Long-term results after a triple arthrodesis of the hindfoot: function and satisfaction in 36 patients

The long-term functional results of a triple arthrodesis of the hindfoot are not well known. In this retrospective cohort study we therefore investigated pain, function and aligment of the tibiotalar joint, patient satisfaction with the procedure and the prevalence of osteoarthritis (OA) of the tibiotalar joint after a median follow-up of six years. We also aimed to investigate whether there are patient and surgical characteristics associated with the outcome. Patients who underwent a triple arthrodesis for OA between January 1992 and July 2002 were invited to participate. A clinical examination was performed, the Ankle-Hindfoot Scale was completed, and radiographs were taken. Patient characteristics (e.g., age, gender and the indication for operation) and surgical characteristics (e.g., fixation material and use of bone graft) were collected. Sixty-one percent (22 patients) of the patients had a good total score on the Ankle-Hindfoot Scale. Nineteen patients (53%) were satisfied with the result of the operation and 47% of the patients had radiographic OA of the tibiotalar joint. In a univariate regression analysis, male gender and the score on the Ankle-Hindfoot Scale were significantly associated with radiographic OA. Patient satisfaction was significantly associated with a higher score on the Ankle-Hindfoot Scale and better dorsi–flexion of the ankle. Our study shows that 61% of the procedures in 36 patients with a triple arthrodesis for OA had a good score on the Ankle-Hindfoot Scale. Radiographic OA of the ankle was present in 47% of the cases and was not related to patient satisfaction. No patient characteristics or surgical characteristics were associated with the score on the Ankle-Hindfoot Scale

Calagem e adubação fosfatada promovem crescimento inicial e produção de hipericina em erva-de-São-João Liming and phosphate fertilization promote initial growth and hipericin production in St. John's wort

A erva-de-São-João é uma planta medicinal empregada no tratamento antidepressivo. A hipericina é considerada um dos compostos que contribui para o efeito medicinal da planta. Uma vez que a concentração e a quantidade do princípio ativo pode ser afetada pela nutrição das plantas, este trabalho teve por objetivo avaliar os efeitos do pH do solo e da adubação fosfatada sobre o crescimento inicial e a produção de hipericina em erva-de-São-João. O experimento foi realizado em Lages, SC, de julho a dezembro de 2003, em casa de vegetação. Utilizou-se delineamento experimental inteiramente casualizado (fatorial 4 x 3), correspondendo a quatro valores de pH (4,1; 5,5; 6,0 e 6,5) e três doses de P (0, 50 e 100 mg kg-1 de solo), com quatro repetições. Foram cultivadas duas plantas por vaso, em um Cambissolo Húmico Álico. Avaliou-se a produção de massa seca, a altura e o número de ramificações da parte aérea, o número de glândulas escuras nas folhas e a concentração e a quantidade total de hipericina na parte aérea. A produção de massa seca da parte aérea aumentou com a adição de P e, em maior magnitude, com a calagem. A altura das plantas somente foi influenciada pela calagem. O número de ramificações e de glândulas escuras e a concentração de hipericina aumentaram com a aplicação de P apenas na ausência de calagem, e com a calagem na ausência de P. Os maiores conteúdos de hipericina por vaso foram verificados nos tratamentos com pH 6,0 e 6,5 e doses de P de 50 e 100 mg kg-1 de solo.<br>St. Jonh's wort is a medicinal plant used for anti-depressive treatment. Hypericin is considered one of the compounds that contribute to the medicinal effect of the plant. Since the concentration and the total quantity of active ingredients may be affected by plant nutrition, this work was conducted to investigate the effects of soil pH and phosphorus (P) addition to the soil on initial growth and hypericin production of St. John's wort. The experiment was carried out in Lages, SC, from July until December of 2003, in a greenhouse. It followed a completely randomized factorial design (4 x 3), with four levels of pH (4.1, 5.5, 6.0, and 6.5) and three doses of P (0, 50, and 100 mg kg-1 of soil), and four replicates. Two plants were cultivated per pot, under a Humic Inceptisol. Plants were harvested and assessed for aerial dry matter production, height, number of lateral shoots, number of dark glands in the leaves, aerial hypericin content and aerial total hypericin production. The aerial dry matter production increased with P addition and, in a larger amount, with liming. The plant height was only affected by the liming. The number of lateral shoots and dark glands in the leaves as well as the hipericin concentration only increased with P application in the soil without liming, and with liming in the soil that did not receive P. The highest total hypericin production per pot was achieved in the treatments with pH values of 6.0 and 6.5 and P doses of 50 and 100 mg kg-1 of soil

The Role of Indigenous Languages in Schools: The Case of Sarawak

This chapter describes the role of indigenous languages in Sarawak schools, beginning with a brief background on the diversity of languages and indigenous language use patterns in the state. This is followed by a description of efforts to preserve and promote the formal learning of indigenous languages in various indigenous communities, with a special focus on the Bidayuh and Iban communities whose languages have been used for formal education. Efforts to preserve Sarawak indigenous languages in the early twentieth century took the form of producing orthography for the language. The Iban language has been standardised and offered as a school subject but it is more difficult for Bidayuh to become a school subject due to the regional variations in Bidayuh isolects. In recent years, Bidayuh has been introduced as a medium of instruction in some preschools run by the Dayak National Bidayuh Association. The other Sarawak indigenous languages have some written materials in their languages but they are far from integrating into the Malaysian national curriculum. The initial effort in this direction has to come from the indigenous communities but research has shown that belief in the heritage value of indigenous languages alone is not sufficient to mobilise community literacy activities on a long-term basis