153 research outputs found
Народне лікування деякими видами грибів
У статті зроблено спробу дослідити засоби народного лікування грибами, зокрема білими грибами й мухоморами, та лексику, яка їх репрезентує, що є джерелом не лише діалектологічних пошуків, але й етнолінгвістичних.В статье сделана попытка исследовать способы народного лечения грибами, в частности белыми грибами и мухоморами, и лексику, которая их представляет, что есть источником не только диалектологических поисков, но и этнолингвистических.In the article «Folk Treatment with Some Fungus Species» the author endeavoured to research into the means of folk treatment with funguses, edible boletuses and fly agarics in particular as well as the vocabulary which represents them and serves as a source of not only dialectological search but also ethnolinguistic one
Complex and Unstable Simple Elbow Dislocations: A Review and Quantitative Analysis of Individual Patient Data
The primary objective of this review of the literature with quantitative analysis of individual patient data was to identify the results of available treatments for complex elbow dislocations and unstable simple elbow dislocations. The secondary objective was to compare the results of patients with complex elbow dislocations and unstable elbow joints after repositioning of simple elbow dislocations, which were treated with an external fixator versus without an external fixator. Electronic databases MEDLINE, EMBASE, LILACS, and the Cochrane Central Register of Controlled Trials. Studies were eligible for inclusion if they included individual patient data of patients with complex elbow dislocations and unstable simple elbow dislocations. The different outcome measures (MEPI, Broberg and Morrey, ASES, DASH, ROM, arthritis grading) are presented with mean and confidence intervals. The outcome measures show an acceptable range of motion with good functional scores of the different questionnaires and a low mean arthritis score. Thus, treatment of complex elbow dislocations with ORIF led to a moderate to good result. Treatment of unstable simple elbow dislocations with repair of the collateral ligaments with or without the combination of an external fixator is also a good option. The physician-rated (MEPI, Broberg and Morrey), patient-rated (DASH) and physician- and patient-rated (ASES) questionnaires showed good intercorrelations. Arthritis classification by x-ray is only fairly correlated with range of motion. Elbow dislocations are mainly on the non-dominant side
Primary schoulder arthrosplasty versus conservative treatment for comminuted proximal humeral fractures: a systematic literature review
Автори і рецензенти номера
The main aim of this work was to assess the potential of in situ carbonation as a treatment to modify the properties of alkaline materials such as industrial soil in terms of leaching behaviour and mineralogy and to store the CO2 generated by specific treatments applied in the context of Brownfield regeneration. The process was investigated through lab-scale column carbonation experiments, in which 100% CO2 was fed through humidified stainless steel slag under ambient temperature and pressure for set reaction times. The reaction kinetics and the maximum CO2 uptake attained (5.5%), corresponding to a Ca conversion yield of 15.6%, after 4 h treatment proved slightly lower than those resulting from batch tests carried out on the same particle size fraction at enhanced operating conditions. The mineralogy of the material showed to be affected by column carbonation, exhibiting a higher calcite content and the decrease of Ca hydroxide and silicate phases. As a result of carbonation, the material showed a decrease in pH and Ca release as well as an increase in Si mobility. Furthermore, a reduction of Cr and Ba leaching, up to 63% and 96% respectively, was achieved after 2 h of reaction. However, carbonation was observed to lead to an increased leaching of V and Mo. The effects of carbonation on the leaching behaviour of the material were also investigated performing pH-dependence leaching tests and the results indicated that in situ carbonation appears to be a promising treatment to improve the properties of alkaline materials in view of their reuse on-site
Simple elbow dislocations: a systematic review of literature. (Dutch Trauma publications Abroad)
Simple elbow dislocations: a systematic review of literature. (Dutch Trauma publications Abroad)
Primary Shoulder Arthroplasty Versus Conservative Treatment for Comminuted Proximal Humeral Fractures: A Systematic Literature Review
The objective was to identify whether arthroplasty or conservative treatment is the best available treatment for three- and four-part proximal humeral fractures by analyzing the outcome measure of the Constant score. We conducted an electronic search. The systematic review included 33 studies encompassing 1096 patients with three- or four-part proximal humeral fractures that used the Constant score as outcome measure. The mean Constant score in the conservative group was 66.5 and in the arthroplasty group was 55.5. The difference could be attributed to selection bias, unreliable classification of the fractures and inter-observer differences in the assessment of the Constant score
Eenvoudige elleboogluxaties in Nederland: Wat doen Nederlandse chirurgen?
Abstract:
Er is weinig evidence voor de optimale behandeling van eenvoudige elleboogluxaties. Hoewel er aanwijzingen zijn dat eenvoudige elleboogluxaties niet te lang moeten worden geïmmobiliseerd en functioneel kunnen worden nabehandeld. Om een overzicht te krijgen over hoe eenvoudige elleboogluxaties in Nederland worden behandeld, verrichtten wij een enquête onder leden van de Nederlandse Vereniging van Traumatologie.
Alle leden ontvingen een e-mail met het verzoek om een digitale vragenlijst over de behandeling van elleboogluxaties in te vullen. Het response percentage was 17% (n=90). Vijfendertig (39%) chirurgen verbinden geen consequenties aan stabiliteitsonderzoek van de elleboog na repositie. Drieënzestig procent van deze chirurgen behandelt de patiënten met een gipsverband gedurende gemiddeld 3.4 weken. Bij 55 (61%) van de 90 respondenten beïnvloed het stabiliteitsonderzoek wel de vorm van behandeling. Bij een stabiel gewricht wordt in ongeveer 64% van de gevallen een functionele behandeling voorgeschreven en bij een instabiel gewricht behandelen 24% van de respondenten functioneel met een functionele fixateur. De resultaten van de enquête onder Nederlandse chirurgen laat zien, dat de meeste ondervraagden immobilisatie verkiezen boven functionele behandelingAbstract
Background: Randomised controlled trials and observational comparative studies show little proof for the optimal form of treatment for simple elbow dislocations. However, there is some evidence that functional treatment in simple elbow dislocations may lead to better functional outcome. To get an overview of how simple elbow dislocations are treated in the Netherlands we performed a survey among Dutch surgeons.
Methods: All members of the Dutch Society of Traumatology received an e-mail with the request to fill out an electronic questionnaire.
Results: The response rate was 17% (n=90) . Thirty vive (39%) of them stated that stability testing after reposition of the joint did not influence subsequent form of treatment. Sixty three percent of them treated patients with a above the elbow cast for a mean of 3.4 weeks. Fifty five (61%) responders used stability testing as a guide for treatment. joint is stable after reposition. In the case of a stabile joint 64% of these surgeons treat patients with functional treatment. When there is joint instability 24% prefer functional treatment with a hinged external fixator.
Conclusion: The results of this inquiry among Dutch surgeons showed that the majority of simple elbow dislocations are treated with immobilisation and that functional treatment is not widespread
The reliability, validity and responsiveness of the Dutch version of the Oxford elbow score
Abstract
Background: The Oxford elbow score (OES) is an English questionnaire that measures the patients’ subjective experience of elbow surgery. The OES comprises three domains: elbow function, pain, and social-psychological effects. This questionnaire can be completed by the patient and used as an outcome measure after elbow surgery. The aim of this study was to develop and evaluate the Dutch version of the translated OES for reliability, validity and responsiveness with respect to patients after elbow trauma and surgery.
Methods: The 12 items of the English-language OES were translated into Dutch and then back-translated; the back-translated questionnaire was then compared to the original English version. The OES Dutch version was completed by 69 patients (group A), 60 of whom had an elbow luxation, four an elbow fracture and five an epicondylitis. QuickDASH, the visual analogue pain scale (VAS) and the Mayo Elbow Performance Index (MEPI) were also completed to examine the convergent validity of the OES in group A. To calculate the test-retest
reliability and responsiveness of the OES, this questionnaire was completed three times by 43 different patients (group B). An average of 52 days elapsed between therapy and the administration of the third OES (SD=24.1).
Results: The Cronbach’s α coefficients for the function, pain and social-psychological domains were 0.90, 0.87 and 0.90, respectively. The intra-class correlation coefficients for the domains were 0.87 for function, 0.89 for pain and 0.87 for social-psychological. The standardised response means for the domains were 0.69, 0.46 and 0.60, respectively, and the minimal detectable changes were 27.6, 21.7 and 24.0, respectively. The convergent validity for the function, pain and social-psychological domains, which were measured as the Spearman’s
correlation of the OES domains with the MEPI, were 0.68, 0.77 and 0.77, respectively. The Spearman’s correlations of the OES domains with QuickDASH were -0.43, -0.44 and -0.47, respectively, and the Spearman’s correlations with the VAS were -0.33, -0.38 and -0.42, respectively
Rasch analysis of the Dutch version of the Oxford elbow score
Background: The Oxford elbow score (OES) is a patient-rated, 12-item questionnaire that
measures quality of life in relation to elbow disorders. This English questionnaire has been
proven to be a reliable and valid instrument. Recently, the OES has been translated into Dutch
and examined for its reliability, validity, and responsiveness in a group of Dutch patients with
elbow pathology. The aim of this study was to analyze the Dutch version of the OES (OES-DV)
in combination with Rasch analysis or the one-parameter item response theory to examine the
structure of the questionnaire.
Methods: The OES-DV was administered to 103 patients (68 female, 35 male). The mean age
of the patients was 44.3 ± 14.7 (range 15–75) years. Rasch analysis was performed using the
Winsteps® Rasch Measurement Version 3.70.1.1 and a rating scale parameterization.
Results: The person separation index, which is a measure of person reliability, was excellent
(2.30). All the items of the OES had a reasonable mean square infit or outfit value between
0.6 and 1.7. The threshold of items were ordered, so the categories can function as intended.
Principal component analysis of the residuals partly confirmed the multidimensionality of the
English version of the OES. The OES distinguished 3.4 strata, which indicates that about three
ranges can be differentiated.
Conclusion: Rasch analysis of the OES-DV showed that the data fit to the stringent Rasch
model. The multidimensionality of the English version of the OES was partly confirmed, and
the four items of the function and three items of the pain domain were recognized as separate
domains. The category rating scale of the OES-DV works well. The OES can distinguish
3.4 strata. This conclusion can only be applied to elbow dislocations, which were the largest
group of patients studied
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