Intra-articulaire calcaneusfracturen

ABSTRACT About 0.6% of all fractures is an intra-articular calcaneal fracture. Patients often have additional injuries, and returning to work can take up to one year. The diagnostics consist of plain, lateral and axial, radiographs of the calcaneus. In addition a CT-scan is performed in three planes. Because of the lack of a standardised classification and disease specific outcome-scores there is no agreement on the best treatment modality. More randomised controlled trials are mandatory in the future to determine the best treatment modality for the different types of intra-articular calcaneal fractures

The effect of Telfast® 180 on driver behaviour, decision-making and reaction time.

The principal objective of the study was to examine the effect of Telfast® 180, an antihistamine, on driver behaviour, decision-making, and reaction time. A sample of 255 volunteers participated in the study. The sample was randomly divided into two groups, viz. a placebo and a Telfast group. One of the groups received Telfast and the other a placebo. Initially all the participants were given a standardised driving test, as well as a psychomotor test. Immediately thereafter the placebo group received their placebo tablets and the Telfast group their Telfast tablets. Exactly 2,6 hours later every participant was tested again, using the same tests as before. No statistically significant differences were found between the Placebo group and the Telfast group. No sedative effects due to Telfast® 180 were thus evident

Improving the visibility of bicycle infrastructure

The visual characteristics of road infrastructure play a major role in a substantial number of single-bicycle crashes. The focus of this research was on finding the most common situations that result in a poorly visible bicycle infrastructure, and investigating how to improve these conditions for vulnerable cyclist populations, specifically the visually impaired and the older cyclist. Three studies were performed, a questionnaire study amongst visually impaired cyclists, focus group discussions with older cyclists, and an experiment on a closed track where participants’ vision, in particular their contrast sensitivity, was impaired. The results from the questionnaire study and the focus group discussions revealed that bollards, kerbs, and cycle path markings/shoulders are the most critical visual elements in the road infrastructure. In addition, cycling performance and cyclists’ feelings of safety worsened in conditions where the visibility of obstacles and the road’s course were the poorest. Visibility can be enhanced by placing red-white bollards, painting kerbs white, by enhancing clearness of the road’s shoulder, or by applying high contrast road markings on the side of the cycle path/road

Mobile phone use while cycling:Incidence and effects on behaviour and safety

The effects of mobile phone use on cycling behaviour were studied. In study 1, the prevalence of mobile phone use while cycling was assessed. In Groningen 2.2% of cyclists were observed talking on their phone and 0.6% were text messaging or entering a phone number. In study 2, accident-involved cyclists responded to a questionnaire. Only 0.5% stated that they were using their phone at the time of the accident. In study 3, participants used a phone while cycling. The content of the conversation was manipulated and participants also had to enter a text message. Data were compared with just cycling and cycling while listening to music. Telephoning coincided with reduced speed, reduced peripheral vision performance and increased risk and mental effort ratings. Text messaging had the largest negative impact on cycling performance. Higher mental workload and lower speed may account for the relatively low number of people calling involved in accidents. Statement of Relevance: Although perhaps mainly restricted to flat countries with a large proportion of cyclists, mobile phone use while cycling has increased and may be a threat to traffic safety, similar to phone use while driving a car. In this study, the extent of the problem was assessed by observing the proportion of cyclists using mobile phones, sending questionnaires to accident-involved cyclists and an experimental study was conducted on the effects of mobile phone use while cycling

A diachronic triangular perspective on landscapes:A conceptual tool for research and management applied to Wadden Sea salt marshes

Strong disciplinary academic fragmentation and sectoral division in policies lead to problems regarding the management of landscapes. As a result, there is a focus on the preservation and development of either cultural or natural landscapes. We argue that framing landscapes as "natural" or "cultural" will not help sustainable management. The goal of this paper is to show that even what is referred to as nature, virtually always features an intricate combination of physical geography, biology, and cultural history. It provides an analytical framework that visualizes the three forces at play in physical landscapes. Therefore, we introduce a diachronic triangular approach to study and manage landscapes from a holistic point of view, allowing an exchange of different perspectives. To test this approach, we have applied our model to a diachronic case study on Wadden Sea salt marshes. That area has been influenced by physical-geographical, biological, and cultural landscape forces, which are still visible in the landscape to a large extent. By placing different landscape zones in the triangular concept for different time periods, we can identify and visualize these driving forces through time for this specific landscape. These all play their specific roles in the appearance of the landscape over time in a close mutual interconnection. More importantly, we show that the diverse and complex interplay between these forces makes the current-day landscape what it is. We therefore conclude that the diachronic triangular approach provides a conceptual tool to define and operationalize landscape management in the Wadden Sea area. We welcome similar approaches in other landscapes to assess the usefulness of the diachronic triangular landscape approach