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Survivorship analysis of CAD-CAM total shoulder replacement. CAD-CAM 全肩关节置换术的存活率分析。
IF 1.5 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2024-07-01 Epub Date: 2023-08-07 DOI: 10.1177/17585732231193285
Sandeep Krishan Nayar, David Butt, Aditya Prinja, Will Rudge, Addie Majed, Deborah Higgs, Mark Falworth

Background: Glenoid bone loss represents a challenge in shoulder arthroplasty and often precludes standard implants. The CAD-CAM total shoulder replacement (TSR) is an option in these cases. This study aimed to assess survivorship and long-term patient outcomes of the CAD-CAM TSR.

Methods: Fifty-eight patients that underwent a CAD-CAM TSR by three surgeons at a single tertiary referral centre between 2009 and 2017 were reviewed. The mean follow-up was 70 months (28-130). Data was collected on survivorship, range of movement, Oxford shoulder score (OSS, 0-48), subjective shoulder value (SSV, 0-100%), pain score (0-10), and overall patient satisfaction.

Results: CAD-CAM TSR was undertaken as a primary procedure in 28% (n = 16) for end-stage arthritis with severe glenoid bone loss, and as a revision procedure in 72% (n = 42). Of the total, 17% (n = 10) required component revision at a mean of 24 months (4x prosthesis loosening, 3x infection, 3x periprosthetic fracture). Forward elevation improved from 45° ± 27° to 59° ± 29° (P = 0.0056), abduction from 43° ± 29° to 55° ± 26° (P = 0.034) and external rotation from 8° ± 11° to 16° ± 14° (P = 0.031). OSS improved from 15 ± 8 to 29 ± 9 (P = 0.0009), SSV from 18 ± 16 to 62 ± 23 (P < 0.0001), and pain score from 8 ± 2 to 2 ± 2 (P < 0.0001). 88% of patients would undergo the procedure again.

Conclusion: CAD-CAM TSR is reserved for complex cases involving severe glenoid bone loss, offering significant improvements in pain and function with overall positive patient satisfaction.

背景:盂骨缺失是肩关节置换术中的一个难题,通常无法使用标准植入物。CAD-CAM 全肩关节置换术(TSR)是这些病例的一种选择。本研究旨在评估 CAD-CAM TSR 的存活率和患者的长期疗效:研究回顾了 2009 年至 2017 年间在一家三级转诊中心由三位外科医生实施 CAD-CAM TSR 的 58 例患者。平均随访时间为 70 个月(28-130 个月)。收集的数据包括存活率、活动范围、牛津肩关节评分(OSS,0-48分)、肩关节主观值(SSV,0-100%)、疼痛评分(0-10分)和患者总体满意度:28%(16 人)的终末期关节炎患者因严重盂骨缺损而接受了 CAD-CAM TSR 作为主要手术,72%(42 人)的患者接受了翻修手术。其中,17%的患者(n = 10)在平均24个月后需要进行假体翻修(4次假体松动、3次感染、3次假体周围骨折)。前伸从 45° ± 27° 提高到 59° ± 29° (P = 0.0056),外展从 43° ± 29° 提高到 55° ± 26° (P = 0.034),外旋从 8° ± 11° 提高到 16° ± 14° (P = 0.031)。OSS从15±8°提高到29±9°(P = 0.0009),SSV从18±16°提高到62±23°(P = 0.034):CAD-CAM TSR 适用于涉及严重盂骨缺失的复杂病例,可显著改善疼痛和功能,患者总体满意度较高。
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引用次数: 0
Descriptive Representation and Party Building: Evidence from Municipal Governments in Brazil 描述性代表与政党建设:巴西市政府的证据
IF 6.8 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-22 DOI: 10.1017/s0003055423001168
Tanushree Goyal, C. Sells
This article highlights a new way in which descriptive representation enhances democracy through inclusive party building. We theorize that parties retain and promote incumbents based on gendered criteria, disproportionately incentivizing women to recruit party members. However, gendered resource inequalities lower women’s access to the patronage required for recruitment. Women respond by recruiting more women members, as it lowers recruitment costs, is role-congruent, and eases credit claiming. Using rich administrative data on party membership from 2004 to 2020 and a regression discontinuity design in Brazil, we find that, despite resource disparities, women mayors recruit new members at similar rates as men but reduce the gender gap in party membership. As expected, women are more likely to be promoted in constituencies where they most lower the gender gap in party membership. We also find that women’s increased membership improves party resilience. Our findings suggest that descriptive representation strengthens party building by including underrepresented citizens.
本文强调了描述性代表通过包容性政党建设加强民主的一种新方式。我们的理论是,政党会根据性别标准保留和提拔现任者,从而不成比例地激励女性招募党员。然而,性别资源的不平等降低了妇女获得招募所需的赞助的机会。妇女的应对措施是招募更多的女性党员,因为这可以降低招募成本,使角色一致,并简化信用要求。利用巴西 2004 年至 2020 年丰富的党员行政数据和回归不连续设计,我们发现,尽管存在资源差异,女市长招募新党员的比率与男性相似,但却缩小了党员的性别差距。不出所料,在那些最能缩小党员性别差距的选区,女性更有可能获得晋升。我们还发现,女性党员人数的增加提高了政党的应变能力。我们的研究结果表明,描述性代表通过纳入代表性不足的公民来加强党的建设。
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引用次数: 0
Domestic Distributional Roots of National Interest 国家利益的国内分配根源
IF 6.8 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-20 DOI: 10.1017/s0003055423001284
Soyoung Lee
What international issues become national interests worth fighting for, and why? Contrary to conventional wisdom, I argue that issues without clear economic value, such as barren lands, are more likely to be perceived as national interests because they do not benefit any single domestic group. Since who benefits is unclear, politicians have an easier time framing such issues as benefiting the whole nation. I test this argument using survey experiments on the American public. The results show that first, issues providing diffuse benefits to citizens are more likely to be considered national interests than issues providing concentrated benefits to certain domestic groups. Second, issues with clearer economic value are harder to frame as having diffuse benefits because they are more easily associated with specific beneficiaries. This study proposes a new theory of national interest and offers a potential explanation for why people frequently support conflict over issues without obvious benefits.
哪些国际问题会成为值得争取的国家利益,为什么?与传统观点相反,我认为贫瘠土地等没有明确经济价值的问题更有可能被视为国家利益,因为它们不会使任何单一的国内群体受益。由于谁能从中受益并不明确,政治家们更容易将此类问题描述为有利于整个国家。我通过对美国公众的调查实验来验证这一论点。结果表明:首先,与集中惠及某些国内群体的问题相比,为公民带来分散利益的问题更有可能被视为国家利益。其次,具有更明确经济价值的问题很难被定性为具有分散利益,因为它们更容易与特定受益人联系在一起。本研究提出了一种新的国家利益理论,并为人们为何经常支持在没有明显利益的问题上发生冲突提供了可能的解释。
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引用次数: 0
Don’t Look Back in Anger: Cooperation Despite Conflicting Historical Narratives 不要愤怒地回头看:在相互矛盾的历史叙述中开展合作
IF 6.8 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-14 DOI: 10.1017/s0003055423001223
Yoshiko M. Herrera, Andrew H. Kydd
States in conflict often have divergent interpretations of the past. They blame each other for starting the conflict and view their own actions as justified retaliation, which makes them reluctant to cooperate. This phenomenon, while common in international relations, is not well understood by existing formal theories of cooperation. In the context of the Repeated Prisoner’s Dilemma framework, we show that strategies that demand atonement for past misdeeds are outperformed by strategies that do not. The latter are able to get out of retaliatory cycles and return to cooperation more quickly when there are divergent perceptions of the past. We conclude with a case study of Chinese and U.S. responses to the Tiananmen protests of 1989. China and the United States strongly disagree about the cause of the Tiananmen uprising and the legitimacy of the Chinese response, but nevertheless returned to cooperation after a limited period of mutual punishment.
冲突中的国家往往对过去有着不同的解释。它们相互指责对方挑起了冲突,并认为自己的行为是合理的报复,这使它们不愿合作。这种现象虽然在国际关系中很常见,但现有的正式合作理论并不能很好地理解它。在 "重复囚徒困境"(Repeated Prisoner's Dilemma)框架下,我们证明了要求对过去的错误行为进行赎罪的策略会比不要求赎罪的策略表现更好。当对过去的认知存在分歧时,后者能够更快地摆脱报复性循环,并恢复合作。最后,我们以中美两国对 1989 年天安门抗议活动的反应为例进行分析。中美两国对天安门起义的起因和中方反应的合法性存在强烈分歧,但在经过一段有限的相互惩罚之后,双方又恢复了合作。
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引用次数: 0
My History or Our History? Historical Revisionism and Entitlement to Lead 我的历史还是我们的历史?历史修正主义与领导权
IF 6.8 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-14 DOI: 10.1017/s000305542300117x
Nicholas Haas, Emmy Lindstam
Ongoing, spirited debates from around the globe over statues, street names, symbols, and textbooks call for a greater understanding of the political effects of different historical representations. In this paper, we theorize that inclusive (exclusive) historical representations can increase (decrease) marginalized group members’ perceived centrality to the nation, entitlement to speak on its behalf, and likelihood of becoming leaders. In an online experiment in India ( $ N=1,592 $ ), we randomly assign participants exercises sourced from official state textbooks containing either an exclusive, inclusive, or a neutral representation of history. We subsequently assess the supply of and demand for Muslim leadership using both an original, incentivized game and additional survey and behavioral measures. We find that inclusive historical narratives increase Muslim participants’ perceived centrality and entitlement, desire to lead, and demand for real-world Muslim leaders. Battles over history can carry consequences for the leadership ambitions of marginalized individuals, for themselves and their communities.
全球各地正在就雕像、街道名称、标志和教科书展开激烈的辩论,这要求我们更深入地了解不同历史表述的政治影响。在本文中,我们提出的理论是,包容性(排他性)的历史表述可以增加(减少)边缘化群体成员对国家中心地位的感知、代表国家发言的权利以及成为领袖的可能性。在印度的一项在线实验中($ N=1,592 $),我们随机给参与者分配了来自国家官方教科书的习题,这些教科书分别包含排他性、包容性或中性的历史表述。随后,我们通过一个原创的激励游戏以及额外的调查和行为测量来评估穆斯林领导力的供需情况。我们发现,包容性的历史叙事增加了穆斯林参与者的中心感和权利感、领导欲望以及对现实世界中穆斯林领袖的需求。对历史的争夺会影响边缘化个人的领导抱负,也会影响他们自己和他们的社区。
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引用次数: 0
Testing the Robustness of the ANES Feeling Thermometer Indicators of Affective Polarization 测试 ANES 感觉温度计情感极化指标的稳健性
IF 6.8 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-12 DOI: 10.1017/s0003055423001302
Matthew Tyler, S. Iyengar
Affective polarization (AP)—the tendency of political partisans to view their opponents as a stigmatized “out group”—is now a major field of research. Relevant evidence in the United States derives primarily from a single source, the American National Election Studies (ANES) feeling thermometer time series. We investigate whether the design of the ANES produces overestimates of AP. We consider four mechanisms: overrepresentation of strong partisans, selection bias conditional on strong identification, priming effects of partisan content, and survey mode variation. Our analysis uses the first-ever collaboration between ANES and the General Social Survey and a novel experiment that manipulates the amount of political content in surveys. Our tests show that variation in survey mode has caused an artificial increase in the mixed-mode ANES time series, but the general increase in out-party animus is nonetheless real and not merely an artifact of selection bias or priming effects.
情感极化(Affective polarization,AP)--政治党派人士将对手视为被污名化的 "出局群体 "的倾向--现已成为一个重要的研究领域。美国的相关证据主要来自一个单一来源,即美国全国选举研究(ANES)的感觉温度计时间序列。我们研究了美国全国选举研究的设计是否会导致对 AP 的高估。我们考虑了四种机制:强烈党派的过度代表、强烈认同条件下的选择偏差、党派内容的引申效应以及调查模式的变化。我们的分析使用了 ANES 和一般社会调查之间的首次合作,以及一项操纵调查中政治内容数量的新实验。我们的检验结果表明,调查模式的变化造成了混合模式 ANES 时间序列的人为增加,但党外敌意的普遍增加却是真实的,而不仅仅是选择偏差或引物效应的产物。
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引用次数: 0
From Social Networks to Political Parties: Indigenous Party-Building in Bolivia 从社会网络到政党:玻利维亚的土著政党建设
IF 6.8 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-12 DOI: 10.1017/s0003055423001272
Mariana GIUSTI-RODRÍGUEZ
While existing scholarship recognizes the centrality of social organizations for party-building efforts, how network structures condition party-building remains underexamined. This article argues that a core property of the network environments within which proto-parties emerge—structural resilience—shapes opportunities for proto-parties’ expansion and consolidation. More resilient network structures—those with multiple pathways available for expansion—decrease proto-parties’ vulnerability to structural threats and allow them to circumvent competition. To evaluate this theory, I examine the organizational networks of three comparable indigenous party-building efforts in Bolivia. Using original network data and a mixed-methods approach, I demonstrate that MAS-IPSP succeeded in establishing itself as the indigenous party because of the structural resilience of the network environment within which it originated. By contrast, its counterparts failed when targeted network attacks undermined their access to organizational spaces critical to their expansion strategies. The findings reveal often-overlooked variation in the relationship between social organizations and political parties.
虽然现有的学术研究承认社会组织在政党建设中的核心地位,但对网络结构如何影响政党建设的研究仍然不足。本文认为,原生政党出现的网络环境的核心属性--结构弹性--决定了原生政党扩张和巩固的机会。弹性更强的网络结构--具有多种扩张途径的网络结构--降低了原生党派面对结构性威胁的脆弱性,使其能够规避竞争。为了评估这一理论,我研究了玻利维亚三个具有可比性的原住民建党活动的组织网络。利用原始网络数据和混合方法,我证明了 MAS-IPSP 能够成功地将自己打造成原住民政党,是因为它所处的网络环境具有结构弹性。相比之下,当有针对性的网络攻击破坏了对其扩张战略至关重要的组织空间时,它的同行们就失败了。研究结果揭示了社会组织与政党之间关系中经常被忽视的变化。
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引用次数: 0
Deliberation and Ethical Voting Behavior: Evidence from a Campaign Experiment in Benin 慎重考虑与道德投票行为:来自贝宁竞选实验的证据
IF 6.8 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-05 DOI: 10.1017/s0003055423000813
Léonard Wantchékon, Jenny Guardado
The article provides experimental evidence of the effect of candidate-citizen town-hall meetings on voters’ political behavior. The intervention took place prior to the March 2011 elections in Benin and involved 150 randomly selected villages. In the treatment group, candidates held town-hall meetings where voters deliberated over their electoral platforms. The control group was exposed to the standard campaign—that is, one-way communication of the candidate’s platform by himself or his local broker. We find that town-hall meetings led to a more informed citizenry and higher electoral participation, which diverged little along socioeconomic lines. We also observe a lower effectiveness of vote-buying attempts where town halls took place. This is consistent with town-hall deliberation promoting what we call more “ethical” voters.
本文提供了候选人-公民市政厅会议对选民政治行为影响的实验证据。干预在2011年3月贝宁选举之前进行,涉及150个随机选择的村庄。在实验组中,候选人举行市政厅会议,让选民审议他们的竞选纲领。对照组则接受标准的竞选活动,即候选人本人或其当地经纪人单向传播其竞选纲领。我们发现,市政厅会议导致了更知情的公民和更高的选举参与,这在社会经济方面几乎没有差异。我们还观察到,在市政厅举行的地方,贿选的有效性较低。这与市政厅审议促进我们所说的更“有道德”的选民是一致的。
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引用次数: 1
The Polarizing Effect of Partisan Echo Chambers 党派回音室的两极分化效应
IF 6.8 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-01 DOI: 10.1017/s0003055423001211
S. Hobolt, Katharina Lawall, James Tilley
We are witnessing increasing partisan polarization across the world. It is often argued that partisan “echo chambers” are one of the drivers of both policy and affective polarization. In this article, we develop and test the argument that the political homogeneity of people’s social environment shapes polarization. Using an innovative, large-scale pre-registered “lab-in-the-field” experiment in the United Kingdom, we examine how polarization is influenced by partisan group homogeneity. We recruit nationally representative partisans and assign them to discuss a salient policy issue, either with like-minded partisans (an echo chamber) or in a mixed-partisan group. This allows us to examine how group composition affects polarization. In line with our expectations, we find that partisan echo chambers increase both policy and affective polarization compared to mixed discussion groups. This has important implications for our understanding of the drivers of polarization and for how out-group animosity might be ameliorated in the mass public.
我们正在目睹世界各地日益加剧的党派分化。人们经常认为,党派的“回音室”是政策和情感两极分化的驱动因素之一。在本文中,我们发展并检验了人们社会环境的政治同质性塑造两极分化的论点。我们在英国进行了一项创新的、大规模的预先注册的“现场实验室”实验,研究了党派群体同质性如何影响两极分化。我们招募具有全国代表性的党派人士,并指派他们与志同道合的党派人士(回音室)或混合党派团体讨论一个突出的政策问题。这使我们能够研究群体构成如何影响极化。与我们的预期一致,我们发现与混合讨论组相比,党派回声室增加了政策和情感两极分化。这对我们理解两极分化的驱动因素以及如何在公众中改善群体外敌意具有重要意义。
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引用次数: 0
Nasal Masses: A Report of Two Rare Cases, from Benign to Malignant. 鼻肿块:两例罕见病例报告,由良转恶性。
IF 0.6 1区 社会学 Q1 POLITICAL SCIENCE Pub Date : 2023-12-01 Epub Date: 2023-06-26 DOI: 10.1007/s12070-023-04007-6
Riddhi Jaiswal, Vinay Prakash Singh, Shishir Mishra, Rinka Yadav, Lord Karnwallis

Medical practitioners in peripheral remote areas face challenges in treating patients, that are much different from those who are working in an institute or accessible regions. We are discussing two cases, which were clinically diagnosed at our centre and were biopsy proven at a tertiary care institute. First case is of a benign adnexal neoplasm while the second is dreaded midline granuloma. Both the patients received satisfactory consultation and management.

边缘偏远地区的医生在治疗病人方面面临的挑战与在研究所或可到达地区工作的医生大不相同。我们正在讨论两个病例,这两个病例在我们的中心被临床诊断,并在一家三级保健机构被活检证实。第一例为良性附件肿瘤,第二例为可怕的中线肉芽肿。两例患者均获得满意的咨询和管理。
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引用次数: 0
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American Political Science Review
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