Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Uso racional de recursos naturais não-renováveis: aspectos biológicos, econômicos e ambientais Rational use of non renewable natural resources: biological, economical and environmental aspects

Devido à limitação de novas terras para a agricultura, o seu desenvolvimento tem ocorrido com base em aumento de índices de produtividade na produção animal e de plantas. Entretanto, efeitos negativos têm emergido, como a excessiva utilização de recursos naturais não renováveis e a poluição ambiental. O objetivo deste trabalho foi demonstrar a possibilidade do uso de modelos de saturação cinética na agricultura (produção de plantas e produção animal) para melhorar a eficiência do uso dos recursos naturais não renováveis, evitar a completa depleção dos mesmos e minimizar os problemas relacionados à poluição ambiental.<br>Due to limitations of new land areas for agriculture, its development has being based on increase in productive indexes in animal and plant production. However, negative effects have being emerged, as excessive utilization of non renewable natural resources and environmental pollution. The objective of this work was to demonstrate the possibility of use of models of saturation kinetics in agriculture (plant and animal production) to improve efficiency of use of non renewable natural resources, avoid complete depletion of them and minimize the problems related to environmental pollution