabilization. Multivariate analyses of talus and calcaneus variables show that A. sediba is most similar to extant gorillas in the morphology of the subtalar joint complex. In contrast, other hominins, such as OH 8, are more similar to modern humans. The morphological similarity between MH2 (U.W. 88-98/99) and specimens from Sterkfontein, Member 4 (StW 88, StW 102, StW 352) in morphologies of the talonavicular and talocalcaneal joints suggests that A. sediba may have possessed a foot that was functionally similar to that of A. africanus. This combination of morphologies in the A. sediba foot is probably derived among hominins and suggests that arboreality may have been adaptively significant for southern African Australopithecus. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Of bugs and joints: the relationship between infection and joints. (United States)

    Espinoza, Luis R; García-Valladares, Ignacio


    The association between microbes and joints has existed since antiquity, and remains complex. Diagnosis is often times difficult to determine despite highly suspicious clinical characteristics for the presence of an underlying infection. Over the several past decades, considerable advances have occurred in diagnostic methodologies and therapy. However, the morbidity and mortality of septic arthritis remains high. Great advances have occurred in the diagnosis, pathogenesis, and therapeutic management of reactive arthritis, and there is evidence that when the responsible microorganism is Chlamydia trachomathis, complete remission and cure is possible. Emergent infections, especially viral, has been recognized, i.e. HIV, hepatitis C, and most recently Chikengunya virus, and in the case of HIV associated articular manifestations, the introduction of HAART has resulted in a decrease in the incidence and development of newer complications such as the immune reconstitution syndrome. The infectious etiology of rheumatoid arthritis is being strongly considered once again, and the exciting association with periodontal disease is at the forefront of intense research. The gut microbiota is also being investigated and new and most interesting data is being gathered of the potential role of commensal gut organisms and the pathogenesis of rheumatoid arthritis. Copyright © 2011 Elsevier España, S.L. All rights reserved.

  12. Effect of Strain Rate on Joint Strength and Failure Mode of Lead-Free Solder Joints (United States)

    Lin, Jian; Lei, Yongping; Fu, Hanguang; Guo, Fu


    In surface mount technology, the Sn-3.0Ag-0.5Cu solder joint has a shorter impact lifetime than a traditional lead-tin solder joint. In order to improve the impact property of SnAgCu lead-free solder joints and identify the effect of silver content on tensile strength and impact property, impact experiments were conducted at various strain rates on three selected SnAgCu based solder joints. It was found that joint failure mainly occurred in the solder material with large plastic deformation under low strain rate, while joint failure occurred at the brittle intermetallic compound layer without any plastic deformation at a high strain rate. Joint strength increased with the silver content in SnAgCu alloys in static tensile tests, while the impact property of the solder joint decreased with increasing silver content. When the strain rate was low, plastic deformation occurred with failure and the tensile strength of the Sn-3.0Ag-0.5Cu solder joint was higher than that of Sn-0.3Ag-0.7Cu; when the strain rate was high, joint failure mainly occurred at the brittle interface layer and the Sn-0.3Ag-0.7Cu solder joint had a better impact resistance with a thinner intermetallic compound layer.

  13. MR assessment of distribution and amount of joint effusion in patients with traumatic knee joint disorders

    Energy Technology Data Exchange (ETDEWEB)

    Ko, Mi Gyoung; Yang, Ik; Lee, Kyung Won; Lee, Yul; Chung, Soo Young; Lee, Kwan Seop; Yoo, Jung Han [Hallym Univ. College of Medicine, Chunchon (Korea, Republic of)


    To clarify the distribution of joint effusion, and the relationship between type of injury and amount of joint effusion seen in traumatic knee joint magnetic resonance imaging (MRI). We retrospectively reviewed the MR images of 400 patients with traumatic knee joint effusion. The knee joint space was divided into four compartments : central portion (para-ACL, para-PCL), suprapatellar pouch, posterior femoral recess, and subpopliteal recess, and we then compared the amount and distribution of effusion. For statistical analysis, the chi-square test was used. Among 400 MRI examinations of joint effusion, 383 knees (96%) showed homogeneous low intensity on T1-weighted images, and - except for ten cases of fluid-fluid levels- homogeneous high intensity on T2-weighted images. Knee joint effusion was clearly shown to be distributed mainly in the suprapatellar pouch (345, 86%), followed by the central posterior femoral recess, and the subpopliteal recess (P<0.001). Extensive joint effusion was less frequently found in the normal group, but was occasionally found in the combined injury group (P<0.001). The relationship between amount of joint effusion and type of injury was statistically significant (P<0.001), except in the case of medial and lateral collateral ligament injury. The distribution of joint effusion in patients with traumatic knee disorders is a reflection of anatomic communication, and whether the amount of joint effusion was small or large depended on the anatomical location and type of injury.

  14. A joint-constraint model for human joints using signed distance-fields

    DEFF Research Database (Denmark)

    Engell-Nørregård, Morten Pol; Abel, Sarah Maria Niebe; Erleben, Kenny


    -constraint models for kinematic figures. Our model is compared to existing joint-constraint models, both in terms of generality and computational cost. The presented method supports joint-constraints of up to three degrees of freedom and works well with sampled motion data. Our model can be extended to handle inter......-joint dependencies, or joints with more than three degrees of freedom. The resolution of the joint-constraints can be tweaked individually for each degree of freedom, which can be used to optimize memory usage. We perform a comparative study of the key-properties of various joint-constraint models, as well...... as a performance study of our model compared to the fastest alternative, the box limit model. The study is performed on the shoulder joint, using a motion captured jumping motion as reference....

  15. A New Method for Determination of Joint Roughness Coefficient of Rock Joints

    Directory of Open Access Journals (Sweden)

    Shigui Du


    Full Text Available The joint roughness coefficient (JRC of rock joints has the characteristic of scale effect. JRC measured on small-size exposed rock joints should be evaluated by JRC scale effect in order to obtain the JRC of actual-scale rock joints, since field rock joints are hardly fully exposed or well saved. Based on the validity analysis of JRC scale effect, concepts of rate of JRC scale effect and effective length of JRC scale effect were proposed. Then, a graphic method for determination of the effective length of JRC scale effect was established. Study results show that the JRC of actual-scale rock joints can be obtained through a fractal model of JRC scale effect according to the statistically measured results of the JRC of small-size partial exposed rock joints and by the selection of fractal dimension of JRC scale effect and the determination of effective length of JRC scale effect.

  16. Estudo tomográfico do atlas relacionado com a inserção de implantes na massa lateral Tomographic study of the atlas concerning screw fixation on lateral mass

    Directory of Open Access Journals (Sweden)

    Max Franco de Carvalho


    Full Text Available INTRODUÇÃO: A técnica de Harms para a realização da artrodese atlantoaxial possibilita o uso de manobras de redução transoperatória da subluxação atlantoaxial e facilita a fixação dessa articulação, principalmente nos pacientes hipercifóticos e nas situações em que há impossibilidade da fixação com o parafuso transarticular C1-C2. OBJETIVOS: descrever os parâmetros morfométricos do atlas relacionados à técnica de Harms para a artrodese C1-C2, o trajeto ideal e o corredor de segurança da inserção do parafuso na massa lateral do atlas mensurados através de imagens de reconstrução multiplanar com tomografia computadorizada helicoidal nos planos. MATERIAIS E MÉTODOS: trinta atlas de origem local foram submetidos a tomografia computadorizada e mensurados com cursor digital. RESULTADOS: o comprimento posteroanterior do implante mediu 16,5 mm à direita e 16,3mm à esquerda. Quando utilizando como ponto de entrada na porção central da massa lateral imediatamente inferior ao arco posterior, o trajeto deve ter uma congruência de 15º no plano coronal e uma angulação superior de 20º no plano sagital. CONCLUSÃO: O corredor de segurança para um parafuso na massa lateral teria uma inclinação inferior de 22º e superior de 33º no plano sagital e no plano axial de 36º medial e 26º lateral.INTRODUCTION: Harms's technique for atlanto-axial arthrodesis fusion makes possible the use of intraoperative reduction maneuvers of the atlanto-axial dislocation and facilitates the fixation of this joint, especially in hiperkyphotic patients and in situations where the fixation with transarticular screw on C1-C2 segment is impossible. OBJECTIVE: to describe the morphometric parameters of atlases related to the Harms's technique for atlanto-axial arthrodesis, the optimal path and the safety aisle for screw insertion into atlas' lateral mass measured with multiplanar reconstruction imaging with helical computed tomography scan at

  17. Rheumatoid Arthritis Pain: Tips for Protecting Your Joints (United States)

    Rheumatoid arthritis pain: Tips for protecting your joints Use these joint protection techniques to help you stay in control of your rheumatoid arthritis pain. By Mayo Clinic Staff Joint protection is ...

  18. Joint ventures: to pursue or not to pursue? (United States)

    Blaszyk, Michael D; Hill-Mischel, Jody


    Hospitals should carefully select joint venture partners. The joint venture evaluation process should involve a high-level screen of strategic opportunities. Hospitals should develop a full business plan for the joint venture.

  19. Progressive Damage Analysis of Bonded Composite Joints (United States)

    Leone, Frank A., Jr.; Girolamo, Donato; Davila, Carlos G.


    The present work is related to the development and application of progressive damage modeling techniques to bonded joint technology. The joint designs studied in this work include a conventional composite splice joint and a NASA-patented durable redundant joint. Both designs involve honeycomb sandwich structures with carbon/epoxy facesheets joined using adhesively bonded doublers.Progressive damage modeling allows for the prediction of the initiation and evolution of damage within a structure. For structures that include multiple material systems, such as the joint designs under consideration, the number of potential failure mechanisms that must be accounted for drastically increases the complexity of the analyses. Potential failure mechanisms include fiber fracture, intraply matrix cracking, delamination, core crushing, adhesive failure, and their interactions. The bonded joints were modeled using highly parametric, explicitly solved finite element models, with damage modeling implemented via custom user-written subroutines. Each ply was discretely meshed using three-dimensional solid elements. Layers of cohesive elements were included between each ply to account for the possibility of delaminations and were used to model the adhesive layers forming the joint. Good correlation with experimental results was achieved both in terms of load-displacement history and the predicted failure mechanism(s).

  20. Improving joint pain and function in osteoarthritis. (United States)

    Owens, Claire; Conaghan, Philip G


    Osteoarthritis has become a major chronic pain condition. It affects more than 10% of adults and accounts for almost 10% of health service resources. The impact of osteoarthritis is amplified by underuse of effective muscle strengthening exercises and a focus on often less effective and poorly tolerated analgesic therapies. Although traditionally considered to be primarily a disease of cartilage, there is now ample evidence that typical clinical osteoarthritis involves multiple tissue pathologies. Increased BMI is associated with a higher incidence of knee osteoarthritis. Anatomical abnormalities such as valgus alignment or previous joint trauma including meniscectomy, anterior cruciate ligament rupture and fracture through the joint are also associated with increased incidence of osteoarthritis. Pain is the main presenting symptom. However, we still have a poor understanding of the causes of pain in osteoarthritis. In patients aged 45 or over the diagnosis should be made clinically without investigations if the patient has activity-related joint pain in addition to early morning joint stiffness lasting less than 30 minutes. Muscle strengthening and aerobic exercise have been shown to improve joint pain and function. Weight loss not only improves joint pain and function but has a myriad of other health benefits, reducing the incidence of lifestyle associated diseases such as cardiovascular disease and type 2 diabetes, and mechanical stress on the joints.

  1. [Biomechanical modelling of the wrist joint]. (United States)

    Eschweiler, J; Allmendinger, F; Stromps, J P; Nick, H E; Pallua, N; Radermacher, K


    The hand represents one of the most complex joint mechanisms of the human body. The hand is also an important communication medium. The spectrum of today's hand injuries reaches from minor damage up to complex traumata with loss of several functional aspects. Enormous subsequent economic costs result. The therapeutic re-establishment of the equilibrium between maximum stress and the actual applied stress is the condition for a lifelong joint function. A literature review about biomechanical wrist models was realised. The previous models found in the literature were systematically analysed as well as verifying their suitability for clinical use regarding pathological changes, therapy approaches and modelling/simulation approaches, respectively, of wrist injuries. The return of the wrist joint biomechanics to the normal condition is a key factor for a successful therapy. Furthermore, it is important for the re-establishment of an unimpaired joint function. Currently, there exist only simplified descriptions and models of the wrist joint, approximated by technical joints and furthermore, they are partially contradictory. Therefore, no uniform validated biomechanical wrist model exists as yet. Regarding the arising complex clinical problems, however, a valid biomechanical wrist joint model would be necessary as assistance, in order to improve the success of systematised therapies on the basis of computer-aided model-based planning and intervention. Georg Thieme Verlag KG Stuttgart · New York.

  2. Coracoclavicular joint in a patient with cervicobrachialgy

    Directory of Open Access Journals (Sweden)

    Eraclio Delgado Rifá


    Full Text Available The coracoclavicular joint is a rare anomaly of the shoulder; it is described as a diarthrosic synovial joint between the clavicle and the coracoid process. This is a case of a 49-year-old dentist patient who came to the hospital complaining of pain on the right shoulder with an X-ray study that showed an anomalous joint between conoid tubercle of the clavicle and the upper surface of the horizontal part of the coracoid apophysis of the scapula. A comparative shoulder view was done and showed the bilateral presence of the anomaly, making inferences that the pain on the shoulder could be caused by this joint anomaly. Subsequent X-rays of cervical spine were done, due to the persistent pain and they showed marked degenerative changes on C5, C6 and C7 spaces. The final diagnosis was cervical spondylosis. The patient was treated with an intensive conservative treatment and the progressing was satisfactory in midterm period. Coracoclavicular joint is a rare anomalous joint and it was an accidental radiological finding, in this case and in most of the patients. The existence of the coracoclavicular joint is a fortuitous radiographic finding, as it is in this case, and the symptomatic variety of this anomaly is exceptional.

  3. Sealed joint structure for electrochemical device (United States)

    Tucker, Michael C; Jacobson, Craig P; De Jonghe, Lutgard C; Visco, Steven J


    Several members make up a joint in a high-temperature electrochemical device, wherein the various members perform different functions. The joint is useful for joining multiple cells (generally tubular modules) of an electrochemical device to produce a multi-cell segment-in-series stack for a solid oxide fuel cell, for instance. The joint includes sections that bond the joining members to each other; one or more seal sections that provide gas-tightness, and sections providing electrical connection and/or electrical insulation between the various joining members. A suitable joint configuration for an electrochemical device has a metal joint housing, a first porous electrode, a second porous electrode, separated from the first porous electrode by a solid electrolyte, and an insulating member disposed between the metal joint housing and the electrolyte and second electrode. One or more brazes structurally and electrically connects the first electrode to the metal joint housing and forms a gas tight seal between the first electrode and the second electrode.

  4. Affecting aspects on the behaviour of frame joints


    Nabil, Mohamed; Hamdy, Osama; Abobeah, Ayman


    The variation of reinforcement details, confinement and joints angle are considerable factors which affect the ultimate limit moment of joints and joints efficiency. The variation of joint size is another factor that significantly affects the ultimate limit moment of joints and frame joints efficiency. These previous factors were not considered in design. Corners may be subjected to closing moments, which subject to tensile stresses in the outside of the corner, or to opening moments, which c...

  5. Engineering Alloplastic Temporomandibular Joint Replacements (United States)

    Sinno, Hani; Tahiri, Youssef; Gilardino, Mirko; Bobyn, Dennis


    Temporomandibular disorders (TMD) are part of a heterogeneous group of pathologies that manifest with a constellation of signs and symptoms. They are the most frequent cause of chronic orofacial pain and are prevalent in 12% of the general population. Despite the debilitating nature of these disorders, there is no standardization for treatment of the diseased temporomandibular joint (TMJ). In this review, we present an overview of the functional anatomy of the TMJ and the engineering concepts that must be understood to better understand the indications for surgical management, the types of available treatments and the requirements for reconstruction. A comparison is made of the clinical outcomes with autogenous versus alloplastic reconstruction, including a history of alloplastic materials and the design features of currently available implants. Emphasis is made on material selection, modulus, stiffness, notch sensitivity and modularity. For the treatment of TMD, engineered TMJ alloplastic replacements have had considerable promise with additional room for improvement using new materials and recent design concepts. PMID:22363183

  6. Return to joint parental responsibility. (United States)

    Pierotti, D


    Along the frontiers of the former Soviet Union young women die every day because of the serious medical conditions preventing childbearing; they die because they are culturally obligated to reproduce. Such cultural codes led to the death of a 15-year-old girl who was killed by her immigrant father and other relatives because she wanted to live like her peers in the French city of Colmar. A 1992 visit of the author to Catalonia to discuss male reproductive roles made him reevaluate earlier views. Traditional sexist attitudes resulted in the expulsion of pregnant students from a nursing school by a male doctor who blamed them, while male partners were acquitted. Preparation for the conference in Barcelona by reviewing 20 years of work on male sexuality and family planning yielded only a few studies on male responsibility and the changing role of males. The advent of modern contraceptives has weakened male supremacy in Europe except among some immigrant families and religious extremists. Divorce and child custody laws, favoring the mother further, eroded male dominance. Even organizations have been formed to defend male rights. In vitro fertilization was endorsed by American lesbians in an article in 1993 reducing males to sperm donor status. Modern reproductive medical technology seems to have broken all limits; even elderly women can be made to conceive. These extreme examples indicate that the male-female relationships and joint responsibility for raising children in a family should be resuscitated based on equal terms for emotional stability and benefit of parents and progeny.

  7. The Joint COntrols Project Framework

    CERN Document Server

    González-Berges, M


    The Framework is one of the subprojects of the Joint COntrols Project (JCOP), which is collaboration between the four LHC experiments and CERN. By sharing development, this will reduce the overall effort required to build and maintain the experiment control systems. As such, the main aim of the Framework is to deliver a common set of software components, tools and guidelines that can be used by the four LHC experiments to build their control systems. Although commercial components are used wherever possible, further added value is obtained by customisation for HEP-specific applications. The supervisory layer of the Framework is based on the SCADA tool PVSS, which was selected after a detailed evaluation. This is integrated with the front-end layer via both OPC (OLE for Process Control), an industrial standard, and the CERN-developed DIM (Distributed Information Management System) protocol. Several components are already in production and being used by running fixed-target experiments at CERN as well as for th...


    Directory of Open Access Journals (Sweden)

    A. V. Radkevych


    Full Text Available Purpose. One of the main technological operations of buildings construction on the basis of monolithic frame systems is the production of mesh reinforcement. The current interest is the new ways specification of advanced bonding armature techniques without reliability weakness and design of the building in whole, as well as the finding of use prospects of screw-threaded joint of armature as the most technological and economic method of re-bars joints. Methodology. Advantages and disadvantages analysis of existing rebar compound technologies was implemented by couplings of different types and constructions. The most promising vertical constructions for the vertical bars joints in frameworks were determined. Findings. Researches of existing technologies of rebar joints by the couplings of different construction were carried out. The installation method of mesh reinforcement of vertical structural elements with the use of the special catching devices was developed. It allows considerably accelerating installation of mesh reinforcement. Originality. Regularity of labor intensiveness change of mesh reinforcement installation of columns at armature joint in vertical position by threaded couplings with the help of catching devices using special construction was determined. This allows substantially reducing the labor expenditures during installation of these elements. Dependency of labor intensiveness and cost of lap welding armature joints, by tub-seam welding and by thread coupling depending on its diameter was designated. Regularity of labor intensiveness changes of installation at armature joints by different methods taking into account preparatory works was defined. Practical value. The analysis of mechanical armature joints techniques was conducted. It will allow selecting methods of armature joints to increase the speed of construction works more economical and effective.

  9. Inspection of Fusion Joints in Plastic Pipe

    Energy Technology Data Exchange (ETDEWEB)

    Connie Reichert


    The standard method of joining plastic pipe in the field is the butt fusion process. As in any pipeline application, joint quality greatly affects overall operational safety of the system. Currently no simple, reliable, cost-effective method exists for assessing the quality of fusion joints in the field. Visual examination and pressure testing are current nondestructive approaches, which do not provide any assurance about the long-term pipeline performance. This project developed, demonstrated, and validated an in-situ nondestructive inspection method for butt fusion joints in gas distribution plastic pipelines. The inspection system includes a laser-based image-recognition system that automatically generates and interprets digital images of pipe joints and assigns them a pass/fail rating, which eliminates operator bias in evaluating joint quality. An EWI-patented process, the Weld Zone Inspection Method (WZIM) was developed in which local heat is applied to the joint region to relax the residual stresses formed by the original joining operation, which reveals the surface condition of the joint. In cases where the joint is not formed under optimal conditions, and the intermolecular forces between contacting surfaces are not strong enough, the relaxation of macromolecules in the surface layer causes the material to pull back, revealing a fusion line. If the joint is sound, the bond line image does not develop. To establish initial feasibility of the approach, welds were performed under standard and nonstandard conditions. These welds were subjected to the WZIM and two destructive forms of testing: short-term tensile testing and long-term creep rupture testing. There appears to be a direct correlation between the WZIM and the destructive testing results. Although WZIM appears to be more sensitive than destructive testing can verify, the approach appears valid.


    Energy Technology Data Exchange (ETDEWEB)

    Alex Savitski; Connie Reichert; John Coffey


    The standard method of joining plastic pipe in the field is the butt fusion process. As in any pipeline application, joint quality greatly affects overall operational safety of the system. Currently no simple, reliable, cost effective method of assessing the quality of fusion joints in the field exists. Visual examination and pressure testing are current non-destructive approaches, which do not provide any assurance about the long-term pipeline performance. This project will develop, demonstrate, and validate an in-situ non-destructive inspection method for butt fusion joints in gas distribution plastic pipelines. The inspection system will include a laser based image-recognition system that will automatically generate and interpret digital images of pipe joints and assign them a pass/fail rating, which eliminates operator bias in evaluating joint quality. A Weld Zone Inspection Method (WZIM) is being developed in which local heat is applied to the joint region to relax the residual stresses formed by the original joining operation and reveal the surface condition of the joint. In cases where the joint is not formed under optimal conditions, and the intermolecular forces between contacting surfaces are not strong enough, the relaxation of macromolecules in the surface layer causes the material to pull back, revealing a fusion line. If the joint is sound, the bond line image does not develop. To establish initial feasibility of the approach, welds were performed under standard and nonstandard conditions. These welds were subjected to the WZIM and tensile testing. There appears to be a direct correlation between the WZIM and tensile testing results. Although WZIM appears to be more sensitive than tensile testing can verify, the approach appears valid.

  11. Real-time visualization of joint cavitation.

    Directory of Open Access Journals (Sweden)

    Gregory N Kawchuk

    Full Text Available Cracking sounds emitted from human synovial joints have been attributed historically to the sudden collapse of a cavitation bubble formed as articular surfaces are separated. Unfortunately, bubble collapse as the source of joint cracking is inconsistent with many physical phenomena that define the joint cracking phenomenon. Here we present direct evidence from real-time magnetic resonance imaging that the mechanism of joint cracking is related to cavity formation rather than bubble collapse. In this study, ten metacarpophalangeal joints were studied by inserting the finger of interest into a flexible tube tightened around a length of cable used to provide long-axis traction. Before and after traction, static 3D T1-weighted magnetic resonance images were acquired. During traction, rapid cine magnetic resonance images were obtained from the joint midline at a rate of 3.2 frames per second until the cracking event occurred. As traction forces increased, real-time cine magnetic resonance imaging demonstrated rapid cavity inception at the time of joint separation and sound production after which the resulting cavity remained visible. Our results offer direct experimental evidence that joint cracking is associated with cavity inception rather than collapse of a pre-existing bubble. These observations are consistent with tribonucleation, a known process where opposing surfaces resist separation until a critical point where they then separate rapidly creating sustained gas cavities. Observed previously in vitro, this is the first in-vivo macroscopic demonstration of tribonucleation and as such, provides a new theoretical framework to investigate health outcomes associated with joint cracking.

  12. The "pseudo-CT myelogram sign": an aid to the diagnosis of underlying brain stem and spinal cord trauma in the presence of major craniocervical region injury on post-mortem CT. (United States)

    Bolster, F; Ali, Z; Daly, B


    To document the detection of underlying low-attenuation spinal cord or brain stem injuries in the presence of the "pseudo-CT myelogram sign" (PCMS) on post-mortem computed tomography (PMCT). The PCMS was identified on PMCT in 20 decedents (11 male, nine female; age 3-83 years, mean age 35.3 years) following fatal blunt trauma at a single forensic centre. Osseous and ligamentous craniocervical region injuries and brain stem or spinal cord trauma detectable on PMCT were recorded. PMCT findings were compared to conventional autopsy in all cases. PMCT-detected transection of the brain stem or high cervical cord in nine of 10 cases compared to autopsy (90% sensitivity). PMCT was 92.86% sensitive in detection of atlanto-occipital joint injuries (n=14), and 100% sensitive for atlanto-axial joint (n=8) injuries. PMCT detected more cervical spine and skull base fractures (n=22, and n=10, respectively) compared to autopsy (n=13, and n=5, respectively). The PCMS is a novel description of a diagnostic finding, which if present in fatal craniocervical region trauma, is very sensitive for underlying spinal cord and brain stem injuries not ordinarily visible on PMCT. Its presence may also predict major osseous and/or ligamentous injuries in this region when anatomical displacement is not evident on PMCT. Copyright © 2017 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  13. Comparison of the use of a notched wedge joint vs. traditional butt joints in Connecticut : phase 1 report. (United States)


    Performance of Hot Mix Asphalt (HMA) longitudinal joints have been an : item of increasing scrutiny in Connecticut. The traditional butt joint : has typically been the method used in Connecticut. These joints have : been reportedly opening up creatin...

  14. Synovial Lipomatosis of the Glenohumeral Joint

    Directory of Open Access Journals (Sweden)

    Shaul Beyth


    Full Text Available Synovial lipomatosis (also known as lipoma arborescens is a rare and benign lesion affecting synovium-lined cavities. It is characterized by hyperplasia of mature fat tissue in the subsynovial layer. Although the most commonly affected site is the knee joint, rarely additional locations such as tendon sheath and other joints are involved. We present a case of synovial lipomatosis of the glenohumeral joint in a 44-year-old man. The clinical data radiological studies and histopathologic results are described, as well as a review of the current literature.

  15. Loose bodies of the temporomandibular joint

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, Q.N.; Katzberg, R.W.


    We report a series of four patients presenting with symptoms of temporomandibular joint pain and dysfunction, and manifesting calcified loose bodies within the temporomandibular joint. Tomographic and arthrotomographic findings are described. Surgical confirmation was obtained in two patients and the histopathology in one demonstrated that the loose body was calcified cartilage surrounded by synovial tissue. The synovial tissue of the joint space was normal in all four cases by arthrotomography and at surgery in two patients. The findings suggest that these cases may be examples of osteochondrosis dissecans.

  16. Traumatic dislocation of the first carpometacarpal joint. (United States)

    Kraus, Chadd K; Weaver, Kevin R


    We present a case report and review of the literature of traumatic dislocation of the carpometacarpal joint of the left thumb without associated fracture. The injury was sustained while skiing, and after emergency department diagnosis, the dislocation was reduced and the joint stabilized with a splint. The patient was discharged with close follow-up with a hand surgeon for definitive surgical fixation. Carpometacarpal joint dislocations of the thumb are exceedingly rare injuries and require appropriate diagnosis and treatment to minimize the morbidity and loss of function that can occur with these injuries.

  17. Bilateral carpometacarpal joint dislocations of the thumb. (United States)

    Jeong, Changhoon; Kim, Hyoung-Min; Lee, Sang-Uk; Park, Il-Jung


    A traumatic carpometacarpal joint dislocation of the thumb accounts for less than 1% of all hand injuries. Optimal treatment strategies for this injury are still a subject of debate. In this article, we report a case of bilateral thumb carpometacarpal joint dislocations: a unique combination of injuries. We believe our case is the second report of bilateral carpometacarpal joint dislocation regarding the thumb in English literature. It was successfully treated with closed reduction and percutaneous K-wires fixation on one side, and an open reduction and reconstruction of the ligament on the other side.

  18. Knee joint vibroarthrographic signal processing and analysis

    CERN Document Server

    Wu, Yunfeng


    This book presents the cutting-edge technologies of knee joint vibroarthrographic signal analysis for the screening and detection of knee joint injuries. It describes a number of effective computer-aided methods for analysis of the nonlinear and nonstationary biomedical signals generated by complex physiological mechanics. This book also introduces several popular machine learning and pattern recognition algorithms for biomedical signal classifications. The book is well-suited for all researchers looking to better understand knee joint biomechanics and the advanced technology for vibration arthrometry. Dr. Yunfeng Wu is an Associate Professor at the School of Information Science and Technology, Xiamen University, Xiamen, Fujian, China.

  19. Types of subtalar joint facets. (United States)

    Jung, Min-Ho; Choi, Byoung Young; Lee, Ji Yong; Han, Chang Sung; Lee, Jin Suk; Yang, Young Chul; Cho, Byung Pil


    Articular facets of the clinical subtalar joint (CSTJ) were analyzed using a total of 118 (right 57, left 61) dry, paired calcanei and tali from 68 Korean adult cadavers. The CSTJ facets were classified into the following three types depending on their continuity: type A, all three facets are separated; type B, the anterior and middle facets are partially connected; and type C, the anterior and middle facets are fused to form a single facet. The continuity between the anterior and middle facets was represented by the degree of separation (DS), which ranged between 2.00 (type A) and 1.00 (type C). Type A was most common (39.0 %) in calcanei and rarest (11.0 %) in tali. Matching of calcaneus-talus pairs yielded five combined types: A-A (11.0 %), A-B (28.0 %), B-B (18.6 %), B-C (13.6 %), and C-C (28.8 %). The mean DS was slightly greater in calcanei (1.53) than in tali (1.32), and decreased in the order of types A-A, A-B, B-B, B-C, and C-C. The intersecting angles between the anterior and middle facets, which are related to the mobility of the CSTJ, were inversely related to the DS. These findings indicate that the anterior and middle facets are fused more frequently in tali than in calcanei, and combinations of different CSTJ facet types (A-B, B-C) exist over 40 % of feet. Our results indicate that types with a smaller DS (such as B-C and C-C) are relatively mobile but less stable compared to those with a greater DS (such as A-A and A-B).

  20. Acupuncture for peripheral joint osteoarthritis (United States)

    Manheimer, Eric; Cheng, Ke; Linde, Klaus; Lao, Lixing; Yoo, Junghee; Wieland, Susan; van der Windt, Daniëlle AWM; Berman, Brian M; Bouter, Lex M


    Background Peripheral joint osteoarthritis is a major cause of pain and functional limitation. Few treatments are safe and effective. Objectives To assess the effects of acupuncture for treating peripheral joint osteoarthritis. Search strategy We searched the Cochrane Central Register of Controlled Trials (The Cochrane Library 2008, Issue 1), MEDLINE, and EMBASE (both through December 2007), and scanned reference lists of articles. Selection criteria Randomized controlled trials (RCTs) comparing needle acupuncture with a sham, another active treatment, or a waiting list control group in people with osteoarthritis of the knee, hip, or hand. Data collection and analysis Two authors independently assessed trial quality and extracted data. We contacted study authors for additional information. We calculated standardized mean differences using the differences in improvements between groups. Main results Sixteen trials involving 3498 people were included. Twelve of the RCTs included only people with OA of the knee, 3 only OA of the hip, and 1 a mix of people with OA of the hip and/or knee. In comparison with a sham control, acupuncture showed statistically significant, short-term improvements in osteoarthritis pain (standardized mean difference -0.28, 95% confidence interval -0.45 to -0.11; 0.9 point greater improvement than sham on 20 point scale; absolute percent change 4.59%; relative percent change 10.32%; 9 trials; 1835 participants) and function (-0.28, -0.46 to -0.09; 2.7 point greater improvement on 68 point scale; absolute percent change 3.97%; relative percent change 8.63%); however, these pooled short-term benefits did not meet our predefined thresholds for clinical relevance (i.e. 1.3 points for pain; 3.57 points for function) and there was substantial statistical heterogeneity. Additionally, restriction to sham-controlled trials using shams judged most likely to adequately blind participants to treatment assignment (which were also the same shams judged most

  1. NATO Joint Medical Support - Reality and Vision

    National Research Council Canada - National Science Library

    Roedig, Erich


    .... Multinational solutions to medical support were not considered necessary or practical. The new NATO force structures and strategic concepts emphasise mobility, interoperability, sustainability, jointness and multinationality; i.e...

  2. Improved bridge joint materials and design details. (United States)


    Expansion joints accommodate bridge movements that result from factors such as thermal expansion and contraction, concrete shrinkage, creep effects, live loading, settlement of the foundation and substructure, and environmental stressors. Expansion j...

  3. Nano-Engineered Structural Joints Project (United States)

    National Aeronautics and Space Administration — A versatile class of high-performance structural joints is proposed where massive interatomic bonds over the large surface areas of nanostructured surfaces...

  4. Joint Typhoon Warning Center (JTWC) Storm Wallets (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Joint Typhoon Warning Center (JTWC) is responsible for typhoon forecasts and warnings for the Western Pacific and Indian Ocean basins. After each storm, the JTWC...

  5. North American Joint Ventures 2014 revision (United States)

    US Fish and Wildlife Service, Department of the Interior — A joint venture is a self-directed partnership of agencies, organizations, corporations, tribes, or individuals that has formally accepted the responsibility of...

  6. Migratory Bird Joint Ventures of New Mexico (United States)

    Earth Data Analysis Center, University of New Mexico — A joint venture is a self-directed partnership of agencies, organizations, corporations, tribes, or individuals that has formally accepted the responsibility of...

  7. Strategic Mobility 21 Joint Sea Based Logistics

    National Research Council Canada - National Science Library

    Mallon, Lawrence G


    ...-be requirements. The objective of the SM2l-JDDSP sea based logistics architecture is to support the timely distribution of the right classes of supply in sufficient quantities to allow sustained joint combat operations...

  8. The Multinational Logistics Joint Task Force (MLJTF)

    National Research Council Canada - National Science Library

    Higginbotham, Matthew T


    In this monograph, by analyzing the UN, NATO and the US Army's evolving Modular Logistics Doctrine, the author integrates the key areas from each doctrine into a multinational logistics joint task force (MLJTF) organization...

  9. Sternoclavicular joint injuries: a literature review


    Van Tongel, Alexander; De Wilde, Lieven


    Traumatic sternoclavicular (SC) joint injuries are rare. The goal of this literature review was to evaluate the available literature on the treatment of traumatic anterior and posterior SC (fracture-) dislocations in adults and children.

  10. Architectural and structural qualities in timber joints

    DEFF Research Database (Denmark)

    Christensen, Jesper Thøger; Christensen, Mogens Fiil; Damkilde, Lars


    design phase. The result is joints that function structurally but do not add value to the design, and may even compromise the architectural ideas. With an approach, integrating both structural and architectural design from the beginning, one should not only gain better structures and architecture...... but also increase timbers competitiveness in the building industry. The paper is part of an ongoing research project aiming at providing tools for an integrated design process for timber structures. The focus of the paper is to identify how structure and its joints contributes to architecture and vice...... versa. Further, a method for how to design with structure and joints from the very early stage of design is proposed. The architectural/engineering model of the joints will later be incorporated in the digital design environment of the designer. In this way, the conceptual design phase will not only...

  11. Structural dynamic analysis of a ball joint (United States)

    Hwang, Seok-Cheol; Lee, Kwon-Hee


    Ball joint is a rotating and swiveling element that is typically installed at the interface between two parts. In an automobile, the ball joint is the component that connects the control arms to the steering knuckle. The ball joint can also be installed in linkage systems for motion control applications. This paper describes the simulation strategy for a ball joint analysis, considering manufacturing process. Its manufacturing process can be divided into plugging and spinning. Then, the interested responses is selected as the stress distribution generated between its ball and bearing. In this paper, a commercial code of NX DAFUL using an implicit integration method is introduced to calculate the response. In addition, the gap analysis is performed to investigate the fitness, focusing on the response of the displacement of a ball stud. Also, the optimum design is suggested through case studies.


    National Research Council Canada - National Science Library

    Mareli Dippenaar; Danielle van Wyk


    ...) 27, Separate Financial Statements (IAS 27), in August 2014. The amendments give entities the option to use the equity method to account for investments in subsidiaries, joint ventures and associates in their separate financial statements...

  13. Optimizing MRI of small joints and extremities. (United States)

    Thomas, M S; Greenwood, R; Nolan, C; Malcolm, P N; Toms, A P


    Obtaining optimal images of small joints using magnetic resonance imaging (MRI) can be technically challenging. The aim of this review is to outline the practical aspects of MRI of small joints, with reference to the underlying physical principles. Although the most important contribution to successful imaging of small joints comes from the magnet field strength and design of the receiver coil, there are a number of factors to balance including the signal-to-noise ratio, image resolution, and acquisition times. We discuss strategies to minimize artefacts from movement, inhomogeneity, chemical shift, and fat suppression. As with all MRI, each strategy comes at a price, but the benefits and costs of each approach can be fine-tuned to each combination of joint, receiver coil, and MRI machine. Copyright © 2014 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  14. Grenada, Panama, and Haiti: Joint Operational Reform

    National Research Council Canada - National Science Library

    Cole, Ronald


    ...), and Uphold Democracy in Haiti (1994-95) -- reveal substantial limits as well as progress in joint planning and execution as a result of the Goldwater-Nichols Department of Defense Reorganization Act of 1986...

  15. Joint sealant materials for concrete pavement repairs. (United States)


    This report on joint sealant materials for concrete pavement repairs is based on conversations with specialists from several states, the Federal Highway Administration, the Portland Cement Association, and the American Concrete Pavement Association, ...

  16. Design of artificial human joints & organs

    CERN Document Server

    Pal, Subrata


    This book covers the design science and methodology of artificial joints and organs.  It presents the mechanical characterization of the hard and soft tissues as well as the viscoelastic properties of the tissue.

  17. Candida infection of a prosthetic shoulder joint

    Energy Technology Data Exchange (ETDEWEB)

    Lichtman, E.A.


    A heroin addict developed a Candida parapsilosis infection in a prosthetic shoulder joint. Radiographs showed loose fragments of cement with prosthetic loosening. The patient was treated with removal of the prosthesis and intravenous amphotericin B followed by oral ketoconazole.

  18. Arthroscopic surgery of the metatarsophalangeal first joint

    NARCIS (Netherlands)

    van Dijk, C. N.; Veenstra, K. M.; Nuesch, B. C.


    Arthroscopic surgery of the metatarsophalangeal first joint was used to treat a dorsal impingement syndrome of the hallux by removing the dorsally located osteophytes. Also, osteochondritis dissecans, painful sesamoid bones resistant to conservative therapy, and hallux rigidus were arthroscopically

  19. Aging changes in the bones - muscles - joints (United States)

    ... this page: // Aging changes in the bones - muscles - joints To use the ... posture and gait (walking pattern) are common with aging. Changes in the skin and hair are also common. ...

  20. Impingement syndrome and pain of shoulder joint


    Švingrová, Eva


    Name: Eva Švingrová Supervisor: Mgr. Bc. Milena Valenová Opponent: Title of bachelor thesis: Impingement syndrom and pain of shoulder joint ABSTRACT The topic of this thesis was focused on the characteristics, course and the treatment of the impingement syndrome and the other kinds of shoulder joint pain. The aim was to objectify the data from the therapy using goniometric measurements and demonstrate the possitive effect of the physiotherapy on the increased range of movement and decreased p...

  1. The Temporomandibular Joint Pain Dysfunction Syndrome


    Speck, John E.


    When a patient complains of headache, neckache, or earache and these are associated with noisy temporomandibular joint function, restricted opening or increased pain when chewing, a temporomandibular joint or masticatory muscle disorder should be considered in the differential diagnosis, because signs and symptoms of these disorders are common in all age groups. This article indicates the more common etiological contributions, that is, microtrauma, repeated microtrauma, muscle hyperactivity, ...

  2. Enterprise Terrain Data Standards for Joint Training (United States)


    heterogeneous information technology applications by providing complete, unambiguous, and non-proprietary interchange of environmental data (e.g...NUMBER Chambers, Samuel D. -Joint Staff J-7 DDJT EAD, Suffolk, VA 23435 N/A Callaway, Scott E.- General Dynamics Information Technology 5e. TASK...Synthetic Environment (JTSE) Working Group (WG) of the Joint Training REPORT NUMBER Synchronization Conference (JTSC) N/A 9. SPONSORING/MONITORING

  3. The Operational Impacts of Joint Seabasing (United States)


    Operational reach is “the distance and d military capabilities.” 44 Reach is heavily influenced by geography as well as politica and diplomatic...Navy seeks to prevent. Funding the Joint Seabase The Congress has begun funding elements of the Joint Seabase in the Fiscal Year (FY) 2007; Internet; accessed 26 March 2007. 58 U.S. Congress, Senate, “National Defense Authorization Act for Fiscal Year 2007

  4. Joint enterprise: righting a wrong turn?


    Jacobson, Jessica; Kirby, Amy; Hunter, Gillian


    This report presents the findings of an exploratory study of joint enterprise, undertaken by the Institute for Criminal Policy Research, in partnership with the Prison Reform Trust, and within funding from the Nuffield Foundation. Joint enterprise is a doctrine of the criminal law which permits multiple defendants to be convicted of the same criminal offence even where they had different types or levels of involvement. It has been the source of great controversy in recent years.\\ud \\ud The st...

  5. Osteoligamentous injuries of the medial ankle joint


    L?tscher, P.; Lang, T. H.; Zwicky, L; Hintermann, B.; Knupp, M


    Injuries of the ankle joint have a high incidence in daily life and sports, thus, playing an important socioeconomic role. Therefore, proper diagnosis and adequate treatment are mandatory. While most of the ligament injuries around the ankle joint are treated conservatively, great controversy exists on how to treat deltoid ligament injuries in ankle fractures. Missed injuries and inadequate treatment of the medial ankle lead to inferior outcome with instability, progressive deformity, and ank...

  6. Periprosthetic Joint Infections: Clinical and Bench Research

    Directory of Open Access Journals (Sweden)

    Laurence Legout


    Full Text Available Prosthetic joint infection is a devastating complication with high morbidity and substantial cost. The incidence is low but probably underestimated. Despite a significant basic and clinical research in this field, many questions concerning the definition of prosthetic infection as well the diagnosis and the management of these infections remained unanswered. We review the current literature about the new diagnostic methods, the management and the prevention of prosthetic joint infections.

  7. Wormhole Formation in RSRM Nozzle Joint Backfill (United States)

    Stevens, J.


    The RSRM nozzle uses a barrier of RTV rubber upstream of the nozzle O-ring seals. Post flight inspection of the RSRM nozzle continues to reveal occurrence of "wormholes" into the RTV backfill. The term "wormholes", sometimes called "gas paths", indicates a gas flow path not caused by pre-existing voids, but by a little-understood internal failure mode of the material during motor operation. Fundamental understanding of the mechanics of the RSRM nozzle joints during motor operation, nonlinear viscoelastic characterization of the RTV backfill material, identification of the conditions that predispose the RTV to form wormholes, and screening of candidate replacement materials is being pursued by a joint effort between Thiokol Propulsion, NASA, and the Army Propulsion & Structures Directorate at Redstone Arsenal. The performance of the RTV backfill in the joint is controlled by the joint environment. Joint movement, which applies a tension and shear load on the material, coupled with the introduction of high pressure gas in combination create an environment that exceeds the capability of the material to withstand the wormhole effect. Little data exists to evaluate why the material fails under the modeled joint conditions, so an effort to characterize and evaluate the material under these conditions was undertaken. Viscoelastic property data from characterization testing will anchor structural analysis models. Data over a range of temperatures, environmental pressures, and strain rates was used to develop a nonlinear viscoelastic model to predict material performance, develop criteria for replacement materials, and quantify material properties influencing wormhole growth. Three joint simulation analogs were developed to analyze and validate joint thermal barrier (backfill) material performance. Two exploratory tests focus on detection of wormhole failure under specific motor operating conditions. A "validation" test system provides data to "validate" computer models and

  8. Joint intentionality: from thin to thick

    Czech Academy of Sciences Publication Activity Database

    Koreň, Ladislav


    Roč. 2, č. 1 (2016), s. 75-85 ISSN 2196-9655 R&D Projects: GA ČR GA13-20785S Institutional support: RVO:67985955 Keywords : Tomasello * Cooperation * Joint intentionality * Joint action * Mindreading Subject RIV: AA - Philosophy ; Religion xml ?format=INT

  9. Periprosthetic Joint Infections: Clinical and Bench Research


    Laurence Legout; Eric Senneville


    Prosthetic joint infection is a devastating complication with high morbidity and substantial cost. The incidence is low but probably underestimated. Despite a significant basic and clinical research in this field, many questions concerning the definition of prosthetic infection as well the diagnosis and the management of these infections remained unanswered. We review the current literature about the new diagnostic methods, the management and the prevention of prosthetic joint infections.

  10. JOMAR: Joint Operations with Mobile Autonomous Robots (United States)


    agricultural robots , which gener- ally have unobstructed satellite line-of-sight, can rely heavily upon GPS sensors for positioning. In environments...AFRL-AFOSR-JP-TR-2015-0009 JOMAR: Joint Operations with Mobile Autonomous Robots Edwin Olson UNIVERSITY OF MICHIGAN Final Report 12/21/2015...SUBTITLE JOMAR: Joint Operations with Mobile Autonomous Robots 5a. CONTRACT NUMBER FA23861114024 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6


    Energy Technology Data Exchange (ETDEWEB)



    The dynamic response of a jointed beam was measured in laboratory experiments. The data were analyzed and the system was mathematically modeled to establish plausible representations of joint damping behavior. Damping is examined in an approximate, local linear framework using log decrement and half power bandwidth approaches. in addition, damping is modeled in a nonlinear framework using a hybrid surface irregularities model that employs a bristles-construct. Experimental and analytical results are presented.

  12. Joint test for structural model specification


    Serkan YÜKSEL


    Cataloged from PDF version of article. Aim of this thesis is to propose a test statistic that can test for true structural model in time series. Main concern of the thesis is to suggest a test statistic, which has joint null of unit root and no structural break (difference stationary model). When joint null hypothesis is rejected, source of deviation from the null model may be structural break or (and) stationarity. Sources of the deviation correspond to different structural...

  13. Infected shoulder joint with loose Suture Anchor in the joint after Bankart's Repair- A Case Report. (United States)

    Kumar, Mukesh; Thilak, Jai


    The glenoid labrum is frequently torn in traumatic glenohumeral dislocation; arthroscopic repair is the standard method of treatment. The complications associated with this repair are pulling out of metal suture anchors, chondrolysis and joint infection. The infection of joint after arthroscopy is less than 1%. Staphylococcus is most common organism and rarely followed by Pseudomonas aeruginosa. We report a case of infected shoulder with chondrolysis of the joint and pulled out metal suture anchor lying inside the joint after Bankart's repair. A 22-year-old gentleman came to us with complaints of shoulder joint pain & gross restriction of movements for one year, with history of intermittent fever and treatment in nearby hospital. He also gives past history of recurrent dislocation of shoulder with last episode 18 months back, which was diagnosed as Bankart's lesion and arthroscopic Bankart's repair was done 15 months back. He was evaluated at our institute and suspected to have infection of shoulder joint with pulled out metal suture anchor inside the joint. Arthroscopic removal of suture anchor and debridement of shoulder joint was done, Culture was obtained and culture specific antibiotics were given for six weeks, and significant improvement was observed with this line of treatment. At lyear follow up, the patient was able to perform his daily activities with terminal restriction of range of motion. Shoulder joint infection is rare after Bankart's repair and required a high degree of suspicion. Any foreign materials inside the joint should be taken out & followed with aggressive treatment by debridement, irrigation and culture specific antibiotics. Suppression of joint infection with antibiotics should be avoided specially when there is foreign body inside the joint.

  14. Joint Logistic Commanders’ Guide for the Management of Joint Service Programs. 3rd Edition (United States)


    be established * Program Office Organization and and accomplished in accordance with Initial Staffing, including in the case of DoDD 5000.1 of 12...alternatives for pro- A complicating factor ip the organiza- gram office organization . One is to in- tion of a jointly staffed progr’.m office elude all...99-433, 1 a Each joint program manager must October 1986. Title IV - Joint Officer Personnel tailor the program office organization to Policy



    was acquired traditionally or jointly . Therefore, the software delays cannot be attributed to the joint acquisition model of the F-35. Though the would be in place regardless of whether the F-35 was acquired jointly or via a traditional model . Furthermore, although the taxpayer is stuck... Model By Corey J Florendo, Maj, USAF A Research Report Submitted to the Faculty In Partial Fulfillment of the Graduation Requirements

  16. Joint hypermobility syndrome and related pain

    Directory of Open Access Journals (Sweden)

    Nilay Sahin


    Full Text Available Hypermobility is defined as an abnormally increased range of motion of a joint resulting from the excessive laxity of the soft tissues. This paper is focused on this commonly forgotten cause of several morbidities. The etiology of hypermobility is not very well known. One decade ago, joint hypermobility syndrome was considered as a benign condition, but now it is recognized as a significant contributor to chronic musculoskeletal pain, besides impacting on other organs. Patients with joint hypermobility syndrome often have diffuse, chronic complaints that are inconsistent with the musculoskeletal system. Chronic pain may cause loss of proprioception and so increased sensitivity to microtrauma, premature osteoarthritis de- velopment, soft tissue problems, psychosocial disorders, and neurophysiological deficiencies. Osteoarthritis, pes planus, mechanical low back pain, and soft tissue rheumatisms are frequent musculoskeletal findings as well as subluxations, thoracic outlet syndrome, rectal and uterine prolapses, hernias, and stress incontinence. Joint hypermobility syndrome's treatment is not easy, and nonsteroidal anti-inflammatory drugs are not usually effective or adequate. Proprioceptive and strengthening exercises have been reported to have supportive and therapeutic effects, but we have limited data on this issue. Joint hypermobility syndrome must be accepted as a multisystem connective tissue disorder rather than just joint laxities. As a result; clinicians must be aware of complexities of connective tissue disorders and comorbidities. [Arch Clin Exp Surg 2016; 5(2.000: 105-112

  17. Development Requirements for Spacesuit Elbow Joint (United States)

    Peters, Benjamin


    Functional Requirements for spacesuit elbow joint:1) The system is a conformal, single-axis spacesuit pressurized joint that encloses the elbow joint of the suited user and uses a defined interface to connect to the suit systems on either side of the joint.2) The system shall be designed to bear the loads incurred from the internal pressure of the system, as well as the expected loads induced by the user while enabling the user move the joint through the required range of motion. The joint torque of the system experienced by the user shall remain at or below the required specification for the entire range of motion.3) The design shall be constructed, at a minimum, as a two-layer system. The internal, air-tight layer shall be referred to as the bladder, and the layer on the unpressurized side of the bladder shall be referred to as the restraint. The design of the system may include additional features or layers, such as axial webbing, to meet the overall requirements of the design.

  18. [Diagnosis and treatment of tarsometatarsal joint injury]. (United States)

    Gu, Wenqi; Shi, Zhongmin; Chai, Yimin


    To review the diagnosis, treatment method, and surgical technique of tarsometatarsal joint injury. Recent literature concerning tarsometatarsal joint injury was reviewed and analyzed in terms of anatomy, injury mechanism, classification, diagnosis, management principle and methods, and surgical techniques. It could be difficult to diagnose tarsometatarsal joint injury, and subtle injury was more difficult to diagnose with a high rate of missed diagnosis. Fairly accurate diagnosis of tarsometatarsal joint injury could be made based on medical history, symptoms and signs, and necessary imaging examinations. For the patient of partial ligament rupture caused by subtle or non-displacement injury, a cast for immobilization could be adopted; the patients of instable injury should be treated with open reduction and internal fixation. For the patients of complete dislocation and severe comminuted fractures, arthrodesis should be suggested. The diagnosis and management of tarsometatarsal joint injury is complicated. The treatment method of tarsometatarsal joint injury has evoked controversy. Surgeons should choose the optimal treatment method and surgical technique according to the injury type, radiological manifestation, and classification so as to obtain the best clinical outcome.

  19. Involvement of temporomandibular joint in systemic joint disorders: A clinical and radiological study

    Directory of Open Access Journals (Sweden)

    D B Gandhi Babu


    Full Text Available There are many reports on the involvement of temporomandibular joint in certain specific joint diseases, in medical and dental literature. However, not many comprehensive studies have been undertaken to study the involvement of TMJ in systemic joint disorders to establish the cause and effect relationship between the two. This report aims to study the involvement of TMJ in patients affected with systemic joint diseases. A total of 106 patients have been examined; 55 suffering from rheumatoid arthritis (R.A and the rest suffering from related arthropathies. The results are significant and useful in the diagnosis and management of TMJ. in patients suffering from various arthropathies.

  20. Determination of representative dimension parameter values of Korean knee joints for knee joint implant design. (United States)

    Kwak, Dai Soon; Tao, Quang Bang; Todo, Mitsugu; Jeon, Insu


    Knee joint implants developed by western companies have been imported to Korea and used for Korean patients. However, many clinical problems occur in knee joints of Korean patients after total knee joint replacement owing to the geometric mismatch between the western implants and Korean knee joint structures. To solve these problems, a method to determine the representative dimension parameter values of Korean knee joints is introduced to aid in the design of knee joint implants appropriate for Korean patients. Measurements of the dimension parameters of 88 male Korean knee joint subjects were carried out. The distribution of the subjects versus each measured parameter value was investigated. The measured dimension parameter values of each parameter were grouped by suitable intervals called the "size group," and average values of the size groups were calculated. The knee joint subjects were grouped as the "patient group" based on "size group numbers" of each parameter. From the iterative calculations to decrease the errors between the average dimension parameter values of each "patient group" and the dimension parameter values of the subjects, the average dimension parameter values that give less than the error criterion were determined to be the representative dimension parameter values for designing knee joint implants for Korean patients.


    Directory of Open Access Journals (Sweden)

    Rizah Avdić


    Full Text Available Abstract – The largest and most complete joint in Bosnian and Herzegovinian mountain horse is knee joint, which consists of two joints: femoropatellar and femorotibial joint. From the point of functional anatomy and due to the load on the knee joint, the study of functional structures of femorotibial joint is of particular interest. Femorotibial joint is formed by the condyles of the femur and tibia. Femur and tibia are joined together by two powerful connections, the anterior and posterior cruciate ligaments (lig. cruciatum craniale et caudale. By dissection the muscles were carefully removed, the joint capsule opened, the ligaments dissected and the menisci separated. The results of measurement are presented in the Table. The lateral meniscus (meniscus lateralis is highly developed. All measured parameters except for the width of the central part of the meniscus, indicate the lateral meniscus being greater than the medial meniscus. The objectives of this paper were to determine significant morphometric characteristics of the meniscus and meniscus-femoral connection of the lateral meniscus. Key words: horse, joint, meniscus, ligament

  2. Blood-induced joint damage: from mechanisms to clinical practice

    NARCIS (Netherlands)

    Jansen, N.W.D.


    Blood-induced joint damage is an arthropathy which evolves as a consequence of joint bleeding (or: haemarthroses). These joint bleeds can occur as a consequence of joint trauma, such as intra-articular fracture or ligament rupture, but in patients suffering from the clotting disorder haemophilia,

  3. 15 CFR 296.8 - Joint venture agreement. (United States)


    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Joint venture agreement. 296.8 Section... PROGRAM General § 296.8 Joint venture agreement. NIST shall not issue a TIP award to a joint venture and no costs shall be incurred under a TIP project by the joint venture members until such time as a...

  4. A Better Quick-Connect Passive Capture Joint (United States)

    Nabors, Sammy A.


    NASA's Marshall Space Flight Center has developed a joint that employs a unique spring-loaded mechanism that automatically secures a ball hitch upon insertion into a coupler. This eliminates the need for the locking lever found in most conventional ball joints. Connections made using MSFC's quick-connect joint are easier, safer, and more reliable than those made using conventional ball joints.

  5. 46 CFR 56.30-27 - Caulked joints. (United States)


    ... 46 Shipping 2 2010-10-01 2010-10-01 false Caulked joints. 56.30-27 Section 56.30-27 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING PIPING SYSTEMS AND APPURTENANCES Selection and Limitations of Piping Joints § 56.30-27 Caulked joints. Caulked joints may not be used in...

  6. 46 CFR 56.30-3 - Piping joints (reproduces 110). (United States)


    ... 46 Shipping 2 2010-10-01 2010-10-01 false Piping joints (reproduces 110). 56.30-3 Section 56.30-3... APPURTENANCES Selection and Limitations of Piping Joints § 56.30-3 Piping joints (reproduces 110). The type of piping joint used shall be suitable for the design conditions and shall be selected with consideration of...

  7. 46 CFR 56.30-30 - Brazed joints. (United States)


    ... 46 Shipping 2 2010-10-01 2010-10-01 false Brazed joints. 56.30-30 Section 56.30-30 Shipping COAST... Selection and Limitations of Piping Joints § 56.30-30 Brazed joints. (a) General (refer also to subpart 56.75). Brazed socket-type joints shall be made with suitable brazing alloys. The minimum socket depth...

  8. Comprehensive treatment of temporomandibular joint disorders. (United States)

    Navrátil, Leos; Navratil, Vaclav; Hajkova, Simona; Hlinakova, Petra; Dostalova, Tatjana; Vranová, Jana


    Changing lifestyles, decreasing physical activity, which is increasing the number of degenerative joint diseases of various etiology, and certain dental procedures are increasing the number of patients complaining of pain in their temporomandibular joints. The aim of the study was to assess the benefits of comprehensive physiotherapy sessions in order to decrease the number of temporomandibular joint problems, thereby improving the patient's quality of life. An examination by a dentist determined each patient's treatment plan, which consisted of a medical exam, physical therapy and education. Each form of treatment was applied 10 times at intervals of 7-14 days. The main goal of the therapeutic physical education was to redress the muscle imbalance in the mandibular joint. This was achieved by restoring balance between the masticatory muscles, along with releasing the spastic shrouds found in the masticatory muscles. The aim of education was to teach the patient exercises focused on the temporomandibular joint and masticatory muscles. The intensity of the exercises and their composition were individually adjusted and adapted to their current state. Physical therapy consisted of the application of pulsed magnetic therapy, laser therapy, and non-invasive positive thermotherapy. The above procedure was conducted on a therapeutic group of 24 patients (3 men and 20 women). In the course of therapy, there were no complications, and all patients adhered to the prescribed regime. None reported any side effects. The mean treatment duration was 123 +/- 66 days. The outcome of the therapy was evaluated as described in the methodology, the degree of pain affecting the joint, and the opening ability of the mouth. In both parameters, there was a significant decline in patient pain. In a study devoted to tactics of rehabilitation treatment for temporomandibular joint disorders, the need for comprehensive long-term therapy, involving education, and learning proper chewing habits

  9. Pluralism in Theories of Responsibility: Joint Criminal Enterprise versus Joint Perpetration

    NARCIS (Netherlands)

    Cupido, M.; van Sliedregt, E.; Vasiliev, S.


    This paper scrutinizes the alleged pluralism between JCE and joint perpetration. It illustrates that the ICC and the ICTY in practice establish criminal responsibility under JCE and joint perpetration based on the participants’ cooperation in, and informed contribution to, a (criminal) organization

  10. Novel joint cupping clinical maneuver for ultrasonographic detection of knee joint effusions. (United States)

    Uryasev, Oleg; Joseph, Oliver C; McNamara, John P; Dallas, Apostolos P


    Knee effusions occur due to traumatic and atraumatic causes. Clinical diagnosis currently relies on several provocative techniques to demonstrate knee joint effusions. Portable bedside ultrasonography (US) is becoming an adjunct to diagnosis of effusions. We hypothesized that a US approach with a clinical joint cupping maneuver increases sensitivity in identifying effusions as compared to US alone. Using unembalmed cadaver knees, we injected fluid to create effusions up to 10 mL. Each effusion volume was measured in a lateral transverse location with respect to the patella. For each effusion we applied a joint cupping maneuver from an inferior approach, and re-measured the effusion. With increased volume of saline infusion, the mean depth of effusion on ultrasound imaging increased as well. Using a 2-mm cutoff, we visualized an effusion without the joint cupping maneuver at 2.5 mL and with the joint cupping technique at 1 mL. Mean effusion diameter increased on average 0.26 cm for the joint cupping maneuver as compared to without the maneuver. The effusion depth was statistically different at 2.5 and 7.5 mL (P cupping technique in combination with US is a valuable tool in assessing knee effusions, especially those of subclinical levels. Effusion measurements are complicated by uneven distribution of effusion fluid. A clinical joint cupping maneuver concentrates the fluid in one recess of the joint, increasing the likelihood of fluid detection using US. © 2013 Elsevier Inc. All rights reserved.

  11. Shear fracture of jointed steel plates of bolted joints under impact load (United States)

    Daimaruya, M.; Fujiki, H.; Ambarita, H.; Kobayashi, H.; Shin, H.-S.


    The present study is concerned with the development of a fracture criterion for the impact fracture of jointed steel plates of bolted joints used in a car body, which contributes to crash simulations by CAE. We focus our attention on the shear fracture of the jointed steel plates of lap-bolted joints in the suspension of a car under impact load. Members of lap-bolted joints are modelled as a pair of steel plates connected by a bolt. One of the plates is a specimen subjected to plastic deformation and fracture and the other is a jig subjected to elastic deformation only. Three kinds of steel plate specimens are examined, i.e., a common steel plate with a tensile strength of 270 MPa and high tensile strength steel plates of 440 and 590 MPa used for cars. The impact shear test was performed using the split Hopkinson bar technique for tension impact, together with the static test using a universal testing machine INSTRON 5586. The behaviour of the shear stress and deformation up to rupture taking place in the joint was discussed. The obtained results suggest that a stress-based fracture criterion may be developed for the impact fracture of jointed steel plates of a lap-bolted joint.

  12. Computed Tomography of the lumbar facet joints

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Mi Ryoung; Kim, Yung Soon; Lee, Joo Hyuk; Jeon, Hae Sang; Kim, Dae Yung [Kang Nam General Hospital, Seoul (Korea, Republic of)


    The lumbar facet disease is a frequently overlooked cause of sciatic pain, but the lumbar facet joints are well-recognized source of low back pain and radiating leg pain which can be confused with sciatica due to herniated disc. We measured the angulation of the facet joints on axial spine CT films in 149 cases which contains 41 normal group and 108 abnormal group and studied the relationship between the angulation and degeneration of the facets, the asymmetry of each sided facets and facet degeneration, the asymmetry and disc protrusion, and the asymmetry and annular bulging of the disc. The results were as follows: 1. Facet angulation in abnormal group were more sagittally oriented than the normal group. 2. The angulation of right facet was more sagittally oriented than the left in L4-5 level of abnormal group. 3. Degeneration of facet joints occur asymmetrically, and the more facet joint degenerates, the more it orients sagittally, particularly in L4-5. 4. Asymmetry in facet joint degeneration and unilateral disc protrusion of L5-SI level is greater than the normal gro0008.

  13. Handbook on dynamics of jointed structures.

    Energy Technology Data Exchange (ETDEWEB)

    Ames, Nicoli M.; Lauffer, James P.; Jew, Michael D.; Segalman, Daniel Joseph; Gregory, Danny Lynn; Starr, Michael James; Resor, Brian Ray


    The problem of understanding and modeling the complicated physics underlying the action and response of the interfaces in typical structures under dynamic loading conditions has occupied researchers for many decades. This handbook presents an integrated approach to the goal of dynamic modeling of typical jointed structures, beginning with a mathematical assessment of experimental or simulation data, development of constitutive models to account for load histories to deformation, establishment of kinematic models coupling to the continuum models, and application of finite element analysis leading to dynamic structural simulation. In addition, formulations are discussed to mitigate the very short simulation time steps that appear to be required in numerical simulation for problems such as this. This handbook satisfies the commitment to DOE that Sandia will develop the technical content and write a Joints Handbook. The content will include: (1) Methods for characterizing the nonlinear stiffness and energy dissipation for typical joints used in mechanical systems and components. (2) The methodology will include practical guidance on experiments, and reduced order models that can be used to characterize joint behavior. (3) Examples for typical bolted and screw joints will be provided.

  14. Multispectral diffuse optical tomography of finger joints (United States)

    Lighter, Daniel; Filer, Andrew; Dehghani, Hamid


    Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by synovial inflammation. The current treatment paradigm for earlier, more aggressive therapy places importance on development of functional imaging modalities, capable of quantifying joint changes at the earliest stages. Diffuse optical tomography (DOT) has shown great promise in this regard, due to its cheap, non-invasive, non-ionizing and high contrast nature. Underlying pathological activity in afflicted joints leads to altered optical properties of the synovial region, with absorption and scattering increasing. Previous studies have used these optical changes as features for classifying diseased joints from healthy. Non-tomographic, single wavelength, continuous wave (CW) measurements of trans-illuminated joints have previously reported achieving this with specificity and sensitivity in the range 80 - 90% [1]. A single wavelength, frequency domain DOT system, combined with machine learning techniques, has been shown to achieve sensitivity and specificity in the range of 93.8 - 100% [2]. A CW system is presented here which collects data at 5 wavelengths, enabling reconstruction of pathophysiological parameters such as oxygenation and total hemoglobin, with the aim of identifying localized hypoxia and angiogenesis associated with inflammation in RA joints. These initial studies focus on establishing levels of variation in recovered parameters from images of healthy controls.

  15. Early development of the costovertebral joints. (United States)

    Chen, Po-Jung; Wozniak, Witold


    Researches on the development of the vertebral column were focused mainly on the growth of lumbar and cervical regions. However, none of them were related to the development of costovertebral joints. To our knowledge, the relationship between ribs and thoracic vertebrae has never been addressed. The aims of the presented study are: (1) to trace the formation of processes of vertebral arches and articular surfaces of the vertebral bodies, and (2) to trace the development of the ribs, particularly their joint surfaces. Study subjects are staged human embryos (from the 5th week) from the collection of the Department of Anatomy, Poznan University of Medical Sciences in Poland. Serial sections were stained according to methods allowed for tracing the development of investigated structures. The primordia of costovertebral joints are interzones from which differentiate all structures of synovial joints such as joint surfaces, capsule and cavity. Based on the result of this study, these interzones appeared in the embryonic stages 17 and 18 with approximately 40 to 42 postfertilizational days, and the cavitation within the interzone was observed in some embryos from stage 19 with approximately postfertilizational 44 days.

  16. Adaptive plasticity in mammalian masticatory joints (United States)

    Ravosa, Matthew J.; Kunwar, Ravinder; Nicholson, Elisabeth K.; Klopp, Emily B.; Pinchoff, Jessie; Stock, Stuart R.; Stack, M. Sharon; Hamrick, Mark W.


    Genetically similar white rabbits raised on diets of different mechanical properties, as well as wild-type and myostatin-deficient mice raised on similar diets, were compared to assess the postweaning effects of elevated masticatory loads due to increased jaw-adductor muscle and bite forces on the proportions and properties of the mandibular symphysis and temporomandibular joint (TMJ). Microcomputed tomography (microCT) was used to quantify bone structure at a series of equidistant external and internal sites in coronal sections for a series of joint locations. Discriminant function analyses and non-parametric ANOVAs were used to characterize variation in biomineralization within and between loading cohorts. In both species, long-term excessive loading results in larger joint proportions, thicker articular and cortical bone, and increased biomineralization of hard tissues. Such adaptive plasticity appears designed to maintain the postnatal integrity of masticatory joint systems for a primary loading environment(s). This behavioral signal may be increasingly mitigated in older organisms by the interplay between adaptive and degradative joint tissue responses.

  17. Estimation of Joint types and Joint Limits from Motion capture data

    DEFF Research Database (Denmark)

    Engell-Nørregård, Morten Pol; Erleben, Kenny


    It is time-consuming for an animator to explicitly model joint types and joint limits of articulated figures. In this paper we describe a simple and fast approach to automated joint estimation from motion capture data of articulated figures. Our method will make the joint modeling more efficient...... and less time consuming for the animator by providing a good starting estimate that can be fine-tuned or extended by the animator if she wishes, without restricting her artistic freedom. Our method is simple, easy to implement and specific for the types of articulated figures used in interactive animation...... such as computer games. Other work for joint limit modeling consider more complex and general purpose models. However, these are not immediately suitable for inverse kinematics skeletons used in interactive applications....

  18. Dystrophic calcinosis with both a huge calcified mass in the cervical spine and calcification in the chest wall in a patient with rheumatoid overlap syndrome. (United States)

    Nakamura, Tadashi; Hirakawa, Kei; Takaoka, Hirokazu; Iyama, Ken-Ichi


    Dystrophic calcinosis in soft tissue occurs in damaged or devitalized tissues in the presence of normal calcium and phosphorous metabolism. It is often noted in subcutaneous tissues in patients with collagen vascular diseases and may involve a relatively localized area or be widespread. A 74-year-old Japanese woman with an overlap of rheumatoid arthritis, Sjögren's syndrome, and systemic sclerosis developed a huge tumor-like mass at the atlanto-axial vertebral joint region that caused severe cervical pain and difficulty in activities of daily living. She also had subcutaneous dystrophic calcification in the soft tissue of the chest wall. Calcinosis associated with systemic sclerosis is a well-recognized phenomenon, but a destructive paraspinal tumor in the cervical spine associated with overlap syndrome is extremely unique. Because calcinosis in spinal locations can be complicated by neurological involvement, patients with progressive symptoms may require surgical intervention. Surgical resection and biological therapy improved this patient's life and activities of daily living. Calcinosis is common in the conditions reviewed here, and different agents have been used for treatment. However, calcinosis management is poorly organized and lacks an accepted classification, systematic studies, and clinical therapeutic trials. The association of calcinosis and collagen vascular diseases is clinically and etiologically important. Although a combination of calcinosis and rheumatoid overlap syndrome is rare, various collagen vascular diseases may occur simultaneously. A perceptive diagnostic approach toward these diseases is critical, and early diagnosis and treatment are needed to prevent dystrophic calcinosis.

  19. Treatment of hemicrania continua with radiofrequency ablation and long-term follow-up. (United States)

    Beams, Jennifer L; Kline, Matthew T; Rozen, Todd D


    The objective of this research is to describe novel procedural treatments for hemicrania continua that allow patients to remain off indomethacin. Case reports are presented. We describe four distinct patients with indomethacin-responsive hemicrania continua who were unable to discontinue the use of indomethacin without headache recurrence. No other medications were effective for their syndrome. Secondary causes of headache were ruled out in each case. Each patient underwent diagnostic blockade of either the atlanto-axial joint, C2 dorsal root ganglion or sphenopalantine ganglion depending on their clinical examination and presence of cranial autonomic symptoms. A positive response led to a radiofrequency ablation of the C2 ventral ramus, C2 dorsal root ganglion or sphenopalantine ganglion, which provided headache relief in all case patients as complete as indomethacin. Long-term follow-up of these patients has shown that all have remained essentially headache free without the need for indomethacin. One patient has needed repeat radiofrequency procedures with consistent response. Hemicrania continua is defined by its sensitivity to indomethacin but very few patients are able to discontinue the medication without headache recurrence. As the risks of chronic indomethacin use are substantial, alternative treatments are necessary to protect patient health. We are now able to suggest several radiofrequency ablation procedures as effective as indomethacin with long-term follow-up. © International Headache Society 2015.

  20. A cervical flexion-extension MRI study in Down syndrome. (United States)

    Romano, Andrea; Albertini, Giorgio; Guida, Danilo; Cornia, Riccardo; Settecasi, Cristina; Condoluci, Claudia; Moraschi, Marta; Fantozzi, Luigi Maria; Bozzao, Alessandro; Pierallini, Alberto


    To assess what kind of information MR examination in flexed and extended positions provides in Down syndrome subjects with suspected cranio-cervical instability. Between 2005 and 2008, 35 subjects with DS were recruited in the study. Ethics committee approval was granted and a signed informed consent was obtained from the parents. All the subjects were affected by hypotonic status and ligament laxity established by clinical evaluation, but were asymptomatic about focal neurological symptoms due to medullar damage caused by cranio-cervical instability. Each patient underwent lateral supine radiographs and MR imaging in the neutral, active flexed and extended positions. For evaluating the atlanto-axial and atlanto-occipital joint stability, multiple measurements were calculated. A significant reduction of anterior subarachnoid space in flexed position was evident in DS subjects compared to healthy controls in neutral and flexed positions. Both, space available for cord and ligamentous thickness showed significant differences between DS subjects and healthy controls. In DS subjects with occipito-cervical instability, the anterior subarachnoidal space reduction was significantly reduced in flexed position. In DS subjects with asymptomatic cranio-cervical instability, anterior subarachnoidal evaluation and ligamentous status could add new information about the risk of spinal cord damage.

  1. Joint shape segmentation with linear programming

    KAUST Repository

    Huang, Qixing


    We present an approach to segmenting shapes in a heterogenous shape database. Our approach segments the shapes jointly, utilizing features from multiple shapes to improve the segmentation of each. The approach is entirely unsupervised and is based on an integer quadratic programming formulation of the joint segmentation problem. The program optimizes over possible segmentations of individual shapes as well as over possible correspondences between segments from multiple shapes. The integer quadratic program is solved via a linear programming relaxation, using a block coordinate descent procedure that makes the optimization feasible for large databases. We evaluate the presented approach on the Princeton segmentation benchmark and show that joint shape segmentation significantly outperforms single-shape segmentation techniques. © 2011 ACM.

  2. Hip joint mobility in dancers: preliminary report. (United States)

    Drężewska, Marlena; Gałuszka, Renata; Sliwiński, Zbigniew


    The aim of this study was to evaluate the impact of dancing on hip joint mobility and to assess the relationship between active movements of the hips and injuries among dancers, which may be important in planning rehabilitation in this group. The sample comprised 49 dancers (37 women and 12 men) aged 15 to 32 years. The participants were the professional dancers of the Kielce Dance Theatre and members of two youth jazz dance teams from the Kielce Dance Theatre. The active range of motion of the hips was measured in three planes using a goniometer in order to assess the influence of dance training on hip joint mobility. A questionnaire-based survey was also conducted. The range of flexion, extension and external rotation was significantly greater in the group of long-time dancers (p gender were associated with an increased range of hip joint motion.

  3. Clinical view of the temporomandibular joint disorder. (United States)

    Badel, Tomislav; Ćimić, Samir; Munitić, Mirna; Zadravec, Dijana; Kes, Vanja Bašić; Šimunković, Sonja Kraljević


    Temporomandibular pain has a musculoskeletal origin because it occurs as a consequence of masticatory muscle function disorder and temporomandibular joint disorder. Most common diagnoses of disorders are disc displacement and osteoarthritis, but their comorbidity can also occur. Pain is the most common symptom, where chronic temporomandibular pain may con- tribute to the occurrence of psychological disorders in the patient population. Splint is the most widespread dental method of treatment but other, noninvasive methods of musculoskeletal pain treatment are also recommended. Electronic axiography is used for visualization of mandibular movements, in particular pathologic sounds in the joints. Mental health, although not so obvious in dental practice, can influence the need of a multidisciplinary approach to the patient with disorder of the temporomandibular joint.

  4. Computed tomography through the hip joint

    Energy Technology Data Exchange (ETDEWEB)

    Dihlmann, W.


    Computed tomography through the hip joint should be used only after conventional radiographs (at least a.p. views). It may provide information that is diagnostic or helpful, e.g. in bacterial infections, trauma of praearthrotic states. Indications for surgery may be obtained in the presence of inflammatory-rheumatic and degenerative hip disease, arthritic deformities and trauma, and the type of suitable operation may be indicated. The obturator internus muscle, which can be seen medial to the acetabulum on the scan, is an important diagnostic indicator where there is trauma or bacterial infection of the hip joint. The capsule of the hip joint can be visualized directly. Slice thickness of 6 mm, or less is necessary.

  5. Joint and long-bone gunshot injuries. (United States)

    Dougherty, Paul J; Vaidya, Rahul; Silverton, Craig D; Bartlett, Craig S; Najibi, Soheil


    Gunshot wounds remain a major clinical problem, with the number of nonfatal gunshot wounds reported as 60,000 to 80,000 per year in the United States. Bone or joint injuries comprise a major portion of gunshot wound injuries. It is paramount for orthopaedic surgeons to be thorough in their treatment of patients with these injuries. Intra-articular injuries remain a source of significant clinical morbidity because of joint stiffness, arthritis, and the risk of infection. Treatment of long-bone fractures is a challenging clinical problem, and further studies are needed to investigate modern treatment methods. Lead toxicity is a potential risk for patients with gunshot injuries, particular for those with joint injuries. The clinician's recognition of the signs and symptoms of lead toxicity is important to achieve the best care for these patients.

  6. Arthroplasty after war injuries to major joints. (United States)

    Haspl, M; Pećina, M; Orlić, D; Cicak, N


    From 1992 to 1995, replacement of the joint with an endoprosthesis after serious wounding and major destruction of joint elements was performed in 10 soldiers. Arthroplasty was performed on five knees, three hips, and two shoulders. The age range of the wounded soldiers was 22 to 55 years (mean, 37.7 years). Six soldiers suffered explosive injuries, and 4 were injured by gunfire. Time elapsed from the moment of wounding to the time of total joint replacement was 9 to 42 months. We decided on arthroplasty as the preferred treatment because of the presence of strong contractures and very painful movement. In 8 patients, the results of the treatment, based on a follow-up time of 36 to 48 months, were good. In 2 patients, early septic arthritis developed after arthroplasty of the knee with concomitant loosening of the endoprosthesis. Staphylococcus aureus was detected in both patients. In those 2 patients, therefore, arthrodesis of the knee with external fixation was performed.

  7. Joint diseases in animal paleopathology: Veterinary approach

    Directory of Open Access Journals (Sweden)

    Oliver Stevanović,


    Full Text Available Animal paleopathology is not a very well known scientific discipline within veterinary science, but it has great importance for historical and archaeological investigations. In this paper, authors attention is focused on the description of one of the most common findings on the skeletal remains of animals - osteoarthropathies. This review particularly emphasizes the description and classification of the most common pathological changes in synovial joints. The authors have provided their observations on the importance of joint diseases in paleopathology and veterinary medicine. Analysis of individual processes in the joints of the animals from the past may help in the understanding of diseases in modern veterinary medicine. Differential diagnosis was made a point of emphasis and discussion, so that this work could have practical significance for paleopathology and veterinary medicine

  8. Fractal Analysis of Rock Joint Profiles (United States)

    Audy, Ondřej; Ficker, Tomáš


    Surface reliefs of rock joints are analyzed in geotechnics when shear strength of rocky slopes is estimated. The rock joint profiles actually are self-affine fractal curves and computations of their fractal dimensions require special methods. Many papers devoted to the fractal properties of these profiles were published in the past but only a few of those papers employed a convenient computational method that would have guaranteed a sound value of that dimension. As a consequence, anomalously low dimensions were presented. This contribution deals with two computational modifications that lead to sound fractal dimensions of the self-affine rock joint profiles. These are the modified box-counting method and the modified yard-stick method sometimes called the compass method. Both these methods are frequently applied to self-similar fractal curves but the self-affine profile curves due to their self-affine nature require modified computational procedures implemented in computer programs.

  9. Joint multifractal analysis based on wavelet leaders (United States)

    Jiang, Zhi-Qiang; Yang, Yan-Hong; Wang, Gang-Jin; Zhou, Wei-Xing


    Mutually interacting components form complex systems and these components usually have long-range cross-correlated outputs. Using wavelet leaders, we propose a method for characterizing the joint multifractal nature of these long-range cross correlations; we call this method joint multifractal analysis based on wavelet leaders (MF-X-WL). We test the validity of the MF-X-WL method by performing extensive numerical experiments on dual binomial measures with multifractal cross correlations and bivariate fractional Brownian motions (bFBMs) with monofractal cross correlations. Both experiments indicate that MF-X-WL is capable of detecting cross correlations in synthetic data with acceptable estimating errors. We also apply the MF-X-WL method to pairs of series from financial markets (returns and volatilities) and online worlds (online numbers of different genders and different societies) and determine intriguing joint multifractal behavior.

  10. Atraumatic Anterior Dislocation of the Hip Joint

    Directory of Open Access Journals (Sweden)

    Tadahiko Ohtsuru


    Full Text Available Dislocation of the hip joint in adults is usually caused by high-energy trauma such as road traffic accidents or falls from heights. Posterior dislocation is observed in most cases. However, atraumatic anterior dislocation of the hip joint is extremely rare. We present a case of atraumatic anterior dislocation of the hip joint that was induced by an activity of daily living. The possible causes of this dislocation were anterior capsule insufficiency due to developmental dysplasia of the hip, posterior pelvic tilt following thoracolumbar kyphosis due to vertebral fracture, and acetabular anterior coverage changes by postural factor. Acetabular anterior coverage changes in the sagittal plane were measured using a tomosynthesis imaging system. This system was useful for elucidation of the dislocation mechanism in the present case.

  11. [Joint destruction and infection in advanced age]. (United States)

    Bettin, D; Dethloff, M; Karbowski, A


    Because of degenerative joint diseases and the reduced resistance in older patients the correct diagnoses of joint-empyema is difficult. In 29 pat (> 60 y) the mean delay of diagnoses was 5.1 months. First location of the infection have been: urinary tract 12, pneumonia 6, skin infection 10, and decubitus 3. Risk factors have been diabetes 4, polyarthritis 3, gout 3 and tuberculosis 3. The species were: s. aureus 12, s. albus 2, streptococcus 2, diphtheroid 2, e.coli 2, pseudomonas 2, proteus 4, enterobacter 3 and salmonella 1. 8 patients demonstrated mixed infections. The high mortality (3 pat.) and the frequent general sepsis (5 pat.) underline the importance of a missed joint-empyema in the elderly.

  12. [Microbiological diagnosis of bone-joint infections]. (United States)

    Marín, Mercedes; Esteban, Jaime; Meseguer, María Antonia; Sánchez-Somolinos, Mar


    Although infrequent, bone-joint infections are associated with difficult clinical and surgical management and severe complications. Diagnosis of bone-joint infections requires a multidisciplinary analysis of the biochemistry, radiology, nuclear medicine, microbiology, and histopathology results. Diagnosis must be rapid and correct so that appropriate medical and surgical treatment can be administered and serious complications avoided. Microbiology studies are indispensable when determining the causal agents and their antimicrobial susceptibility patterns. Microbiological diagnosis of bone-joint infections is limited by the low sensitivity of Gram staining and difficult interpretation of culture results, particularly when enrichment broth is used (low number of microorganisms present in some infections). Copyright © 2010 Elsevier España, S.L. All rights reserved.

  13. Statistical models for jointly analyzing multiple allometries. (United States)

    Gao, Huijiang; Liu, Yongxin; Zhang, Tingting; Yang, Runqing; Yang, Huanmin


    As the reciprocal of simple allometry equation, power allometry equation can also be used to define allometry scaling but the scaling exponent has an opposite meaning to that of simple allometry equation. Based on this observation, a joint static allometry scaling model of entire body size on multiple partial body size is established, which can not only simultaneously evaluate allometry scaling of multiple partial body sizes, but also take into account the correlations among multiple partial body sizes, facilitating subsequent statistical inference and practice. Since ontogenetic allometry may be time-dependent, ontogenetic allometry is estimated by jointly analyzing changes of entire and multiple partial body sizes as growth time using multivariate stepwise analysis. Joint analysis of allometry scaling is suitable for multiple biological traits and functions with same property or comparability, which is illustrated by two examples. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. Extracellular vesicles in synovial fluid : Dynamics during joint inflammation and articular development and promise for joint regeneration and restoration of joint homeostasis

    NARCIS (Netherlands)

    Boere, J.


    This thesis addresses a potentially highly relevant, though as yet relatively untouched, avenue in extracellular vesicle (EV) research: the (possible) involvement of EVs in joint biology and joint disease. The general knowledge on EVs in joint biology is still very limited. In this thesis, we aimed

  15. Control of glacial quarrying by bedrock joints (United States)

    Hooyer, Thomas S.; Cohen, Denis; Iverson, Neal R.


    A principal assumption of models that describe bedrock quarrying by glaciers is that cracks in the bed are small and isolated. These cracks are assumed to grow slowly in response to glacial loading to eventually delimit the areas of quarried surfaces. If this assumption is correct, then quarried-surface orientations will be controlled by orientations of principal stresses in the bed associated with sliding and resultant ice-bed separation downglacier from rock ledges and roches moutonnées, rather than by orientations of joints that predate glacial loading. To test this hypothesis, we compared orientations of quarried surfaces and preglacial joints in nine recently deglaciated forefields of glaciers in Canada and Switzerland with different bedrock lithologies and bedforms. In all but one forefield, quarried surfaces and major joint sets are coincident, with orientations of quarried surfaces bearing no systematic relationship to sliding direction other than their obvious tendency to not face upglacier. A difference in sliding direction of 64° between two areas of one glacier forefield had no effect on the orientation of quarried surfaces, with the same joint set exploited in both areas. These observations motivate a new characterization of subglacial bedrock that differs from that of existing quarrying models. The bed is idealized as a group of rock blocks separated by preglacial joints. Slow crack growth necessary for quarrying would be confined to small bodies of rock (bridges) that connect the faces of joints. This model of the bed does not allow it to be treated as an intact elastic solid with hydraulically isolated cracks as is usually assumed, which would have a profound influence on characterization of quarrying mechanics.

  16. The discovery of columnar jointing on Mars (United States)

    Milazzo, M.P.; Keszthelyi, L.P.; Jaeger, W.L.; Rosiek, M.; Mattson, S.; Verba, C.; Beyer, R.A.; Geissler, P.E.; McEwen, A.S.; ,


    We report on the discovery of columnar jointing in Marte Valles, Mars. These columnar lavas were discovered in the wall of a pristine, 16-km-diameter impact crater and exhibit the features of terrestrial columnar basalts. There are discontinuous outcrops along the entire crater wall, suggesting that the columnar rocks covered a surface area of at least 200 km2, assuming that the rocks obliterated by the impact event were similarly jointed. We also see columns in the walls of other fresh craters in the nearby volcanic plains of Elysium Planitia–Amazonis Planitia, which include Marte Vallis, and in a well-preserved crater in northeast Hellas.

  17. Kernel-based tests for joint independence

    DEFF Research Database (Denmark)

    Pfister, Niklas; Bühlmann, Peter; Schölkopf, Bernhard


    the $d$-dimensional joint distribution and the product of the marginals into a reproducing kernel Hilbert space and define the $d$-variable Hilbert-Schmidt independence criterion (dHSIC) as the squared distance between the embeddings. In the population case, the value of dHSIC is zero if and only......We investigate the problem of testing whether $d$ random variables, which may or may not be continuous, are jointly (or mutually) independent. Our method builds on ideas of the two variable Hilbert-Schmidt independence criterion (HSIC) but allows for an arbitrary number of variables. We embed...

  18. Ka-band waveguide rotary joint

    KAUST Repository

    Yevdokymov, Anatoliy


    The authors present a design of a waveguide rotary joint operating in Ka-band with central frequency of 33 GHz, which also acts as an antenna mount. The main unit consists of two flanges with a clearance between them; one of the flanges has three circular choke grooves. Utilisation of three choke grooves allows larger operating clearance. Two prototypes of the rotary joint have been manufactured and experimentally studied. The observed loss is from 0.4 to 0.8 dB in 1.5 GHz band.

  19. Method of superconducting joint and its measurement

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Woo Gon; Lee, Ho Jin; Hong, Gye Won [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)


    The development of joint techniques for superconducting wires is essential to fabricate the high quality superconducting magnet. In this report, the various joining methods and their measuring techniques were reviewed. In order to fabricate a precise superconducting magnet, joining and measuring experiment by using the field decay technique carried out. The contact resistance of coupled specimens with joint was measured as 3.0 x 10{sup -15} ohm at 1 Tesla which is lower than that of the real operating condition of MRI magnet. It is expected that these data can be used to design and fabricate the superconducting magnets successfully. (Author) 12 refs., 20 figs., 2 tabs.

  20. The Management of the Joint Stock Companies

    Directory of Open Access Journals (Sweden)

    Dan Cimpoeru


    Full Text Available In the joint stock company there are three types of bodies: deliberative and decision-making (general meeting of shareholders, executive and management (administrator, administrators, Administrative Board, Directorate or Supervisory Board and management control (auditors. The shareholders may set by the constitutive act other organs of society than those provided for under company law. An important role in the organization of a company has the administrators who have responsibilities in the sphere of internal management acts and representation in relations with third parties. Under the Romanian legal provisions, the joint stock companies may be managed in two systems: unitary and dualist.

  1. Management of posttraumatic proximal interphalangeal joint contracture. (United States)

    Houshian, Shirzad; Jing, Shan Shan; Chikkamuniyappa, Chandrasekar; Kazemian, Gholam Hussein; Emami-Moghaddam-Tehrani, Mohammad


    Chronic flexion contracture of the proximal interphalangeal (PIP) joint presents a common yet challenging problem to hand surgeons. Over the years, multiple treatment modalities have been described for this problem, producing limited results. Nonoperative treatment using serial casting and splints should be tried before attempting open surgical release, which should be done in selected patients. The use of external fixation for treating PIP contracture has been encouraging and can be a useful alterative. This review provides an update on the current management of PIP joint contractures and presents a flowchart of treatment to aid decision making. Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  2. Transversely Compressed- and Restrained Shear Joints

    DEFF Research Database (Denmark)

    Schmidt, Jacob Wittrup; Hansen, Christian Skodborg


    . This paper presents theoretical model which can predict the response of transversely compressed and restrained single- and double lap shear joints. The interface material model is based on a cohesive law in the shear-slip plane with a descending branch and a uniform frictional stress added due...... to the friction in the crack, emanating from the transverse pressure or restraint. The theoretical model is compared with experimental results from transversely compressed single- and double shear joints. Also theoretical predictions of a mechanical integrated sleeve-wedge anchorage load capacity are carried out...

  3. Joint Stiffness Is Heritable and Associated with Fibrotic Conditions and Joint Replacement.

    Directory of Open Access Journals (Sweden)

    Frances M Williams

    Full Text Available Joint stiffness is a common, debilitating, age-related symptom, which may be seen after total joint replacement (TJR. Stiffness also occurs in fibrotic conditions such as shoulder capsulitis and Dupuytren's contracture. We speculated that the two traits (TJR and fibrotic disease are linked pathogenically.Using the TwinsUK NIHR BRC BioResource we tested the hypotheses that 1 joint (hip and knee stiffness, TJR (hip and knee, and fibrotic conditions are associated and 2 genetic factors contribute to them.Participating twins (n = 9718 had completed self-reported questionnaires on the traits of interest. All three traits were significantly associated with increasing age and body mass index (BMI, as well as female sex, on univariate analysis. Multivariable logistic regression analyses showed a significant association between TJR and joint stiffness (OR = 3.96, 95% confidence interval, CI 2.77-5.68 and between fibrotic conditions and joint stiffness (OR = 2.39, 1.74-3.29, adjusting for age, sex, BMI and twin relatedness. Monozygotic versus dizygotic intraclass correlations gave heritability estimates for TJR = 46% and joint stiffness = 32%.That fibrotic conditions, joint stiffness and TJR are significantly associated suggests a common disease process, possibly fibrosis, which is genetically mediated.

  4. Predicting the Functional Roles of Knee Joint Muscles from Internal Joint Moments. (United States)

    Flaxman, Teresa E; Alkjær, Tine; Simonsen, Erik B; Krogsgaard, Michael R; Benoit, Daniel L


    Knee muscles are commonly labeled as flexors or extensors and aptly stabilize the knee against sagittal plane loads. However, how these muscles stabilize the knee against adduction-abduction and rotational loads remains unclear. Our study sought 1) to classify muscle roles as they relate to joint stability by quantifying the relationship between individual muscle activation patterns and internal net joint moments in all three loading planes and 2) to determine whether these roles change with increasing force levels. A standing isometric force matching protocol required subjects to modulate ground reaction forces to elicit various combinations and magnitudes of sagittal, frontal, and transverse internal joint moments. Surface EMG measured activities of 10 lower limb muscles. Partial least squares regressions determined which internal moment(s) were significantly related to the activation of individual muscles. Rectus femoris and tensor fasciae latae were classified as moment actuators for knee extension and hip flexion. Hamstrings were classified as moment actuators for hip extension and knee flexion. Gastrocnemius and hamstring muscles were classified as specific joint stabilizers for knee rotation. Vastii were classified as general joint stabilizers because activation was independent of moment generation. Muscle roles did not change with increasing effort levels. Our findings indicate muscle activation is not dependent on anatomical orientation but perhaps on its role in maintaining knee joint stability in the frontal and transverse loading planes. This is useful for delineating the roles of biarticular knee joint muscles and could have implications in robotics, musculoskeletal modeling, sports sciences, and rehabilitation.

  5. Temporomandibular joint: disorders, treatments, and biomechanics. (United States)

    Ingawalé, Shirish; Goswami, Tarun


    Temporomandibular joint (TMJ) is a complex, sensitive, and highly mobile joint. Millions of people suffer from temporomandibular disorders (TMD) in USA alone. The TMD treatment options need to be looked at more fully to assess possible improvement of the available options and introduction of novel techniques. As reconstruction with either partial or total joint prosthesis is the potential treatment option in certain TMD conditions, it is essential to study outcomes of the FDA approved TMJ implants in a controlled comparative manner. Evaluating the kinetics and kinematics of the TMJ enables the understanding of structure and function of normal and diseased TMJ to predict changes due to alterations, and to propose more efficient methods of treatment. Although many researchers have conducted biomechanical analysis of the TMJ, many of the methods have certain limitations. Therefore, a more comprehensive analysis is necessary for better understanding of different movements and resulting forces and stresses in the joint components. This article provides the results of a state-of-the-art investigation of the TMJ anatomy, TMD, treatment options, a review of the FDA approved TMJ prosthetic devices, and the TMJ biomechanics.

  6. Degenerative joint disease in female ballet dancers

    NARCIS (Netherlands)

    van Dijk, C. N.; Lim, L. S.; Poortman, A.; Strübbe, E. H.; Marti, R. K.


    The relationship between long-term ballet dancing and eventual arthrosis of the hip, ankle, subtalar, and first metatarsophalangeal joint was examined in 19 former professional female dancers, aged 50 to 70 years. The dancers were compared with pair-matched controls. All 38 women underwent medical

  7. Temporomandibular joint involvement in psoriatic arthritis | Okkesim ...

    African Journals Online (AJOL)

    Psoriasis is a chronic, papulosquamous, and an inflammatory skin disease. It has been found that between 5% and 24% of patients develop psoriatic arthritis (PA) at the same time after or even prior to skin findings. The involvement of temporomandibular joint (TMJ) is a rare condition. In this report, a-46-year-old male ...

  8. The Joint Lessons Learned System and Interoperability (United States)


    psychological warfare and special operations. 42 They were also required to evacuate noncombatants, conduct joint and combined operations, and establish...Learned: 1988-1989 As mentioned in the introduction to this chaoter, the Organizacion of the JcinC Chiefs cf Staff .OJCS) ueren significant transformatioi

  9. Solid rocket booster joint seal analyses (United States)

    Moore, Carleton J.


    O-ring response and sealing in pressurized shell structures is examined. The study found that the key elements in the failure of the seal to be joint opening and rotation, assembly out of roundness, and O-ring seal response.


    Directory of Open Access Journals (Sweden)

    Rainer Pauska


    Full Text Available Joining experiments using different adhesives were carried out. In addition to the adhesive, the specimens were also treated with ultrasonic waves to improve the load carrying capacity of the joined parts. Lap joint shear tests have been conducted to quantify this improvement.

  11. Joint data analysis in nutritional epidemiology

    DEFF Research Database (Denmark)

    Pinart, Mariona; Nimptsch, Katharina; Bouwman, Jildau


    Background: Joint data analysis from multiple nutrition studies may improve the ability to answer complex questions regarding the role of nutritional status and diet in health and disease. Objective: The objective was to identify nutritional observational studies from partners participating in th...

  12. Computational Biomechanics of the Wrist Joint

    CERN Document Server

    Nazri Bajuri, Mohd


    This book presents an analysis of the stress distribution and contact stresses in severe rheumatoid wrist after total wrist arthroplasty. It assesses and compares the load transfer throughout the joint and contact pressure at the articulations. The data obtained from this study is of importance as this provide greater evidence to the benefits of total wrist arthroplasty in rheumatoid arthritis patients.

  13. MIT Experiments with Joint Venture Contract. (United States)

    American School and University, 1981


    A new dormitory at Massachusetts Institute of Technology was constructed using a joint venture contract with safeguards and incentives that brought university, architect, and building contractor into a closer and more productive relationship than under conventional contract arrangements. (Author/MLF)

  14. Designing an International Joint Venture Negotiation Game. (United States)

    Kenkel, Phil; And Others


    Evaluates a simulation game that models management problems encountered in negotiating and managing international joint ventures. Designed to instruct executives of state-owned agribusinesses in Indonesia in abstract concepts such as partner rapport, transfer price conflicts, and marketing disagreements, its success suggests that simulation games…

  15. Prosthesis infections after orthopedic joint replacement

    DEFF Research Database (Denmark)

    Song, Zhijun; Borgwardt, Lotte; Høiby, Niels


    Prosthesis-related infection is a serious complication for patients after orthopedic joint replacement, which is currently difficult to treat with antibiotic therapy. Consequently, in most cases, removal of the infected prosthesis is the only solution to cure the infection. It is, therefore...

  16. Bilateral, atraumatic, proximal tibiofibular joint instability. (United States)

    Morrison, Troy D; Shaer, James A; Little, Jill E


    Dislocation of the tibiofibular joint is rare and usually results from a traumatic event. Only 1 case of atraumatic proximal tibiofibular joint instability in a 14-year-old girl has been reported in the literature, however this condition might occur more frequently than once thought. A wide range of treatment options exist for tibiofibular dislocations. Currently, the first choice is a conservative approach, and when this fails, surgical means such as resection of the fibula head, arthrodesis, and reconstruction are considered. However, no consensus exists on the most effective treatment. This article reports a unique case of bilateral, atraumatic, proximal tibia and fibular joint instability involving a 30-year-old man with a 20-year history of pain and laxity in the right knee. The patient had no trauma to his knees; he reported 2 immediate family members with similar complaints, which suggests that this case is likely congenital. After conservative approaches proved to be ineffective, the patient underwent capsular reconstruction using free autologous gracilis tendon. At 6-month postoperative follow-up, the patient was pain free with no locking and instability. He then underwent surgery on the left knee. At 1-year follow-up after the second surgery, the patient had no symptoms or restrictions in mobility. We provide an alternative surgical approach to arthrodesis and resection for the treatment of chronic proximal tibiofibular instability. In the treatment of chronic tibiofibular instability, we believe that reconstruction of the tibiofibular joint is a safe and effective choice. Copyright 2011, SLACK Incorporated.

  17. Bayesian Joint Estimation of Binomial Proportions. (United States)

    Viana, Marlos A. G.


    A Bayesian solution is suggested to the problem of jointly estimating "k is greater than 1" binomial parameters in conjunction with the problem of testing, in a Bayesian sense, the hypothesis "H" of parametric homogeneity. Applications of the estimates are illustrated with several types of data, including ophthalmological…

  18. Joint force opportunities: Policy Aims And Adaptations (United States)


    seemed to be lawless as looting flourished as a normative behavior and resentment towards US joint-forces festered.74 The empowered majority of...Books, 2010. Kalyvas, Stathis N, Peter Lange, Robert H. Bates, Ellen Comisso, And Peter Hall. The Logic Of Violence In Civil War. Cambridge: Cambridge

  19. Juvenile idiopathic arthritis and the temporomandibular joint

    African Journals Online (AJOL)

    Yasser Mohammed

    e Pediatric Immunology Units, Ain Shams University hospitals, Faculty of Medicine, Ain Shams University, Cairo, Egypt. Received 1 October 2011; accepted 23 November 2011. Available online 1 February 2012. KEYWORDS. Juvenile idiopathic arthritis;. Temporomandibular joint;. Magnetic resonance imaging. Abstract ...

  20. Joint Force Quarterly. Number 4, Spring 1994 (United States)


    possible. Italy was not the soft underbelly that Chur- chill predicted, but rather a “tough old gut,” as General Clark quipped.30 Nevertheless, studying...cap- ture and fortify the Admiralty Islands, Buka, Bougainville, Lae , and Salamaua.” 3 To joint warfighters of the future the ac- tion of these wartime

  1. Optical spectroscopy on joints for rheumatoid arthritis

    NARCIS (Netherlands)

    Schmidt, M.R.; Rensen, W.H.J.


    In vivo transmission profiles of the index finger were assessed using cw-spectroscopy. The capability to noninvasively monitor changes in blood perfusion was measured on three volunteers. The results suggest to use the analysis of absorption spectra for the recognition of high-perfused joints. This

  2. Joint hypermobility syndrome among undergraduate students | Didia ...

    African Journals Online (AJOL)

    Objective: To assess the prevalence of joint hypermobility syndrome among undergraduate students of the University of Port Harcourt, Nigeria using the Beighton's criteria. Design: Cross- sectional prospective study of 550 randomly selected undergraduate students . Setting: Departments of Anatomy and Human Physiology ...

  3. The Joint Dynamics of Equity Market Factors

    DEFF Research Database (Denmark)

    Christoffersen, Peter; Langlois, Hugues


    The 4 equity market factors from Fama and French (1993) and Carhart (1997) are pervasive in academia and practice. However, not much is known about their joint distribution and dynamics. We find striking evidence of asymmetric tail dependence across the factors. While the linear factor correlations...

  4. 49 CFR 178.338-4 - Joints. (United States)


    ... welder performance tests must be made in accordance with Section IX of the ASME Code. Records of the... if evacuated, must be as prescribed in Section VIII of the ASME Code (IBR, see § 171.7 of this... 49 Transportation 2 2010-10-01 2010-10-01 false Joints. 178.338-4 Section 178.338-4 Transportation...

  5. Anterior bilateral temporomandibular joint dislocation: an ...

    African Journals Online (AJOL)

    Anterior dislocation of the temporomandibular joint (TMJ) though an infrequent presentation at the emergency department; often demands an immediate reduction to relieve discomfort and prevent adverse long-term sequelae. A simple and effective technique to reduce the dislocation is successfully demonstrated by putting ...

  6. Stabilisation of Posterior Sternoclavicular Joint Dislocation using ...

    African Journals Online (AJOL)

    Posterior sternoclavicular joint dislocation is a rare injury. It is usually sustained acutely in activities such as contact sports eg. rugby and motorcycle accidents. Plain radiography of the chest will often miss the diagnosis and confirmation is by CT scans. However CT scans are often reported to miss epiphyseal injuries.

  7. 38 CFR 4.45 - The joints. (United States)


    ... movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc... the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are... considered to be a group of minor joints, ratable on disturbance of lumbar spine functions. ...

  8. Joint High Speed Vessel (JHSV) Program (United States)


    OPERATIONALY throughout the world • EUCOM – Norway to Africa • CENTCOM • PACOM • SOUTHCOM • CONUS • Leased vessels have undergone significant sea trials and... Austral ia to the Persian Gul f to support C E N T C O M t a s k i n g s JOINT VENTURE SWIFT 22 UNCLASSIFIED UNCLASSIFIED Acquisition Constraints

  9. Finger-jointed beams in bending

    DEFF Research Database (Denmark)

    Andreasen, Lotte; Hoffmeyer, Preben


    An investigation of the dynamic and static fatique of finger-jointed beams in bending was carried out. Results were obtained for five different frequencies from static loading to a load cycle period of two minutes. A total of seven series were long-term tested and five series were short-term tested...

  10. 38 CFR 4.66 - Sacroiliac joint. (United States)


    ... DISABILITIES Disability Ratings The Musculoskeletal System § 4.66 Sacroiliac joint. The common cause of... accompanied by limitation of flexion and extension of the hip. Traumatism is a rare cause of disability in.... There should be careful consideration of lumbosacral sprain, and the various symptoms of pain and...

  11. Joint custody: an exploration of the issues. (United States)

    Nehls, N; Morgenbesser, M


    Joint custody, an increasingly popular custody decision, allows both divorced parents to share equally the rights and responsibilities of child-rearing following their divorce. The authors discuss the potential positive and negative effects of this new and highly controversial custody decision by reviewing relevant research and theoretical concepts. Suggestions for further research are offered.

  12. Space Suit Joint Torque Measurement Method Validation (United States)

    Valish, Dana; Eversley, Karina


    In 2009 and early 2010, a test method was developed and performed to quantify the torque required to manipulate joints in several existing operational and prototype space suits. This was done in an effort to develop joint torque requirements appropriate for a new Constellation Program space suit system. The same test method was levied on the Constellation space suit contractors to verify that their suit design met the requirements. However, because the original test was set up and conducted by a single test operator there was some question as to whether this method was repeatable enough to be considered a standard verification method for Constellation or other future development programs. In order to validate the method itself, a representative subset of the previous test was repeated, using the same information that would be available to space suit contractors, but set up and conducted by someone not familiar with the previous test. The resultant data was compared using graphical and statistical analysis; the results indicated a significant variance in values reported for a subset of the re-tested joints. Potential variables that could have affected the data were identified and a third round of testing was conducted in an attempt to eliminate and/or quantify the effects of these variables. The results of the third test effort will be used to determine whether or not the proposed joint torque methodology can be applied to future space suit development contracts.

  13. 2016 Joint Universities Accelerator School (JUAS) - Registrations

    CERN Multimedia


    The registrations for the 2016 session of the Joint Universities Accelerator School (JUAS) are now open.   Applications are welcome from second-year Master and PhD and for physicists wishing to further their knowledge in this particular field. The deadline for submission of the full application form is 30 October 2015.

  14. 2017 Joint Universities Accelerator School (JUAS) - Registrations

    CERN Multimedia


    The registrations for the 2017 session of the Joint Universities Accelerator School (JUAS) are now open.   Applications are welcome from staff, fellows and post-graduate students wishing to further their knowledge in the field. The deadline for submission of the full application form is 16 October 2016.

  15. Decision Fusion System for Bolted Joint Monitoring

    Directory of Open Access Journals (Sweden)

    Dong Liang


    Full Text Available Bolted joint is widely used in mechanical and architectural structures, such as machine tools, industrial robots, transport machines, power plants, aviation stiffened plate, bridges, and steel towers. The bolt loosening induced by flight load and environment factor can cause joint failure leading to a disastrous accident. Hence, structural health monitoring is critical for the bolted joint detection. In order to realize a real-time and convenient monitoring and satisfy the requirement of advanced maintenance of the structure, this paper proposes an intelligent bolted joint failure monitoring approach using a developed decision fusion system integrated with Lamb wave propagation based actuator-sensor monitoring method. Firstly, the basic knowledge of decision fusion and classifier selection techniques is briefly introduced. Then, a developed decision fusion system is presented. Finally, three fusion algorithms, which consist of majority voting, Bayesian belief, and multiagent method, are adopted for comparison in a real-world monitoring experiment for the large aviation aluminum plate. Based on the results shown in the experiment, a big potential in real-time application is presented that the method can accurately and rapidly identify the bolt loosening by analyzing the acquired strain signal using proposed decision fusion system.

  16. Timber joints under long-term loading

    DEFF Research Database (Denmark)

    Feldborg, T.; Johansen, M.

    This report describes tests and results from stiffness and strength testing of splice joints under long-term loading. During two years of loading the spicimens were exposed to cyclically changing relative humidity. After the loading period the specimens were short-term tested. The connectors were...

  17. Lateral collateral ligament of the elbow joint

    DEFF Research Database (Denmark)

    Olsen, Bo Sanderhoff; Vaesel, M T; Søjbjerg, Jens Ole


    The structure and kinematics of the lateral collateral ligament of the elbow joint were investigated in 10 cadaveric specimens. The lateral collateral ligament was observed to be a distinct part of the lateral collateral ligament complex. It contains posterior fibers that pass through the annular...

  18. Model of moisture absorption by adhesive joint (United States)

    Bonilla Mora, Veronica; Mieloszyk, Magdalena; Ostachowicz, Wieslaw


    Adhesive joints offer many advantages over traditional mechanical joining systems. Nonetheless, their use is limited since they can be adversely affected by extreme temperatures and humidity conditions. Moisture contamination (even 1-3% of the sample weight) in an adhesive can alter its tensile strength and compromise the structural integrity of the joint. Moisture absorption processes can be monitored using methods based on fibre Bragg grating sensors embedded in the adhesive material. In the present paper, a finite element model of an adhesive joint between composite elements was analysed using the commercial code Abaqus™. The investigation contains two main parts: a thermal analysis and a hygro-mechanical analysis. The achieved results were verified using experimental investigation results for a sample with embedded fibre Bragg grating sensors that were applied to monitor the moisture-induced strains in the adhesive joint. The achieved numerical results show good agreement with the experimental ones for all considered analyses. The presented models can also be used for the determination of moisture content in an adhesive layer especially in a range of 1.5-2.5% of the water content.

  19. Multinational Companies And Joint Venture Investment ...

    African Journals Online (AJOL)

    This study brought to the fore, critical issues relating the Joint Venture Arrangement (JVA) prevailing in the Nigeria\\'s oil sector. The JVA option was considered the best alternative strategy for optimizing Nigeria\\'s oil returns and indigenous capacity building, since April 1971. questionnaire was designed and administered on ...

  20. A relationship between amount of joint effusion, disk displacement and presence of pain in the temporomandibular joint: MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kyung Ho; Suh, Kyung Jin; Kim, Keon Woo and others [Kyungpook National Univ. College of Medicine, Taegu (Korea, Republic of)


    To correlate MR findings of amount of temporomandibular joint effusion with joint pain and disk displacement. In 57 patients, 114 temporomandibular joints with symptoms of disorder (presence of clinical pain) were imaged. Closed and open mouth sagittal spin echo (SE) T1-weighted images (WI) and fast spin echo (FSE) T2-WI were obtained. We classified the amount of joint effusion into grades. Joint effusion was classified as either Grade 1, 2 or 3, as follours : in sagittal FSE T2-WI, a long diameter of joint effusion shorter than 1/3 of the diameter of the convex margin of temporal eminence was grade 1 ; longer than 2/3 was grade 3 ; between grade 1 and 3 was grade 2. Disk displacement was classified as either with or without reduction in the open mouth position. These findings were correlated with one another and statistically analyzed. In 29 cases with joint pain (37%) and in 34 cases without pain (63%) there was no evidence of joint effusion ; there were, however, more grade 1 joint effusion cases with pain (14; 60.9%) than without pain (9; 39.1%). Cases of joint pain increased in proportion to grade of joint effusion, which was statistically significant (p < 0.05). In joints without disk displacement, the largest grouping was that which showed no effusion (39; 72.2%) ; no joints showed grade 3 effusion. Cases of joint effusion decreased in proportion to grade of effusion. In joints with disk displacement, cases of joint effusion tended to increase in proportion to the grade of effusion. MR findings of amount of temporomandibular joint effusion correlate with joint pain and anterior disk displacement.

  1. Joint involvement associated with inflammatory bowel disease. (United States)

    De Vos, M


    Joint involvement associated with inflammatory bowel disease (IBD) belongs to the concept of spondyloarthritis (SpA) and includes two types of arthritis: a peripheral arthritis characterized by the presence of pauciarticular asymmetrical arthritis affecting preferentially joints of lower extremities and an axial arthropathy including inflammatory back pain, sacroiliitis and ankylosing spondylitis (AS). Treatment of arthritis includes a short-term use of NSAIDs associated with optimized treatment of gut inflammation. Safety concerns mean that long-term treatment with NSAIDs is best avoided if possible. Salazopyrine can be recommended for treatment of peripheral arthritis. Methotrexate and azathioprine are generally ineffective. Finally, efficacy of anti-TNF therapy (infliximab and adalimumab) is well established. However, use of etanercept is not recommended because of the increased risk for intestinal disease relapse. Pathogenesis of gut-joint iteropathy is not elucidated. Both inflammations are tightly related as suggested by human evidence of gut inflammation in patients with other forms of SpA and animal evidence of gut and joint inflammation in HLA-B27/human beta(2)-microglobulin transgenic rat model and TNF(DeltaARE) mice. Several clues for the linkage between gut and joint inflammation have been put forward including an altered recognition and handling of bacterial antigens, an aberrant trafficking of CD8+ T cells with an impaired T-helper type 1 cytokine profile and expression of aEb7 integrin, an altered trafficking of macrophages expressing CD163 and evidence of an increased angiogenesis. A transcriptome analysis of mucosal biopsies identified a set of 95 genes that are differentially expressed in both CD and SpA as compared with healthy controls suggesting common pathways. TNF plays a key role in the pathogenesis of various arthritic diseases and IBD. Mesenchymal/myofibroblast-like cells may represent the local primary targets of TNF in the induction of

  2. Effusion in magnetic resonance imaging of the temporomandibular joint

    Energy Technology Data Exchange (ETDEWEB)

    Nah, Kyung Soo [Pusan National University College of Medicine, Busan (Korea, Republic of)


    The purpose of this study was to investigate the distribution and frequency of temporomandibular joint (TMJ) effusion in magnetic resonance (MR) images of patients with disc displacements. On T2 weighted MR images of 148 TMJs taken from 74 patients presenting with TMJ pain and dysfunction, we assessed the cases showing TMJ effusion, defined as an amount of fluid that exceeded the maximum amount seen in a control group of asymptomatic volunteers. The amount of TMJ fluid was graded as: I (none or minimal), II (moderate), III (marked), and IV (extensive), according to a standard set by a reference. Disc displacement categories were also recorded. Of the 148 TMJs examined in this study, 52 joints (35.1%) presented with joint effusion, 24 (16.2%) showing bilateral joint effusion. 38 joints showed upper joint space effusion, and 3 showed lower joint space effusion, and 11 showed both upper and lower joint space effusion. 96 joints (64.9%) had grade I joint fluid, 27 (18.2%) grade II, 15 (10.1%) grade III, and 10 (6.8%) grade IV. 80.0% of the joints presenting with grade IV effusion showed disc displacement without reduction. Joint effusion was found not only in upper, but also in lower joint spaces. The higher the effusion grade, the greater the frequency of disc displacement without reduction.

  3. Quantifying normal ankle joint volume: An anatomic study

    Directory of Open Access Journals (Sweden)

    Draeger Reid


    Full Text Available Background: Many therapeutic and diagnostic modalities such as intraarticular injections, arthrography and ankle arthroscopy require introduction of fluid into the ankle joint. Little data are currently available in the literature regarding the maximal volume of normal, nonpathologic, human ankle joints. The purpose of this study was to measure the volume of normal human ankle joints. Materials and Methods: A fluoroscopic guided needle was passed into nine cadaveric adult ankle joints. The needle was connected to an intracompartmental pressure measurement device. A radiopaque dye was introduced into the joint in 2 mL boluses, while pressure measurements were recorded. Fluid was injected into the joint until three consecutive pressure measurements were similar, signifying a maximal joint volume. Results: The mean maximum ankle joint volume was 20.9 ± 4.9 mL (range, 16-30 mL. The mean ankle joint pressure at maximum volume was 142.2 ± 13.8 mm Hg (range, 122-166 mm Hg. Two of the nine samples showed evidence of fluid tracking into the synovial sheath of the flexor hallucis longus tendon. Conclusion: Maximal normal ankle joint volume was found to vary between 16-30 mL. This study ascertains the communication between the ankle joint and the flexor hallucis longus tendon sheath. Exceeding maximal ankle joint volume suggested by this study during therapeutic injections, arthrography, or arthroscopy could potentially damage the joint.

  4. Joint Dictionary Learning for Multispectral Change Detection. (United States)

    Lu, Xiaoqiang; Yuan, Yuan; Zheng, Xiangtao


    Change detection is one of the most important applications of remote sensing technology. It is a challenging task due to the obvious variations in the radiometric value of spectral signature and the limited capability of utilizing spectral information. In this paper, an improved sparse coding method for change detection is proposed. The intuition of the proposed method is that unchanged pixels in different images can be well reconstructed by the joint dictionary, which corresponds to knowledge of unchanged pixels, while changed pixels cannot. First, a query image pair is projected onto the joint dictionary to constitute the knowledge of unchanged pixels. Then reconstruction error is obtained to discriminate between the changed and unchanged pixels in the different images. To select the proper thresholds for determining changed regions, an automatic threshold selection strategy is presented by minimizing the reconstruction errors of the changed pixels. Adequate experiments on multispectral data have been tested, and the experimental results compared with the state-of-the-art methods prove the superiority of the proposed method. Contributions of the proposed method can be summarized as follows: 1) joint dictionary learning is proposed to explore the intrinsic information of different images for change detection. In this case, change detection can be transformed as a sparse representation problem. To the authors' knowledge, few publications utilize joint learning dictionary in change detection; 2) an automatic threshold selection strategy is presented, which minimizes the reconstruction errors of the changed pixels without the prior assumption of the spectral signature. As a result, the threshold value provided by the proposed method can adapt to different data due to the characteristic of joint dictionary learning; and 3) the proposed method makes no prior assumption of the modeling and the handling of the spectral signature, which can be adapted to different data.

  5. Joint involvement in Lö fgren's syndrome

    Directory of Open Access Journals (Sweden)

    O. N. Egorova


    Full Text Available Objective: to study the clinical, laboratory, and instrumental features of joint involvement in patients with Löfgren's syndrome.Patients and methods. Examinations were made in 125 patients, among whom there were 21 men and 104 women (male:female ratio, 1:5; mean age, 42±12 years (from 18 to 69 years, the referral diagnoses were erythema nodosum (EN, panniculitis or vasculitis.Results. All the patients complained of painful red indurations on the upper and lower extremities; there were also complaints of joint pain (83%, cough, weakness, hyperhidrosis, dyspnea, myalgia, and sore throat (55%, and subfebrile temperatures (50%. Arthralgias were noted in all the cases; 70% had arthritis that was observed manly in the ankle joints (62%. In all the patients, joint damage was concurrent with EN. Articular manifestations preceded EN in 35 (28% patients. Laboratory tests showed that the median erythrocyte sedimentation rate was 20 [14; 31] mm/hr and C-reactive protein (CRP was 10 [6; 21] mg/l. Elevated CRP levels were significantly more common in arthritis (p = 0.003 and nodular fusion (p=0.04 and directly related to the number of subcutaneous nodules (p=0.008; r=0.29. Chest computed tomography revealed intrathoracic lymphadenopathy in all the patients; ground glass lung tissue injury (Stage II was identified in 42% of cases. Joint damage did not depend on the X-ray stage of sarcoidosis. 54% of the patients took nonsteroidal anti-inflammatory drugs, 60% received hydroxychloroquine 600 mg/day, and 50% had glucocorticoids (GC 4–6 mg/day. 35% of the patients received combined therapy with GC and cyclophosphamide 200 mg/week or methotrexate 15 mg/week. Articular syndrome virtually completely regressed during a year. Arthralgias in the ankle persisted in a few (4% cases.

  6. Joint imaging in childhood and adolescence

    Energy Technology Data Exchange (ETDEWEB)

    Lopes Viana, Sergio [Hospital da Crianca de Brasilia - Jose Alencar Clinica Vila Rica (Brazil); Machado, Ribeiro, Maria Custodia [Hospital da Crianca de Brasilia - Jose Alencar Hospital de Base do Distrito Federal (Brazil); Beber Machado, Bruno [Clinica Radiologica Med Imagem, Unimed Sul Caprixaba, Santa Casa de Misericordia de Cachoeiro de Itapemirim (Brazil)


    First book to be devoted to the imaging of skeletally immature joints since the advent of cross-sectional methods. Covers a wide range of pathologic conditions. Identifies the advantages and weak points of each imaging method. Highlights anatomic and developmental peculiarities of the growing skeleton. Richly illustrated, with up-to-date references and summaries of key points. Since the advent of cross-sectional imaging methods, few works have been devoted to pediatric musculoskeletal imaging, and information is especially limited on the skeletally immature joint. Furthermore, reduced emphasis on pediatric training means that general radiologists are increasingly unfamiliar with normal and abnormal imaging findings in children and adolescents. Knowledge of the imaging appearances of the immature joint is, however, crucial for correct image interpretation. This book covers key selected topics in the imaging evaluation of the skeletally immature joint. The opening chapters consider the current role, advantages, and limitations of each modality in pediatric assessment and present the imaging appearances of anatomic and developmental peculiarities of the growing skeleton. Findings in a wide range of important conditions are then described in a series of richly illustrated chapters that document appearances on diverse imaging studies, from conventional radiography through to modern high-tech modalities. By presenting the essential information on imaging of the immature joint, the authors hope to provide radiologists (musculoskeletal specialists and generalists alike) with a new tool that will assist greatly in overcoming the daily challenges posed by interpretation of pediatric examinations in the twenty-first century. The book will also be of interest to all other specialists involved in the diagnosis and treatment of children and adolescents with articular complaints.

  7. Cryotherapy on postoperative rehabilitation of joint arthroplasty. (United States)

    Ni, Sheng-Hui; Jiang, Wen-Tong; Guo, Lei; Jin, Yu-Heng; Jiang, Tian-Long; Zhao, Yuyan; Zhao, Jie


    The effectiveness of cryotherapy on joint arthroplasty recovery remains controversial. This systematic review was conducted to assess the effectiveness of cryotherapy in patients after joint arthroplasty. Comprehensive literature searches of several databases including Cochrane Library (2013), MEDLINE (1950-2013), and Embase (1980-2013) were performed. We sought randomised controlled trials that compared the experimental group received any form of cryotherapy with any control group after joint arthroplasty. The main outcomes were postoperative blood loss, adverse events, and pain. Analyses were performed with Revman 5.0. Results were shown as mean differences (MD) and standard deviations or as risk difference and 95 % confidence intervals (CIs). Ten trials comprised 660 total knee arthroplastys and three trials comprised 122 total hip arthroplastys (THAs) met the inclusion criteria. Blood loss was significantly decreased by cryotherapy (MD = -109.68; 95 % CI -210.92 to -8.44; P = 0.03). Cryotherapy did not increase the risk of adverse effect (n.s.). Cryotherapy decreased pain at the second day of postoperative (MD = -1.32; 95 % CI -2.37 to -0.27; P = 0.0003), but did not decreased pain at the first and third day of postoperative (n.s.). Cryotherapy appears effective in these selected patients after joint arthroplasty. The benefits of cryotherapy on blood loss after joint arthroplasty were obvious. However, the subgroup analysis indicated that cryotherapy did not decreased blood loss after THA. Cryotherapy did not increase the risk of adverse effect. Cryotherapy decreased pain at the second day of postoperative, but did not decreased pain at the first and third day of postoperative. II.

  8. Focused Logistics, Joint Vision 2010, A Joint Logistics Roadmap, 1 August 1997

    National Research Council Canada - National Science Library


    ... to anywhere in the world. The Military Services and Defense agencies will work jointly with the civil sector to take advantage of advanced business practices, commercial economies and global networks...

  9. Does generalized joint hypermobility predict joint injury in sport? A review.

    LENUS (Irish Health Repository)

    Donaldson, Peter R


    OBJECTIVE: To determine whether persons with generalized joint hypermobility have an increased risk of lower limb joint injury during sport. DATA SOURCES: PubMed, CINAHL, EMBASE, and SportDiscus were searched through February 2009, without language restrictions, using terms related to risk; hip, ankle, and knee injuries; and joint instability. Reference lists of included studies and relevant reviews were searched by hand. STUDY SELECTION: Selection criteria were peer-reviewed studies with a prospective design that used an objective scale to measure generalized joint hypermobility; the participants were engaged in sport activity, and the injury data were quantitative and based on diagnosis by a health professional, were self-reported, or resulted in time lost to athletic participation. The studies were screened by 1 researcher and checked by a second. Study methods were independently assessed by 2 investigators using the 6-point scale for prognostic studies developed by Pengel. Disagreements were resolved through discussion. Of 4841 studies identified, 18 met inclusion criteria. Of these, 8 were included in random-effects meta-analyses. DATA EXTRACTION: The data extracted by 2 reviewers included participant and sport characteristics and details of joint hypermobility and injury measurements. More detailed data for 4 investigations were obtained from the study authors. Where possible, hypermobility was defined as >\\/=4 of 9 points on the British Society of Rheumatology Scale (BSRS). MAIN RESULTS: Lower limb joint injuries (3 studies, 1047 participants) occurred in 14% of participants. Using the BSRS of joint hypermobility, any lower limb injury was not associated with hypermobility [odds ratio (OR), 1.43; 95% confidence interval (CI), 0.56-3.67]. Using the original authors\\' definitions, hypermobility was associated with risk of knee joint injuries (OR, 2.62; 95% CI, 1.04-6.58) in 5 studies. In 4 studies in which the BSRS could be used (1167 participants; incidence

  10. Does Unilateral Temporomandibular Total Joint Reconstruction Result in Contralateral Joint Pain and Dysfunction? (United States)

    Perez, Daniel E; Wolford, Larry M; Schneiderman, Emet; Movahed, Reza; Bourland, Campbell; Gutierrez, Enrique Perez


    The purpose of this study was to evaluate patients requiring unilateral total temporomandibular joint (TMJ) reconstruction and the risk for development of postsurgical contralateral TMJ pain and dysfunction over time requiring subsequent contralateral total joint reconstruction. Long-term subjective and objective outcomes of unilateral TMJ reconstruction also were evaluated. Seventy patients underwent unilateral total joint reconstruction using a patient-fitted total joint prosthesis from a single private practice from 1990 through 2012. The inclusion criteria were 1) unilateral TMJ reconstruction with TMJ Concepts or Techmedica patient-fitted total joint prosthesis; 2) operation performed by 1 surgeon (L.M.W.); 3) minimum 12-month follow-up; and 4) adequate records. There were no specific exclusion criteria. The primary outcome variable was to evaluate the effects of unilateral TMJ reconstruction with a total joint prosthesis on the contralateral TMJ relative to development of pain and dysfunction requiring subsequent contralateral reconstruction with a total joint prosthesis. Secondary outcome variables for all patients included TMJ pain, facial pain, headaches, diet, disability, quality of life, maximum incisal opening (MIO), and lateral excursion movements after unilateral TMJ reconstruction with the patient-fitted total joint prosthesis. Student t test and Wilcoxon test were used for statistical analyses, with a P value less than .01 for statistical significance. Sixty-one of 70 patients (87%) met the inclusion criteria (47 women [77%] and 14 men [23%]; average age, 38 yr; age range, 11 to 69 yr; average follow-up, 44 months; range, 12 to 215 months). Eight of 61 patients (13%) subsequently required contralateral TMJ reconstruction with a total joint prosthesis related to contralateral pain, dysfunction, and arthritis, but all 8 (8 of 27 [29.6%]) had previous contralateral TMJ disc repositioning surgery. For the secondary outcomes, TMJ pain decreased 63

  11. Constitutive Modelling of Joints under Cyclic Loading. Part 1. Modelling and Testing of Idealized Rock Joints (United States)


    Crawford and Curran (1981) developed a direct-shear device to examine the effect of shear rate on the shear resistance of smooth artificial joints in dif... Artificial rock joint surfaces were prepared by casting concrete against a structured surface. The structured surface had a "sawtooth" shaped pattern...parameter n, and the constants a and b in the growth function must be determined for the reverse pass. The value of y for the reverse pass is = womb 167

  12. Quantitative Methods for Analysing Joint Questionnaire Data: Exploring the Role of Joint in Force Design (United States)


    Kernot and Tim McKay Joint and Operations Analysis Division Defence Science and Technology Organisation DST-Group-TN-1474 ABSTRACT In...dimensional space comprising: Coordination and Organisation ; Social Capital; and Optimisation of the Socio-technical Systems. Given the variability of the...UNCLASSIFIED Published by Joint and Operations Analysis Division DSTO Defence Science and Technology Organisation 506 Lorimer St Fishermans Bend


    NARCIS (Netherlands)


    Temporomandibular joint (TMJ) osteoarthrosis and disk displacement seem to be strongly related, but they may also represent mutually independent temporomandibular disorders. This paper presents relevant aspects of normal physiology and degeneration of synovial joints, aspects of normal

  14. Systemic Operational Design: Enhancing the Joint Operation Planning Process

    National Research Council Canada - National Science Library

    Delacruz, Victor J


    Operational level commanders and their staffs require relevant and current joint doctrine that articulates the critical function of operational design and its role in the Joint Operation Planning Process (JOPP...

  15. Ohio Route 50 joint sealant experiment : research implementation plan. (United States)


    Research in the state of Wisconsin over the past forty years has found no noticeable difference in : performance between jointed concrete pavement (JCP) constructed with a sealed contraction joint and : JCP constructed with a single, narrow, unsealed...

  16. The Cultural Context of Learning in International Joint Ventures. (United States)

    Liu, Shimin; Vince, Russ


    A study of Chinese-Western joint business ventures showed that cultural context and different modes of managing and organizing must be considered. Successful joint ventures involve a process of collective, two-way learning. (SK)

  17. PRN 2011-1: Residential Exposure Joint Venture (United States)

    This PR Notice is to advise registrants of an industry-wide joint venture, titled the Residential Exposure Joint Venture (REJV), which has developed a national survey regarding residential consumer use/usage data for pesticides.

  18. Management of the Temporomandibular Joint after Ablative Surgery


    Bredell, Marius; Grätz, Klaus; Obwegeser, Joachim; Gujer, Astrid Kruse


    Management of the temporomandibular joint in ablative head and neck surgery is controversial with no standardized approach. The aim of the study was to establish risk-based guidelines for the management of the temporomandibular joint after ablative surgery.

  19. Fuzzy Modelling of Knee Joint with Genetic Optimization

    National Research Council Canada - National Science Library

    B. S. K. K. Ibrahim; M. O. Tokhi; M. S. Huq; R. Jailani; S. C. Gharooni


    .... The objective of this study is to develop a knee joint model capable of relating electrical parameters to dynamic joint torque as well as knee angle for functional electrical stimulation application...

  20. Effect of bending pattern on finger joint bending strength

    Directory of Open Access Journals (Sweden)

    Džinčić Igor


    Full Text Available Limited information is available on end gluing hardwoods in contrast to softwoods, which have been extensively investigated. The objective of this study was to examine the influence of bending patern on bending strength of finger jointed beech wood. In structural uses finger jointing is finally the major method to end joint timber for the production of glue-laminated elements. There are no bending strength experimental results for finger-jointed hardwoods for investigations conducted in Serbia. Two finger jointed profiles were studied in accordance with DIN68140. The finger joints were made by side and by face of beam. Length jointed samples were loaded at the side and in the face. The obtained results led to the conclusion that the direction of load, gluing surface and the position of joint influence on the strength of continued longitudinal beams.

  1. Orthopedic Health: Joint Health and Care: Prevention, Symptoms, Diagnosis & Treatment (United States)

    ... Orthopedic Health Joint Health and Care: Prevention, Symptoms, Diagnosis & Treatment Past Issues / Spring 2009 Table of Contents For ... may be used to help achieve an accurate diagnosis, including: ... joint for examination Treatment The only type of arthritis that can be ...

  2. Evaluation of Longitudinal Joints of HMA Pavements in Tennessee (United States)


    Longitudinal joints between lanes of hot-mix asphalt (HMA) pavements are commonly susceptible to moisture damage and other failures. In 2006, the Tennessee Department of Transportation (TDOT) identified longitudinal joint failure as one of the major ...

  3. Investigation of deterioration of joints in concrete pavements. (United States)


    Premature deterioration of concrete at the joints in concrete pavements and parking lots has been reported across the northern states. The distress may first appear as shadowing when microcracking near the joints traps water, or as cracks parallel to...

  4. On Patellofemoral joint replacement - Clinical, radiological, and numerical studies.

    NARCIS (Netherlands)

    Jonbergen, J.P.W. van


    Patellofemoral, osteoarthritis, joint replacement, arthroplasty, anterior knee pain Isolated patellofemoral joint osteoarthritis is a degenerative disorder of the knee estimated to occur in approximately 4% to 24% of patients with osteoarthritis of the knee. Mild isolated patellofemoral

  5. Outcomes of temporomandibular joint arthroscopy in patients with painful but otherwise normal joints. (United States)

    Dimitroulis, George


    The aim of this retrospective clinical study was to assess the clinical outcomes of temporomandibular joint (TMJ) arthroscopy in patients who presented with category 1 normal joints. The null hypothesis being tested was that patients with normal joints do not respond to TMJ arthroscopy. The clinical records of 116 patients who had undergone TMJ arthroscopy by the author from 2010 to 2013 were retrieved and individually analysed for inclusion in this retrospective, cohort clinical study. The inclusion criteria used to select patients for this study were those who had arthroscopically proven category 1 normal joints, free of intra-articular pathology. Of the 14 patients who were found to have normal joints, only 10 could be contacted for a follow-up survey. Despite the fact that all patients were informed that no joint pathology was found, six out of the 10 patients reported improvement in their temporomandibular disorder (TMD) symptoms that lasted for more than 6 months following TMJ arthroscopy. The results of this investigation indicate that we can reject the null hypothesis, and that patients with normal TMJs do indeed respond to TMJ arthroscopy. What this limited study has highlighted is the pervasive effects of the placebo that all surgeons need to keep in mind when formulating treatment plans for patients with TMD. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  6. [Anatomy of the fetlock joint in horses by means of joint casts]. (United States)

    Stiglhuber, A; Breit, S; König, H E


    The equine fetlock joint cavity shows ten pouches. The dorsal recess, which is oriented to the proximal side, is separated from those three pouches, which show to the distal direction, by several capsular folds. These folds are documented by means of sagittal sections through the fetlock joint. A medial/lateral recess is covered by the deep part of the collateral ligament of the fetlock joint. The collateral ligaments as well as the sesamoidean collateral ligaments are closely connected with the joint capsule, from which two capsular folds are separated. Between the part of the sesamoidean collateral ligament, that inserts to the metacarpus/metatarsus and the part that inserts to the proximal phalanx, the fetlock joint cavity pouches as Recessus palmaris/plantaris distalis medialis/lateralis. The palmar/plantar distal pouch, which lies in the median line, is covered by the Ligamentum sesamoideum rectum. This recess is narrowed down by the cruciated sesamoidean ligaments. The dominant palmar/plantar proximal recess is subdivided into several small pouches by strings or bands of the joint capsule, which can already be seen with an unaided eye.

  7. Biomechanics of passive knee joint in drawer: load transmission in intact and ACL-deficient joints. (United States)

    Moglo, K E; Shirazi-Adl, A


    A non-linear 3D finite element model of the passive human tibiofemoral knee joint consisting of two bony structures and their articular cartilage layers, menisci, and four principal ligaments was used to investigate the detailed response of the unconstrained joint under up to 100 N posterior femoral force at different flexion angles from 0 to 90 degrees. The analysis was repeated after the transection of the anterior cruciate ligament (ACL). The boundary conditions were selected to assure a stable and unconstrained response of the joint throughout the range of motion. The results indicated the ACL as the primary structure to resist the drawer load throughout the range of flexion considered and that the joint primary and coupled laxities substantially increased in its absence. At full extension under drawer, forces in collateral ligaments increased significantly resulting in larger overall contact forces as the ACL was transected. In the ACL-deficient joint, such large forces in collateral ligaments, however, diminished as flexion angle varied from 0 to 90 degrees. At full extension or flexion angles up to approximately 30 degrees, the medial meniscus and adjacent medial tibial and femoral cartilage layers were subjected to substantially larger loads and stresses following the transection of the ACL. Adequate consideration of such couplings is important in avoiding further damage to joint structures subsequent to an injury and restoring adequate function following injuries to primary components.

  8. Durability of shrink joints; Bestaendighet hos krympskarvar

    Energy Technology Data Exchange (ETDEWEB)

    Forsaeus Nilsson, Stefan; Saellberg, Sven-Erik


    About one third of all joint failures are caused by shrink seals losing adhesion, according to statistics from the Swedish District Heating Association. The present project was initiated upon request from the Authorisation Board of the Swedish District Heating Association in order to investigate the potential to enhance the quality of shrink joints. The purpose has been to provide a screening of the key properties of the joint systems currently available on the market. The aim has been to facilitate the choice of right materials and constructions to achieve the best functionality and cost effectiveness. The project has comprised a compilation of the views from industry representatives from manufacturers of shrink and sealing materials, pipe producers, joint contractors and district heating companies, and an experimental study where a number of joints were evaluated with respect to tightness and strength. The following joint systems took part in the investigation: Logstor SX; Canusa SuperCase; Raychem RayJoint; Powerpipe DTK with external seal Nitto NeoCover 1150 in one end and Raychem TPSM in the other; Logstor B2S med external seal Canusa KLD in one end and Raychem TPSM in the other. The joints were installed on pipes of diameters 160 mm and 450 mm. The installation was done under cold and dirty conditions, to simulate a field like worst-case scenario. After the installation, the joints were tested with respect to tightness. Peel strength and shear strength were evaluated before and after thermal ageing in +50 deg C for 70 days. Mechanical tests and ageing followed standardised procedure in EN 12068. A study of the shrink force relaxation in crosslinked and non-crosslinked polyethylene shrink sleeves was undertaken, by shrinking them onto aluminium cylinders and storing them in room temperature for about 2000 hours. The results show that it is clearly possible to install excellent shrink joints also under difficult conditions. In addition, thermal ageing does not

  9. Condition and problems of ultrasonic inspection of austenitic weld joints

    Energy Technology Data Exchange (ETDEWEB)

    Grebennikov, V.V.; Gurvich, A.K.


    A review is presented of methods and means of ultrasonic inspection of austenitic weld joints. The basic structural factors influencing the propagation of ultrasonic vibrations in austenitic weld joints are considered. The influence of the ultrasonic inspection parameters on the ratio of the useful signal to the average level of structural interferences is shown. Acoustic models of austenitic weld joints are presented. The basic methods of increasing the interference resistance and apparatus for inspection of acoustic weld joints are described.

  10. Surgical Management of Temporomandibular Joint Ankylosis in Ankylosing Spondylitis

    Directory of Open Access Journals (Sweden)

    Andrew M. Felstead


    Full Text Available Relatively few patients develop such severe degenerative temporomandibular joint (TMJ disease that they require total joint replacement. Current indications include those conditions involving condylar bone loss such as degenerative (osteoarthritis or inflammatory joint disease (ankylosing spondylitis, rheumatoid, and psoriatic. Ankylosis of the temporomandibular joint (TMJ secondary to ankylosing spondylitis remains an under investigated entity. We aim to provide an overview of treatment objectives, surgical procedures, and our experience with total TMJ replacement for this condition.

  11. Iranian Joint Registry (Iranian National Hip and Knee Arthroplasty Registry). (United States)

    Aslani, Hamidreza; Nourbakhsh, Seyed Taghi; Lahiji, Farivar A; Heydarian, Keykavoos; Jabalameli, Mahmood; Ghazavi, Mohammad Taghi; Tahmasebi, Mohammad Naghi; Fayyaz, Mahmoud Reza; Sazegari, Mohammad Ali; Mohaddes, Maziar; Rajabpour, Mojtaba; Emami, Mohammad; Jazayeri, Seyyed Mohammad; Madadi, Firooz; Farahini, Hossein; Mirzatoloee, Fardin; Gharahdaghi, Mohammad; Ebrahimzadeh, Mohammad Hossein; Ebrahimian, Mohammadreza; Mirvakili, Hossein; Bashti, Kaveh; Almasizadeh, Mohtasham; Abolghasemian, Mansour; Taheriazam, Afshin; Motififard, Mehdi; Yazdi, Hamidreza; Mobarakeh, Mahmood Karimi; Shayestehazar, Masoud; Moghtadae, Mehdi; Siavashi, Babak; Sajjadi, Mohammadreza M; Rasi, Alireza Manafi; Chabok, Seyyed Kazem; Zafarani, Zohreh; Salehi, Shahin; Ahmadi, Monireh; Mohammadi, Amin; Shahsavand, Mohammad Ebrahim


    Periodic evaluation and monitoring the health and economic outcome of joint replacement surgery is a common and popular process under the territory of joint registries in many countries. In this article we introduce the methodology used for the foundation of the National Iranian Joint Registry (IJR) with a joint collaboration of the Social Security Organization (SSO) and academic research departments considering the requirements of the Iran's Ministry of Health and Education.

  12. Design and Performance Analysis of a new Rotary Hydraulic Joint (United States)

    Feng, Yong; Yang, Junhong; Shang, Jianzhong; Wang, Zhuo; Fang, Delei


    To improve the driving torque of the robots joint, a wobble plate hydraulic joint is proposed, and the structure and working principle are described. Then mathematical models of kinematics and dynamics was established. On the basis of this, dynamic simulation and characteristic analysis are carried out. Results show that the motion curve of the joint is continuous and the impact is small. Moreover the output torque of the joint characterized by simple structure and easy processing is large and can be rotated continuously.


    Directory of Open Access Journals (Sweden)

    Brian J. Cole


    Full Text Available A comprehensive source of information in the management of cartilage lesions of major joints using nonoperative or surgical techniques other than total joint replacement. The text also includes chapters in basic sciences, imaging and rehabilitation.The editors are aiming to provide a reference about the latest concepts and techniques in the treatment of cartilage lesions including future aspects by a comprehensive approach to the alternative joint restoration procedures such as biological, pharmacological and surgical techniques of cartilage repairing and partial resurfacing etc.Orthopedic surgeons in sports medicine, orthopedic surgeons performing joint replacements, orthopedic resident and fellows will be the main audiences.The text is 349 pages, divided into 34 chapters in 7 sections. Section I is "Background-articular cartilage and allograft processing" including chapters about pathology, patient evaluation, imaging and allograft processing. Section II is "Nonoperative treatment" including chapters about neutraceuticals, pharmacological treatment and rehabilitation. Section III is "Operative treatment-knee" including chapters about arthroscopic debridment, microfracture, osteochondral autograft transplantation, mosaicplasty, osteochondral autograft transfer, osteochondral allografts, autologous chondrocyte implantation, existing cell-based technologies, minimally invasive second-generation autologous chondrocyte implantation, future development in cartilage repair, meniscus transplantation, management of OCD, patellafemoral chondral disease, proximal tibial and distal femoral osteotomies, unicompartmental arthritis current techniques, unicompartmental knee replacement. Section IV is "Operative treatment-Hip" including chapters about hip arthroscopy and arthroscopic partial resurfacing, related osteotomies. Section V is "operative treatment-shoulder" including chapters about arthroscopic debridment and release, biologic resurfacing and

  14. [Arthrodesis of the first metatarsophalangeal joint]. (United States)

    Fuhrmann, R A; Pillukat, T


    Fusion of the first metatarsophalangeal joint and realignment of the great toe in patients with painful arthritis to achieve pain-free walking. Hallux rigidus grade 3/4, hallux valgus et rigidus, claw toe deformity of the great toe, salvage after endoprosthesis or cheilectomy, avascular necrosis of the first metatarsal head arthritis of the first metatarsophalangeal joint. Infection, painful arthritis of the interphanageal joint (relative contraindication), and severe osteoporosis (relative contraindication). Dorsal approach to the first metatarsophalangeal joint. Removal of all osteophytes and circumferential capsular release. Debridement of the sesamoids. Cartilage resection (flat cuts or "cup and cone" reaming) and multiple drilling of the subchondral layer. In case of osseous defects, interposition of a corticocancellous bone graft. Trial reduction and assessment of the toe alignment. Fixation with two screws, one lag screw and dorsal plating, or dorsal plating only. Wound closure in layers. Full weight bearing in a postoperative shoe or partial weight bearing in a short cast for 4-6 weeks. If the X-ray reveals sufficient bone healing, patients are allowed to wear sneakers with a stiff sole for 3-6 months. Sport activities with impact loading are limited for at least 3 months. Final X-ray control after 6 months. A total of 70 feet with a fusion of the first metatarsophalangeal joint were followed up after 28 months. Postoperative complications (7.3%): 5 wound slough, 1 infection, and 6 painful delayed union. Modified AOFAS forefoot score (max. 85 points) was 43 (32-58) points preoperatively and 82 (71-85) points postoperatively. Great toe alignment was perfect in 57 feet. Nine toes showed a valgus (> 20°) and 4 toes a varus malalignment. Fifty-four attained full ground contact. Eight patients reached the ground by flexion of the interphalangeal joint and 8 patients presented with dorsiflexion of the great toe. X-ray showed consolidation of the

  15. Recent progress in the joint velocity-scalar PDF method (United States)

    Anand, M. S.


    This viewgraph presentation discusses joint velocity-scalar PDF method; turbulent combustion modeling issues for gas turbine combustors; PDF calculations for a recirculating flow; stochastic dissipation model; joint PDF calculations for swirling flows; spray calculations; reduced kinetics/manifold methods; parallel processing; and joint PDF focus areas.

  16. Exterior beam-column joint study with non-conventional ...

    Indian Academy of Sciences (India)

    Reinforced concrete structures beam-column joints are the most critical regions in seismic prone areas. Proper reinforcement anchorage is essential to enhance the performance of the joints. An attempt has been made to appraise the performance of the anchorages and joints. The anchorages are detailed as per ACI-352 ...

  17. 46 CFR 67.37 - Association or joint venture. (United States)


    ... 46 Shipping 2 2010-10-01 2010-10-01 false Association or joint venture. 67.37 Section 67.37... DOCUMENTATION OF VESSELS Citizenship Requirements for Vessel Documentation § 67.37 Association or joint venture. (a) An association meets citizenship requirements if each of its members is a citizen. (b) A joint...

  18. How to establish and sustain a joint venture in China. (United States)

    Lee, Paul


    Joint ventures with Chinese companies provide one of the most effective ways for international companies to establish a foothold in the booming Chinese economy. The benefits, opportunities and challenges of establishing a joint venture are explored here. Current partnering trends and successful Sino-foreign joint ventures in the fast-growing medical device industry in China are also highlighted.

  19. 15 CFR 296.7 - Joint venture registration. (United States)


    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Joint venture registration. 296.7 Section 296.7 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade NATIONAL... PROGRAM General § 296.7 Joint venture registration. Joint ventures selected for assistance under the...

  20. 76 FR 1975 - Disestablishment of United States Joint Forces Command (United States)


    ... Memorandum of January 6, 2011--Disestablishment of United States Joint Forces Command #0; #0; #0... of United States Joint Forces Command Memorandum for the Secretary of Defense Pursuant to my... States Joint Forces Command, effective on a date to be determined by the Secretary of Defense. I direct...