8 research outputs found

    Diagnosis, treatment and prevention of ankle sprains; an evidence-based clinical guideline

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    Item does not contain fulltextAnkle injuries are a huge medical and socioeconomic problem. Many people have a traumatic injury of the ankle, most of which are a result of sports. Total costs of treatment and work absenteeism due to ankle injuries are high. The prevention of recurrences can result in large savings on medical costs. A multidisciplinary clinical practice guideline was developed with the aim to prevent further health impairment of patients with acute lateral ankle ligament injuries by giving recommendations with respect to improved diagnostic and therapeutic opportunities. The recommendations are based on evidence from published scientific research, which was extensively discussed by the guideline committee. This clinical guideline is helpful for healthcare providers who are involved in the management of patients with ankle injuries.1 september 201

    Sedimentology of cherts in the Early Proterozoic Wishart Formation, Quebec–Newfoundland, Canada

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    The siliciclastic Wishart Formation of the Early Proterozic Labrador trough is high-energy shelf deposit. Wishart sandstones contain both interstitial chert with textures of void-filling cement and thin chert intercalations contaminated with siliciclastic mud. Although volumetrically minor, these cherts occur in several thin, areally extensive stratigraphic mud. Although volumetrically minor, these cherts occur in several thin, areally extensive stratigraphic intervals. The Wishart contains intraclasts of both the chertcemented sandstone and the impure chert layers (as well as several other types of chert sand and gravel). This suggests the cherts formed penecontemporaneously, which is consistent with the absence of any signs of replacement in all but one of the chert types and the clear-cut distinctions between chert types, even where they are side by side in a single thin section. The origin which appears to be most compatible with available evidence is that the cherts represent silica precipitated from thermal waters that rose through the sediments of the Wishart shelf and discharged precipitated from thermal waters that rose through the sediments of the Wishart shelf and discharged into suprajacent seawater. A biogenic origin is unlikely in view of the lack of appropriate organisms during the Early Proterozic and the rapidity with which the cements formed. A volcanogenic origin is likely because volcaniclastic tezxtures are plentiful in associated formations but absent from the Wishart. Precipitation induced by evaporative concentration in unlikely in view of the widespread evidence of tidal currents and the lack of evidence of desiccation in the Wishart. Finally, the cherts are not restricted to the lowest-energy faces, and therefore they presumably did not accumulate as a background sediment. Deposition of silica above the sediment/water interface was probably made possible by ambient concentrations of silica that were significantly higher than those of Phancrozoic seawater. Cherts with similar textures occur in other Early Proterozoic sediments, most notably arenitic or granular iron-formations
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