11,760 research outputs found
Distal femur reconstruction with megaprostheses: a multicentric study of implant survival and complications according to a new classication of failure
No full textDistal femur reconstruction with megaprostheses: a multicentric study of implant survival and complications according to a new classication of failur
Le ricostruzioni di femore distale con megaprotesi modulari: sopravvivenza degli impianti e complicazioni in uno studio multicentrico di 951 casi
No full textLe ricostruzioni di femore distale con megaprotesi modulari: sopravvivenza degli impianti e complicazioni in uno studio multicentrico di 951 cas
Cause di fallimento degli impianti in 2174 megaprotesi modulari: analisi dela casisitica di 5 centri di Oncologia Muscoloscheletrica
No full textCause di fallimento degli impianti in 2174 megaprotesi modulari: analisi dela casisitica di 5 centri di Oncologia Muscoloscheletric
Failure mode of segmental endoprostheses for tumour surgery: retrospective review of five Institutions
No full textFailure mode of segmental endoprostheses for tumour surgery: retrospective review of five Institution
Failure mode classification for tumor endoprostheses: retrospective review of five institutions and a literature review
No full textBackground: Massive endoprostheses provide orthopaedic oncologists with many reconstructive options after tumor resection, although failure rates are high. Because the number of these procedures is limited, failure of these devices has not been studied or classified adequately. This investigation is a multicenter review of the use of segmental endoprostheses with a focus on the modes, frequency, and timing of failure. Methods: Retrospective reviews of the operative databases of five institutions identified 2174 skeletally mature patients who received a large endoprosthesis for tumor resection. Patients who had failure of the endoprosthesis were identified, and the etiology and timing of failure were noted. Similar failures were tabulated and classified on the basis of the risk of amputation and urgency of treatment. Statistical analysis was performed to identify dependent relationships among mode of failure, anatomic location, and failure timing. A literature review was performed, and similar analyses were done for these data. Results: Five hundred and thirty-four failures were identified. Five modes of failure were identified and classified: soft-tissue failures (Type 1), aseptic loosening (Type 2), structural failures (Type 3), infection (Type 4), and tumor progression (Type 5). The most common mode of failure in this series was infection; in the literature, it was aseptic loosening. Statistical dependence was found between anatomic location and mode of failure and between mode of failure and time to failure. Significant differences were found in the incidence of failure mode Types 1, 2, 3, and 4 when polyaxial and uniaxial joints were compared. Significant dependence was also found between failure mode and anatomic location in the literature data. Conclusions: There are five primary modes of endoprosthetic failure, and their relative incidences are significantly different and dependent on anatomic location. Mode of failure and time to failure also show a significant dependence. Because of these relationships, cumulative reporting of segmental failures should be avoided because anatomy-specific trends will be missed. Endoprosthetic design improvements should address failure modes specific to the anatomic location. Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence
Implementasi Protokol Keamanan Dan Segmentasi Jaringan Dalam Project Pembangunan WLAN Untuk PT Pan Pacific Insurance
Get PDFSecurity of data and network devices is essential in the development of a computer network, either in the creation of new computer networks or in the development of existing computer networks. PT. Pan Pacific Insurance as a company that holds large amounts of data along with its supporting computer network's infrastructure, focuses on security aspects in addition to performance aspects in its computer network. To get the flexibility of its computer network, the company developed a wireless local area network (WLAN) in line with the relocation of its head office. The Existing company's network needs to be improved with a WLAN network, so it does not only improve employee performance and provides the best security for company data. For those purposes, the authors applied the use of Cisco Wireless LAN Controller (WLC), Cisco Access Point and applied the WPA+WPA2 PSK security protocol for the SSID used by employees. Using this protocol when employees want to connect to the network wireless, they will be forced to type the password that has been set. In addition to implementing the security protocol, the author also applies the Web Policy Authentication security protocol for the SSID used by guests. So that guests who want to connect to a wireless network will be directed to a web browser to be asked to enter a username and password first. A series of security protocols, also added with network segmentation on each SSID to use a different network address. Thus, the essence of network security and performance is expected to increase. From the results of the tests carried out, obtained security guarantees on the PT. Pan Pacific Insurance successfully directs every user connected to the network as part of the security protocol implemented. Furthermore, with network segmentation, user traffic is more controlled because guests get their network segmentation, so they don't interfere with network traffic for users or company staff in company operations
Titanium oxide adhesion layer for high temperature annealed Si/Si3N4/TiOx/Pt/LiCoO2 battery structures
No full textThis work describes the influence of a high annealing temperature of about
700C on the Si(substrate)/Si3N4/TiOx/Pt/LiCoO2 multilayer system for the
fabrication of all-solid-state lithium ion thin film microbatteries. Such microbatteries
typically utilize lithium cobalt oxide (LiCoO2) as cathode material
with a platinum (Pt) current collector. Silicon nitride (Si3N4) is used to act as a
barrier against Li diffusion into the substrate. For a good adherence between
Si3N4 and Pt, commonly titanium (Ti) is used as intermediate layer. However,
to achieve crystalline LiCoO2 the multilayer system has to be annealed at high
temperature. This post-treatment initiates Ti diffusion into the Pt-collector
and an oxidation to TiOx, leading to volume expansion and adhesion failures.
To solve this adhesion problem, we introduce titanium oxide (TiOx) as an
adhesion layer, avoiding the diffusion during the annealing process. LiCoO2,
Pt and Si3N4 layers were deposited by magnetron sputtering and the TiOx
layer by thermal oxidation of Ti layers deposited by e-beam technique. Asdeposited
and annealed multilayer systems using various TiOx layer thicknesses
were studied by scanning electron microscopy (SEM) and time-of-flight
secondary ion mass spectrometry (ToF-SIMS) and x-ray photoelectron spectroscopy
(XPS). The results revealed that an annealing process at temperature
of 700C leads to different interactions of Ti atoms between the layers, for
various TiOx layer thicknesses (25–45 nm).This work was financially supported by FEDER/ COMPETE and FCT funds with the Projects PTDC/ EEA-ELC/114713/2009, PEst-C/QUI/UI0686/2013 and UID/EEA/04436/2013, first author scholarship SFRH/BPD/95905/2013 and second author scholarship SFRH/BD/78217/2011. This work was carried out with the support of the Karlsruhe Nano Micro Facility (KNMF, www.kit.edu/knmf), a Helmholtz Research Infrastructure at Karlsruhe Institute of Technology (KIT, www.kit.edu)
PROSEDUR PENGAJUAN DOKUMEN PROYEK PADA PT FIBERHOME TECHNOLOGIES INDONESIA SURABAYA
Get PDFThe purpose of this study was to determine the submission procedure of project's documents in PT FiberHome Technologies Indonesia. The method used in this study is a direct approach, the author does not just reading and taking references from the books of the project but as a project secretary, authors also took a part in the project's document submission process. The results showed that the procedures for submission of project's documents in PT FiberHome Technologies Indonesia has been running welL. Procedures for the submission project's document in PT FiberHome Technologies Indonesia are as follows: Permitting, Preparation of drawings and material needs, Implementation, Ready for Service, Project controlling,
Acceptance Test
Nonmechanical Revision Indications Portend Certain Limb-Salvage Failure Following Total Femoral Replacement
Get PDFBackground: There is scant evidence to guide decision-making for patients considering total femoral replacement (TFR). We aimed to identify the indication, patient, disease, and surgical technique-related factors associated with failure. We hypothesized that failure occurs more frequently in the setting of revision surgical procedures, with infection as the
predominant failure mode.
Methods: We performed a retrospective cohort study of patients receiving total femoral endoprostheses for oncological and revision arthroplasty indications; 166 patients met these criteria. Our primary independent variable of interest was TFR for a revision indication (arthroplasty or limb salvage); the primary outcome was failure. Analyses were performed for patient variables (age, sex, diagnosis group, indication), implant variables (model, decade, length, materials), and treatment variables. We analyzed TFR failures with respect to patient factors, operative technique, and time to failure. We
conducted bivariate logistic regressions predicting failure and used a multivariate model containing variables showing bivariate associations with failure.
Results: Forty-four patients (27%) had treatment failure. Failure occurred in 24 (23%) of 105 primary TFRs and in 20 (33%) of 61 revision TFRs; the difference was not significant (p = 0.134) in bivariate analysis but was significant (p =0.044) in multivariate analysis. The mean age at the time of TFR was 37 years in the primary group and 51 years in the revision group (p = 0.0006). Of the patients who had mechanical failure, none had reoccurrence of their original failure mode, whereas all 8 patients from the nonmechanical cohort had reoccurrence of the original failure mode; this difference
was significant (p = 0.0001).
Conclusions: TFR has a high failure rate and a propensity for deep infection, especially in the setting of revision indications and prior infection. All TFRs performed for revision indications for infection or local recurrence failed by reoccurrence of the original failure mode and resulted in amputation.
Level of Evidence: Therapeutic Level I
- …
