Dupuytren's disease in bosnia and herzegovina. An epidemiological study

BACKGROUND: It is generally held that Dupuytren's disease is more common in northern than in southern Europe, but there are very few studies from southern European countries. METHODS: We examined the hands of 1207 men and women over the age of 50 years in Bosnia and Herzegovina. RESULTS: The prevalence of Dupuytren's disease was highly age-dependent, ranging from 17% for men between 50–59 years to 60% in the oldest men. The prevalence among women was lower. The great majority only had palmar changes without contracture of the digit. The prevalence was significantly lower among Bosnian Muslim men than among Bosnian Croat and Serbian men and significantly increased among diabetics. No association could be detected between Dupuytren's disease and smoking, alcohol consumption or living in rural or urban areas. CONCLUSION: We conclude that, contrary to previous opinion, Dupuytren's disease is common in Bosnia and Herzegovina

Should we consider Dupuytren's contracture as work-related? A review and meta-analysis of an old debate

International audienceABSTRACT: BACKGROUND: In view of the conflicting opinions published, a meta-analysis was undertaken on epidemiological studies in order to assess any association between Dupuytren's contracture and work exposure. METHODS: Using the key words: "occupational disease", "work" and "Dupuytren contracture" without limitation on language or year of publication, epidemiological studies were selected from four databases (Pub-Med, Embase, Web of science, BDSP) after two rounds (valid control group, valid work exposure). A quality assessment list was constructed and used to isolate papers with high quality methodological criteria (scores of 13 or above, HQMC). Relevant associations between manual work, vibration exposure (at work) and Dupuytren's contracture were extracted from the articles and a metarisk calculated using the generic variance approach (meta-odds ratios, meta-OR). RESULTS: From 1951 to 2007, 14 epidemiological studies (including 2 cohort studies, 3 case-control studies, and 9 cross-sectional studies/ population surveys) were included. Two different results could be extracted from five studies (based on different types of exposure), leading to 19 results, 12 for manual work (9 studies), and 7 for vibration exposure (5 studies). Six studies met the HQMC, yielding 9 results, 5 for manual work and 4 for vibration exposure. Five studies found a dose-response relationship. The meta-OR for manual work was 2.02[1.57;2.60] (HQMC studies only: 2.01[1.51;2.66]), and the meta-OR for vibration exposure was 2.88 [1.36;6.07] (HQMC studies only: 2.14[1.59;2.88]). CONCLUSION: These results support the hypothesis of an association between high levels of work exposure (manual work and vibration exposure) and Dupuytren's contracture in certain cases

50 years experience with Dupuytren's contracture in the Erlangen University Hospital – A retrospective analysis of 2919 operated hands from 1956 to 2006

<p>Abstract</p> <p>Background</p> <p>Dupuytren's disease (DD) is a hand disorder mainly among the northern population. In contrast it is rare in the mediterranean population. Therefore typical habits and dietetic influences have been discussed as well as genetic predisposition. Still, since the first description by Dupuytren in 1834 only little is known about the etiology and pathogenesis of this disease. Some hints were found for a higher prevalence among people with diabetes, alcohol abuse or smoking. Also, intensive manual work or hand injuries have been discussed to have an influence on DD. To our knowledge this is the largest retrospectively evaluated series of symptomatic patients published to date. The study includes patients from the last 50 years. It was performed to show possible correlations between DD and typical risk factors such as diabetes, alcohol consumption, and smoking.</p> <p>Methods</p> <p>We retrospectively analysed all patient records with DD documented between 1956 and 2006 in the Surgical University Hospital in Erlangen. Data acquisition was conducted by reviewing the medical records from 1956 to 2006 including data from all patients who were surgically treated because of DD.</p> <p>Results</p> <p>We reviewed 2579 male and 340 female surgically treated patients with DD. More than 80% of the patients were between 40 and 70 years old. In 28.9% only the right hand was effected by DD, in 25.3% only the left hand and in 45.8% both hands. In 10.3% of all Patients suffered from Diabetes mellitus. Statistical analysis revealed no significant correlation between diabetes, alcoholism or smoking on the degree of DD in our patients.</p> <p>Conclusion</p> <p>Most data are consistent with previously published results from smaller, comparable retrospective studies with regard to right- or left handedness. We could not confirm a statistically significant correlation of DD with diabetes mellitus, severe alcohol consumption, heavy smoking or epilepsy and the stage of the disease as described in other studies. However, in the whole cohort of our operated patients during the last 50 years the prevalence of the above mentioned risk factors is slightly higher than in the normal population.</p

Impact of Oxygen Transport Properties on Polypropylene Thermal Oxidation, Part 1: Effect of Oxygen Solubility

A general kinetic model is proposed to describe the polypropylene thermal oxidation of thin polypropylene films in a wide range of temperatures (from 60 to 200°C) and oxygen partial pressures (from 0.02 to 5 MPa) using a single set of parameters. This model was calibrated with several series of experimental data including analyses of primary (hydroperoxides) and secondary oxidation products (carbonyl species), and subsequent changes in macromolecular properties (average molecular masses). It predicts the experimental data previously published in the literature in terms of induction times and maximal oxidation rates. The variability of the oxygen solubility coefficient allows to explain the scattering of induction times and oxidation rates among the whole iPP family, but also the dependence of this latter quantity with oxygen partial pressure. This variability is presumably due to iPP polymorphism in the temperature range where oxygen permeability is commonly measured. It is concluded that the kinetic model can be used to study the direct effect of iPP morphology on its thermal oxidation kinetics (chemistry of oxidation)

Pro Bono in the Business of Management Consulting. Why and how do Companies within the Business of Management Consulting work with Pro Bono?

The purpose of this study was to investigate why and how companies within the business of management consulting work with pro bono. Four management consulting companies were interviewed to investigate for what reasons they engage in pro bono projects, and what kind of projects they choose. The result from the study showed that the reasons for why companies engage in pro bono projects depend on the individuals within the companies, and that they engage for altruistic reasons, but also because the companies use this as a part of their marketing strategy. The study also showed that because of the wide definition of pro bono, many different kinds of projects can be included. The study resulted in a suggestion for a best-practice for the management consulting companies´ work with pro bono

LULEÅS FOLKBIBLIOTEKSUTVECKLING UR ETT GENUSPERSPEKTIV : - med fokus på centralbibliotekarien Olga Bardh

Uppsatsen syftar till att synliggöra folkbiblioteksutvecklingen i Luleå, samt att lyfta fram fler kvinnor som bidragit till folkbiblioteksutvecklingen i Sverige. Studien undersöker vilka faktorer som påverkat progressionen av Luleå kommuns folkbibliotek, samtidigt som dessa sätts i relation till Sveriges biblioteksutveckling. Trots att Valfrid Palmgren beundrade och framhävde Luleås folkbibliotek i sin skrift år 1911, är Norrbottens bibliotekshistoria tämligen dold för omvärlden. Luleås bibliotek var bland de första biblioteken i Sverige som utsågs till centralbibliotek, där bibliotekarien Olga Bardh anställdes som chef. Olga Bardh var en välutbildad kvinna med stora visioner om att skapa ett modernt och framstående bibliotek i Luleå och Norrbotten. Denna studie ämnar undersöka vilken betydelse hennes arbete hade för biblioteksutvecklingen, och på vilket sätt detta i så fall yttrade sig. Uppsatsens teoretiska utgångspunkter utgår från Christina Florins (1987) teorier om den svenska folkskolans feminiserings- och professionaliseringsprocess i början på 1900-talet, Yvonne Hirdmans (2004) teorier om genussystemet, samt Hanna Westberg-Wohlgemuths (1996) teorier om könsmärkning. Med hjälp av kritisk diskursanalys har det empiriska materialet analyserats i hopp om att verka för social förändring, där undertryckta samhällsgrupper synliggörs.

Improving information gathering for IT experts. : Combining text summarization and individualized information recommendation.

Information gathering and information overload is an ever growing topic of concernfor Information Technology (IT) experts. The amount of information dealt withon an everyday basis is large enough to take up valuable time having to scatterthrough it all to find the relevant information. As for the application area of IT,time is directly related to money as having to waste valuable production time ininformation gathering and allocation of human resources is a direct loss of profitsfor any given company. Two issues are mainly addressed through this thesis: textsare too lengthy and the difficulty of finding relevant information. Through the useof Natural Language Processes (NLP) methods such as topic modelling and textsummarization, a proposed solution is constructed in the form of a technical basiswhich can be implemented in most business areas. An experiment along with anevaluation session is setup in order to evaluate the performance of the technical basisand enforce the focus of this paper, namely ”How effective is text summarizationcombined with individualized information recommendation in improving informationgathering of IT experts?”. Furthermore, the solution includes a construction of userprofiles in an attempt to individualize content and theoretically present more relevantinformation. The results for this project are affected by the substandard quality andmagnitude of data points, however positive trends are discovered. It is stated thatthe use of user profiles further enhances the amount of relevant articles presentedby the model along with the increasing recall and precision values per iteration andaccuracy per number of updates made per user. Not enough time is spent as for theextent of the evaluation process to confidently state the validity of the results morethan them being inconsistent and insufficient in magnitude. However, the positivetrends discovered creates further speculations on if the project is given enough timeand resources to reach its full potential. Essentially, one can theoretically improveinformation gathering by summarizing texts combined with individualization

Improving information gathering for IT experts. : Combining text summarization and individualized information recommendation.

Information gathering and information overload is an ever growing topic of concernfor Information Technology (IT) experts. The amount of information dealt withon an everyday basis is large enough to take up valuable time having to scatterthrough it all to find the relevant information. As for the application area of IT,time is directly related to money as having to waste valuable production time ininformation gathering and allocation of human resources is a direct loss of profitsfor any given company. Two issues are mainly addressed through this thesis: textsare too lengthy and the difficulty of finding relevant information. Through the useof Natural Language Processes (NLP) methods such as topic modelling and textsummarization, a proposed solution is constructed in the form of a technical basiswhich can be implemented in most business areas. An experiment along with anevaluation session is setup in order to evaluate the performance of the technical basisand enforce the focus of this paper, namely ”How effective is text summarizationcombined with individualized information recommendation in improving informationgathering of IT experts?”. Furthermore, the solution includes a construction of userprofiles in an attempt to individualize content and theoretically present more relevantinformation. The results for this project are affected by the substandard quality andmagnitude of data points, however positive trends are discovered. It is stated thatthe use of user profiles further enhances the amount of relevant articles presentedby the model along with the increasing recall and precision values per iteration andaccuracy per number of updates made per user. Not enough time is spent as for theextent of the evaluation process to confidently state the validity of the results morethan them being inconsistent and insufficient in magnitude. However, the positivetrends discovered creates further speculations on if the project is given enough timeand resources to reach its full potential. Essentially, one can theoretically improveinformation gathering by summarizing texts combined with individualization

Frequency of radiographic procedures in an urban 62-year-old population in relation to general health, body build, bone mineral content, locomotor discomfort, occupational work load and socio-economic factors

For 830 62-year-old residents of the city of Malmo records of radiographic examinations made over a period of 40 years at the Radiological Department of Malmo General Hospital and/or over 20-30 years at two private radiological departments in the city were reviewed. Radiographic examination had been undertaken in 92% of the residents, with on an average 16 examinations per resident. The most common examinations were of the chest in 63% of the residents followed by lower limb (58%) and spine (52%) examinations. In men the total number of radiographic examinations were negatively correlated to income, intelligence test results and social network and job satisfaction. Men with monotonous work and a more restricted latitude for decision-making at work, as well as men who were smokers had also had significantly more radiographic examinations. Single civil status and occupational work load had in men a positive correlation with the total number of radiographic examinations, as well as with serum levels of glutamyltransferase and uric acid levels. In women there was a negative correlation between radiographic examinations and teachers' rating of intelligence in childhood and bone mineral content, whereas job satisfaction, life success and triceps skinfold index (= subcutaneous fat tissue thickness) had a positive correlation with the total number of radiographic examinations. Women who took regular exercise (every week) had had significantly fewer radiographic examinations. Men and women with locomotor discomfort had a significantly higher consumption of not only musculoskeletal radiographic examinations but also other radiographic examinations