1,823 research outputs found

    Síndrome doloroso del trocánter mayor.Resultados a corto plazo con el tratamiento artroscópico

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    Objetivo : Evaluar los resultados clínicos de la cirugía artroscópica de cadera en el tratamiento del síndrome doloroso del trocánter mayor tras fracaso del tratamiento conservador. Material y Método : Estudio prospectivo de 15 pacientes tratados mediante cirugía artroscópica de cadera por síndrome doloroso del trocánter mayor. Para valoracion clínica se utilizó la escala modificada de Harris. Resultados : La edad media de los pacien - tes fue de 53,2 años. Se detectó rotura del glúteo medio en el 73,3% de los casos. El seguimiento medio de los pacientes fue de 16,3 meses. La puntuación media de la escala modificada de Harris pasó de 55,4 puntos preope - ratoriamente a 83,8 puntos al final del seguimiento. Discusión : La artroscopia de cadera ha permitido la mejoría clínica de los pacientes con síndrome doloroso del trocánter mayor que no responde al tratamiento conservador. Un mayor seguimiento de los pacientes es preciso para confirmar la estabilidad de los resultados obtenidosObjective: Evaluate the outcomes of hip arthroscopy as a treatment for greater throcanter pain syndrome after conservative treatment failed. Material and methods: Prospective study with 15 patients under - going hip arthroscopy for greater trochanter pain syndrome. Modified Harris Hip Score scale was used for clini - cal assessment. Results: The mean age of patients was 53.2 years. Gluteus medium tears was detected in 73.3%. The average follow-up was 16.3 months. The mean modified Harris Hip score increased from 55.4 points preop to 83.8 points postoperative. Discusion: Hip arthroscopy resulted in improvement in hip functional outcome in patients with greater trochanter pain syndrome after conservative treatment failed. Further follow-up is essential to confirm the stability of the clinical outcome

    Active commuting is associated with a lower risk of obesity, diabetes and metabolic syndrome in Chilean adults

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    Background: There is limited evidence on how active commuting is associated with health benefits in developing countries. The aim of this study therefore was to investigate the associations between active commuting and markers of adiposity and cardiometabolic risk in the Chilean adult population. Methods: In total, 5157 participants from the Chilean National Health Survey 2009–10 were included in this cross-sectional study. Active commuting was measured using the Global Physical Activity Questionnaire (GPAQ v2). Body mass index (BMI) and waist circumference (WC) were measured and used to define obesity and central obesity. Type 2 diabetes (T2D) and metabolic syndrome were determined using WHO and updated ATPIII-NCEP criteria, respectively. Results: The main finding of this study is that a 30 min increase in active commuting is associated with lower odds for BMI > 25.0 kg m−2 (0.93 [95% CI: 0.88–0.98, P = 0.010]). Similarly, the odds for central obesity was 0.87 [0.82–0.92, P < 0.0001]. Similar associations were found for T2D (0.81 [0.75–0.88], P < 0.0001) and metabolic syndrome (OR: 0.86 [0.80–0.92], P < 0.0001). Conclusion: Our findings show that active commuting is associated with lower adiposity and a healthier metabolic profile including lower risk for obesity, diabetes and metabolic syndrome

    Evidence of suppression of onchocerciasis transmission in the Venezuelan Amazonian focus.

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    BACKGROUND: The World Health Organization (WHO) has set goals for onchocerciasis elimination in Latin America by 2015. Most of the six previously endemic countries are attaining this goal by implementing twice a year (and in some foci, quarterly) mass ivermectin (Mectizan®) distribution. Elimination of transmission has been verified in Colombia, Ecuador and Mexico. Challenges remain in the Amazonian focus straddling Venezuela and Brazil, where the disease affects the hard-to-reach Yanomami indigenous population. We provide evidence of suppression of Onchocerca volvulus transmission by Simulium guianense s.l. in 16 previously hyperendemic Yanomami communities in southern Venezuela after 15 years of 6-monthly and 5 years of 3-monthly mass ivermectin treatment. METHODS: Baseline and monitoring and evaluation parasitological, ophthalmological, entomological and serological surveys were conducted in selected sentinel and extra-sentinel communities of the focus throughout the implementation of the programme. RESULTS: From 2010 to 2012–2015, clinico-parasitological surveys indicate a substantial decrease in skin microfilarial prevalence and intensity of infection; accompanied by no evidence (or very low prevalence and intensity) of ocular microfilariae in the examined population. Of a total of 51,341 S. guianense flies tested by PCR none had L3 infection (heads only). Prevalence of infective flies and seasonal transmission potentials in 2012–2013 were, respectively, under 1 % and 20 L3/person/transmission season. Serology in children aged 1–10 years demonstrated that although 26 out of 396 (7 %) individuals still had Ov-16 antibodies, only 4/218 (2 %) seropositives were aged 1–5 years. CONCLUSIONS: We report evidence of recent transmission and morbidity suppression in some communities of the focus representing 75 % of the Yanomami population and 70 % of all known communities. We conclude that onchocerciasis transmission could be feasibly interrupted in the Venezuelan Amazonian focus. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13071-016-1313-z) contains supplementary material, which is available to authorized users

    Scanning, non-contact, hybrid broadband diffuse optical spectroscopy and diffuse correlation spectroscopy system

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    A scanning system for small animal imaging using non-contact, hybrid broadband diffuse optical spectroscopy (ncDOS) and diffuse correlation spectroscopy (ncDCS) is presented. The ncDOS uses a two-dimensional spectrophotometer retrieving broadband (610-900 nm) spectral information from up to fifty-seven source-detector distances between 2 and 5 mm. The ncDCS data is simultaneously acquired from four source-detector pairs. The sample is scanned in two dimensions while tracking variations in height. The system has been validated with liquid phantoms, demonstrated in vivo on a human fingertip during an arm cuff occlusion and on a group of mice with xenoimplanted renal cell carcinoma. (C) 2016 Optical Society of Americ
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