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Effect of total knee arthroplasty on knee extensor torque with the medial pivot knee prosthesis.
Despite the development of a new prosthesis with the ability to absorb tibial rotational loads and delay of polyethylene wear, reduced knee extensor torque is a common finding after total knee arthroplasty, especially with highly constrained knee replacements. The total knee arthroplasty with a medial pivot knee design was used to investigate the relationship between the anatomic constraint, the magnitude of the total constraint and the load distribution of the constraint mechanism between the contact area and the other soft tissues such as the collateral ligament and the posterior capsule of the knee. The flexion angle and knee extensor torque during 100 Nm internal/external tibial rotation, as a loading condition of the knee extensor mechanism, was measured before and after total knee arthroplasty for each knee using a robotic testing system with extension of the proximal tibia. To estimate the load distribution between the contact area and the other soft tissues, the total constraint was calculated using a finite element analysis for each knee. The extension was loaded before and after total knee arthroplasty for six total knee arthroplasty patients. The total constraint was 1.74 Nm/rad or 75% of the active constraint of the intact knee. The flexion angle after total knee arthroplasty changed in the direction of hyperextension. On the other hand, there was no change in the knee extensor torque after total knee arthroplasty. The load was distributed from the contact area to the soft tissues with a ratio of 1 : 3.8 for the knee joint prior to total knee arthroplasty. For the loaded extension case, there was no remarkable change in the load distribution. These results imply that the knee extensor mechanism is more exposed to loads during extension rather than flexion. This finding is related to the hyperextension of the knee after total knee arthroplasty, which is probably caused by the applied constraint.This invention relates generally to spas and, more particularly, to a self-contained submersible spa and control valve kit for increasing the power of a spa motor.
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If you want to watch TV, you need to spend income to buy the weekly license. While you are at work and want to sleep in your room, you need to spend income to buy the nightly license to sleep there. You can’t stay awake unless you spend income. The rate at which you spend income and the cost are different every time you play.
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Q:
Does entropy increase if the volume expands?
The increase in entropy of a isolated system such as a gas by which process is explained by the second law of thermodynamics is naturally by making the volume smaller, and decreasing the number of spatial positions occupied by the molecules or the states in which they are.
Now if the isolated system is the universe, would the increased entropy be by making the volume of the universe smaller?
A:
The amount of “heat” produced by a system when a higher level of entropy is attained is directly proportional to the rate of change of entropy. Since, the rate of change of entropy is non-positive, the amount of heat produced is non-negative. Therefore, the higher the rate of change of entropy, the greater the amount of “heat” produced.
To provide a concrete illustration of what I mean by “rate of change of entropy” let us consider the gas as a system undergoing a reversible chemical reaction. A standard way of writing the second law of thermodynamics is:
$$ \dot{S}_\text{tot} = -\frac{Q_\text{rev}}{T_\text{tot}} \leq 0, \tag{1} $$
where $S_\text{tot}$ is the total entropy of the system, $Q_\text{rev}$ is the entropy produced during the reaction, $T_\text{tot}$ is the temperature of the system.
If we expand the gas volume to grow, then the volume of the gas increases (if the gas is ideal), as does the amount of space it occupies. The entropy of the system is therefore a function of the temperature and the volume of the system, as well as the type of molecules and their concentration. This in turn means that the entropy of the system changes as the volume grows. The entropy of the system, $S_\text{tot}$, is related to the entropy of the molecules and the state space of the molecules, $S_\text{mole}$ and $|S_\text{state}|$, by the relation:
$$ S_\text{tot} \equiv k_\text{B} \ln [ |S_\text{state}| ] = S_\text{mole} + k_\text
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“At the same time, I learned how to be what I wanted to be” –Fuwa Hyakushu-betsu – 作用” was the real reason why he became an adventurer.
“In Uchiwa Kenkyu (literature studies), even if there is a story about a scholar, there is a literature review that brings out the true characteristics of an important novel.””I want you to read this yourself. If I can read the contents –Fuwa Hyakushu-betsu – in my history studies, it would be a great pleasure.…
“As I grew up, I felt that I was useless and ashamed of myself. I didn’t know what I wanted to be. I didn’t know how to get myself out.
“My grandfather was possessed by a strange will. He hung around my grandmother for over twenty years. I was shocked about it. He didn’t ask about my death. I understood that he hadn’t left me and my grandmother. I figured he hadn’t given up on his dream even when he was dead.
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A multilayered story told in fragments. An epic drama in which the various thoughts of the characters intersect in the Lands Between.
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Genre: 3D Real-time Strategy
OS: Windows 7 or higher
Processor: Intel Core 2 Duo
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Graphics: Nvidia GeForce GTS 250
DirectX: Version 9.0
Hard Drive: 2 GB
General Battle Features
Action Games with a touch of realism
Battle System: Conquest Battle
Developed by the creators of tactical games, T.T. Revolution, and Power Star.
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