An acoustical confort chart: a single way of evaluating the speech intelligibility inside urban transport vehicles.

Liverpool U

La distribuzione dei prodotti assicurativi

Il presente capitolo analizza le caratteristiche e il ruolo concretamente assunto dai diversi canali distributivi nell'ambito dell'offerta assicurativa danni e vita.The present chapter anayzes the caratteristics and the role of different insurance distribution channels

Ultrasonography for oxygen-ozone therapy in musculoskeletal diseases

Over the years, infiltrative oxygen-ozone therapy has shown clinical benefits in several musculoskeletal disorders, due to its potential analgesic, anti-inflammatory, antioxidant and immunomodulatory effect. Ultrasonography is a safe, non-invasive imaging, easily available, and has the additional advantage of being real time for imaging and image-guided procedures of the musculoskeletal system. This review explains the numerous promising ways in which ultrasonography can be useful in oxygen-ozone therapeutic practices for musculoskeletal disorders, in order to improve safety and accuracy of treatment

Mind term effects of a single injection versus three injections of hyaluronic acid in patients with rhizarthrosis

Background. To compare the effects of a single intra-articular injection of low molecular weight hyaluronic acid (LMWHA) versus 3 injections of the same LMWHA in patients affected by rhizarthrosis. Methods. 40 patients received ultrasound (US) guided injections of LMW HA: Group A (20 patients) injections with 1 ml HA; Group B (20 patients) once a week for 3 times injections of 1 ml HA. Both groups were examined at baseline, at 1, 3 and 6 months follow-up using VAS (Visual Analogue Scale), Kapandji Thumb Opposition Test, DASH Score (func-tional assessment questionnaire) and DASH Work. Results. Patients treated with a single HA injection had a statistically significant improvement (p<0.05) of the VAS at 1-and 3-months follow-up compared to baseline, and of Kapandji thumb opposition test only at 6 months compared to baseline. Patients received 3 HA injections shown a statistically significant improvement (p< 0.05) of the VAS, DASH score, DASH-work and Kapandji thumb opposition test at 1, 3-and 6-months follow-up compared to baseline. The intergroup analysis did not underline any significant differences between the two groups at all follow-up. Conclusions. The intra-articular HA injections allowed good effects in patients suffering from rhizarthrosis. To have a low term pain relief a single injection can be used. The 3 injections protocol is more indicated if we want to obtain also a functional improvement