Outcome measurement in adult flexor tendon injury: A systematic review

xlomafota13 shared this article with you from Inoreader Outcome measurement in adult flexor tendon injury: A systematic review Via Journal of plastic, reconstructive & aesthetic surgery : JPRAS J Plast Reconstr Aesthet Surg. 2021 Sep 20:S1748-6815(21)00423-X. doi: 10.1016/j.bjps.2021.08.033. Online ahead of print. ABSTRACT BACKGROUND: Defining the optimal, evidence-based management of flexor tendon injury remains challenging. Lack of consensus on which measures to use to assess the outcome of interventions is a key issue, especially with regard to patient-reported outcome measures (PROMs). This systematic review defines the landscape of outcome measurement in studies on interventions for flexor tendon injuries to guide future research. METHODS: A PRISMA-compliant systematic review was conducted using bespoke search strategies applied to MEDLINE, EMBASE, PsycINFO, CENTRAL, CINAHL and AMED. A protocol was developed and registered prospectively (CRD42020186780). We identified all studies describing adult patients undergoing interventions for acute hand flexor tendon injuries. RESULTS: Of the 4844 studies, 114 studies met the final inclusion criteria for evaluating the outcomes of 8127 participants with 9071 injured digits. Studies included 24 randomised controlled trials, 19 cohort studies and 61 case series. Nine different PROMs were used in 24 studies (22%): three site-specific PROMs, one generic quality-of-life measure and four visual analogue scales. Clinician-reported outcome measures were used in 103 studies (96%), such as the range of motion reported in 102 studies (94%). Adverse outcomes were reported in 96 studies (89%), with the most frequently reported adverse outcomes being tendon rupture and infection. Re-operation was reported in 21 studies (19%). The most frequently reported health economic outcome measure was the length of work absence, reported in ten studies (9%). CONCLUSIONS: There is variability in the use of outcome measures used to study interventions for flexor tendon injuries. An independent systematic review of the psychometric properties of the identified outcome measures and a specific multi-stakeholder consensus process may support optimal choice and standardisation for future studies. PMID:35219612 | DOI:10.1016/j.bjps.2021.08.033 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

COVID-19 and change to home nursing care: Prospective study on 100 patients followed in CLCC

xlomafota13 shared this article with you from Inoreader COVID-19 and change to home nursing care: Prospective study on 100 patients followed in CLCC Via Association française pour l'étude du cancer Bull Cancer. 2022 Feb 14:S0007-4551(22)00071-6. doi: 10.1016/j.bulcan.2022.01.013. Online ahead of print. ABSTRACT BACKGROUND: During the COVID-19 epidemic, the lockdown measures were associated with professional guidelines to care for patients. We noticed that the home nursing care of some patients monitored in supportive care wards were interrupted. The aim of this study is to determine the impact of lockdown on the home nursing care of patients monitored in supportive care wards. MATERIALS AND METHODS: This observational, descriptive, monocentric, and prospective study was conducted in the supportive care wards from the 04.20 to the 05.15.2020 among 100 patients. They were asked about their home nursing care and their frequency before and after lockdown. Our study received a favorable ruling from the ethics committee of the Hôpitaux universitaires de Strasbourg. RESULTS: About two thirds of patients had experienced a ch ange with their home nursing care. A complete interruption was observed for 40% of them and a reduction of frequency for 10% of them. Some populations were more deeply affected: patients with a performance status 3-4, women, patients living alone or patients with motor disability. The interruption of a task usually performed by a professional was observed for 49% of patients, with the task becoming incumbent on the patient or family caregivers. CONCLUSION: Our study shows a strong impact of the lockdown on the home nursing care of our patients in spite of the professional guidelines encouraging continuity of care. Our study underlines the great importance of protecting the access to care of the most vulnerable patients. PMID:35219501 | DOI:10.1016/j.bulcan.2022.01.013 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Facial nerve perineural spread from cutaneous squamous cell carcinoma of the head and neck: A single institution analysis of epidemiology, treatment, survival outcomes, and prognostic factors

xlomafota13 shared this article with you from Inoreader Facial nerve perineural spread from cutaneous squamous cell carcinoma of the head and neck: A single institution analysis of epidemiology, treatment, survival outcomes, and prognostic factors Via Head & Neck Abstract Background This study aimed to examine patients with facial nerve (VII) perineural spread (PNS) from cutaneous squamous cell carcinoma of the head and neck. Methods Retrospective analysis of patients managed by an Australian tertiary center between 2000 and 2019. Results Seventy three patients were included. Most presented with recurrent disease (89.0%) and simultaneous trigeminal nerve (V) involvement (67.1%). Of the 55 patients (75.3%) who received curative intent treatment, 48 received surgery plus/minus post-operative radiotherapy. In these patients, 5-year disease-free survival, disease-specific survival, and overall survival was 50.7%, 68.7%, and 58.1%, respectively. Pathological nodal disease, involved margins, increasing VII zonal extent, and concurrent zone 2 V PNS significantly worsened outcomes. Conclusion High rates of recurrent disease reflects the importance of adequate treatment of the primary. Surgery and post-operative radiotherapy remains the mainstay treatment. Outcomes are improved in early-stage disease and with clear surgical margins, reinforcing the need for prompt diagnosis and intervention. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Ventriculoperitoneal Shunt Alone for Cerebrospinal Fluid Rhinorrhea With Neuroendocrine Alterations in Idiopathic Intracranial Hypertension: A Case Report and Literature Review

xlomafota13 shared this article with you from Inoreader Ventriculoperitoneal Shunt Alone for Cerebrospinal Fluid Rhinorrhea With Neuroendocrine Alterations in Idiopathic Intracranial Hypertension: A Case Report and Literature Review Via leak of cerebrospinal fluid Front Neurol. 2022 Feb 10;13:809224. doi: 10.3389/fneur.2022.809224. eCollection 2022. ABSTRACT Spontaneous skull base cerebrospinal fluid (CSF) leaks due to idiopathic intracranial hypertension (IIH) are a rare entity. Patients often present with CSF rhinorrhea, recurrent meningitis, chronic headache, and visual defects, while few patients have been reported to present with neuroendocrine alterations. Endonasal endoscopic repair is the first-line treatment for these leaks at present. However, the relatively high risk of recurrence remains the main cause of reoperation because of elevated intracranial pressure (ICP) after endoscopic surgery and absence of postoperative ICP management. A shunting procedure may stop CSF leakage or relieve symptoms in complex cases, and this is presently well-known as the last-line therapy for CSF liquorrhea. We describe a 29-year-old woman with spontaneous CSF rhinorrhea and neuroendocrine alterations due to II H, and with no previous history of trauma, tumor, or nasal surgery. The bone defect in the skull base became implicated when the site of the leak was detected by cranial magnetic resonance imaging and computed tomography (CT). The patient was successfully managed via ventriculoperitoneal shunt (VPS) alone without endoscopic repair, and neuroendocrine alterations resolved after the shunting procedure. PMID:35222246 | PMC:PMC8866819 | DOI:10.3389/fneur.2022.809224 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Impact of metabolic disorders on endometrial receptivity in patients with polycystic ovary syndrome

xlomafota13 shared this article with you from Inoreader Impact of metabolic disorders on endometrial receptivity in patients with polycystic ovary syndrome Via Experimental and therapeutic medicine Exp Ther Med. 2022 Mar;23(3):221. doi: 10.3892/etm.2022.11145. Epub 2022 Jan 14. ABSTRACT The present study investigated the expression of endometrial receptivity-related molecules in patients with polycystic ovary syndrome (PCOS) and different androgen status, insulin resistance (IR) levels, and body mass indexes (BMI) to identify the mechanism underlying their effects on pregnancy outcomes. The present study recruited 43 participants from November 2020 to January 2021, which were classified into five groups: i) Hyperandrogenemia (HA) combined with impaired glucose tolerance group (n=8); ii) HA combined with diabetes mellitus group (n=8); iii) HA combined with non-IR (NIR) group (n=10); iv) non-HA (NHA) androgen combined with IR group (n=8); and v) NHA combined with NIR group (n=9). In addition, according to their BMIs, patients were sub-grouped into lean/normal (n=27), overweight (n=8) or obese (n=8) groups. The mRNA expression level s of endometrial receptivity-related molecules were detected using reverse transcription-quantitative PCR. In addition, flow cytometry was used to determine the phenotype and percentage of uterine natural killer cells (uNK). According to the results, patients with PCOS and IR status, HA and obesity (BMI ≥24 kg/m2) demonstrated significantly decreased mRNA expression levels of adiponectin, adiponectin receptor (AdipoR)1, AdipoR2, adapter protein containing PH domain, PTB domain and leucine zipper motif 1, estrogen receptor (ER) α, ERβ, progesterone receptor (PR), IL-15, integrin β3 avβ3, and insulin-like growth factor binding protein-1, but increased mRNA expression levels of IL-6 and IL-8 compared with NHA + NIR group or lean/normal group, respectively. In addition, obese patients with PCOS demonstrated increased mRNA expression levels of PR compared with overweight patients. This suggested that insulin resistant status, HA, and obesity could alter the endometrial r eceptivity of patients with PCOS, which may explain poorer embryo implantation and pregnancy outcomes in clinics. PMID:35222698 | PMC:PMC8812101 | DOI:10.3892/etm.2022.11145 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Long non-coding RNA ATB is associated with metastases and promotes cell invasion in colorectal cancer via sponging miR-141-3p

xlomafota13 shared this article with you from Inoreader Erratum: Long non-coding RNA ATB is associated with metastases and promotes cell invasion in colorectal cancer via sponging miR-141-3p Via Experimental and therapeutic medicine Exp Ther Med. 2022 Mar;23(3):238. doi: 10.3892/etm.2022.11163. Epub 2022 Jan 24. ABSTRACT [This corrects the article DOI: 10.3892/etm.2020.9391.]. PMID:35222715 | PMC:PMC8815047 | DOI:10.3892/etm.2022.11163 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Growth in fetuses of the constrictor pharyngis superior with special reference to its meeting with the buccinator: an embryological basis of adult variations in palatopharyngeal anatomy

xlomafota13 shared this article with you from Inoreader Growth in fetuses of the constrictor pharyngis superior with special reference to its meeting with the buccinator: an embryological basis of adult variations in palatopharyngeal anatomy Via radiol anat Surg Radiol Anat. 2022 Feb 28. doi: 10.1007/s00276-022-02907-w. Online ahead of print. ABSTRACT PURPOSE: The constrictor pharyngis superior (CPS) initially develops along the posterior wall of the pharyngeal mucosal tube, whereas, during the early phase, the buccinators (BC) are far anterolateral to the CPS. The process and timing of their meeting during fetal growth have not been determined. METHODS: The topographical relationship between the growing BC and CPS was as sessed in histological sections from 22 early- and mid-term fetuses of approximate gestational age (GA) 8-16 weeks, and eight late-term fetuses of approximate GA 31-39 weeks. RESULTS: At 8-9 weeks, the palatopharyngeus appeared to pull the CPS up and forward. Until 11 weeks, the CPS was attached to the hamulus of the pterygoid (pterygopharyngeal part). Until 13 weeks, the CPS extended anterolaterally beyond the hamulus to meet the BC. Some BC muscle fibers originated from the oral mucosa. Notably, by 30 weeks, the CPS-BC interface had become covered by or attached to the palatopharyngeus. Muscle fibers of the palatopharyngeus, however, were thinner than those of the CPS and BC. At and near the interface, BC muscle fibers tended to run along the left-right axis, whereas those of the CPS ran anteroposteriorly. A definite fascia (i.e., a future pterygomandibular raphe) was usually absent between these muscles in fetuses. CONCLUSIONS: The excess anterior growth of the CPS wi th its subsequent degeneration might cause individual anatomical variations in composite muscle bundles of the palatopharyngeus-CPS complex or palatopharyngeal sphincter. A tensile transduction from the BC to the CPS through the raphe seemed unnecessary for cooperative suckling and swallowing after birth. PMID:35226125 | DOI:10.1007/s00276-022-02907-w View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Quality of Life and Functionality of Head and Neck Cancer Patients Are Diminished As a Function of Sarcopenia and Obesity

xlomafota13 shared this article with you from Inoreader Quality of Life and Functionality of Head and Neck Cancer Patients Are Diminished As a Function of Sarcopenia and Obesity Via ear nose throat Ear Nose Throat J. 2022 Feb 28:1455613221076791. doi: 10.1177/01455613221076791. Online ahead of print. ABSTRACT BACKGROUND: Health-related quality of life (QoL) is a measure that allows us to know the patient's perception of well-being and how it is affected by their disease and treatments. In cancer patients, sarcopenia has been associated with low scores on various instruments used to assess the QoL; however, little information is available on the effects of sarcopenia an d sarcopenic obesity on the QoL of patients with head and neck cancer (H&NC). METHODS: In this cross-sectional study with 71 H&NC patients aged between 40 and 80 years, we describe the scores on the instruments EORTC QLQ C-30 and EORTC QLQ-H&N35 according to the sarcopenia phenotype (NSG, nonsarcopenic group; SG, sarcopenic group; and SOG, sarcopenic obesity group), hand-grip strength, gait speed, total lymphocyte count, albumin, cholesterol and C-reactive protein, and the relationships between these variables. RESULTS: The prevalence of sarcopenia and sarcopenic obesity was 48% and 28%, respectively. The QoL analysis showed that NSG had higher scores on the physical functioning scale [NSG 93 (83-100); SG 73 (52-88); SOG 83 (53-93), P = .009] and lower scores on the fatigue scale [NSG 11 (0-22); S 39 (30-67); SOG 44 (14-56); P = .004]. The NSG had a higher hand-grip strength (31.1 kg) than SG (24.1 kg, P = .007) and SOG (26.3 kg, P = .001), and a lower C-reac tive protein. The SG and SOG showed no differences between them. CONCLUSIONS: Patients with sarcopenia or sarcopenic obesity have lower physical performance and a higher level of fatigue than nonsarcopenic patients. This loss of function can maintain or worsen sarcopenia due to the patient's self-restraint in physical exertion that encourages an increase in muscle tissue. PMID:35226551 | DOI:10.1177/01455613221076791 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

"κλιματική αλλαγή" - νέα αποτελέσματα

[PDF] Ανανεώσιμες πηγές ενέργειας. Η χρήση των φωτοβολταϊκών στα θερμοκήπια.

Χ Τσάκαλη, Α Μάρρα - 2022

… χρήσης και αξιοποίησης των ΑΠΕ δεν την επιβάλλει μόνον η μείωση των
αποθεμάτων των συμβατικών καυσίμων, αλλά πολύ περισσότερο η ανησυχητικά
αυξανόμενη μόλυνση του περιβάλλοντος με την υπερθέρμανση του πλανήτη και την …

[PDF] Η Σημασία της περιβαλλοντικής τέχνης στην εκπαίδευση για την αειφορία

Δ Μπόζη-Στεφούδη - 2022

… Τα τελευταία χρόνια η περιβαλλοντική τέχνη αποτελεί κομβικό σημείο των
εκθέσεων σε όλο τον κόσμο, καθώς η κλιματική αλλαγή με τις … Σε απάντηση στην
αυξανόμενη ανησυχία για την παγκόσμια κλιματική αλλαγή, οι καλλιτέχνες σχεδιάζουν …

[PDF] Σχεδιασμός και ανάπτυξη ιστοτόπου για την συγκριτική καταγραφή των οικοσυστημικών δεδομένων του συμπλέγματος λιμνοθαλασσών Μεσολογγίου-Αιτωλικού και …

ΠΑΜ ΖΑΪΜΗΣ - 2021

… αλλαγής και σύμφωνα με αναφορές της Διακυβερνητικής Επιτροπής για την
Κλιματική Αλλαγή (IPCC), οι άνθρωποι αλλάζουν το φυσικό κλίμα της Γης και
επιδρούν εξίσου σε αυτό. Τα στοιχεία δείχνουν ότι η κλιματική αλλαγή που …

[PDF] Ανάλυση εξάπλωσης χωροκατακτητικών ειδών στην Ελλάδα και Διεθνώς με προσεγγίσεις Στατιστικής και Ευφυών Πληροφοριακών Συστημάτων

Γ Γεωργιάδης - 2022

… Οι προβλέψεις που μας δίνονται σχετικά με την κλιματική αλλαγή θα αποτελέσουν
σημαντικούς δείκτες για την εγκατάσταση ξενικών ειδών που … προς αντιμετώπιση
καθώς η βέλτιστη πρόταση για δράση παραμένει η πρόληψη, φαινόμενο στενά …

[PDF] Διαμόρφωση επιχειρηματικού σχεδίου (Business Plan) για την εταιρεία μορφής τεχνοβλαστού (spin off) Act4energy που δραστηριοποιείται στον τομέα της παραγωγής …

Β Λύτρα - 2022

… Το μεθάνιο είναι το δεύτερο αέριο που σχετίζεται με το φαινόμενο του
θερμοκηπίου και επομένως και με την κλιματική αλλαγή, μετά το … Κατά συνέπεια, η
μείωση εκπομπών μεθανίου, αφενός επιβραδύνει την κλιματική αλλαγή και αφετέρου …

[PDF] Το περιβάλλον ως συνιστώσα της ευρωπαϊκής ενεργειακής πολιτικής

Χ Μουργέλας - 2022

… Ένωσης, για την μείωση του περιβαλλοντικού αντικτύπου των ενεργειακών
δραστηριοτήτων, υπάρχει ο Μηχανισμός Εμπορίας Δικαιωμάτων Εκπομπής Αερίων
Ρύπων, που αποτελεί έναν από τους βασικότερους πυλώνες τους ρυθμιστικού …

 

Τα δημοφιλή αποτελέσματα εμφανίζονται στο πάνω μέρος της ενότητας και τα άλλα αποτελέσματα στο κάτω μέρος.

Ενημέρωση ειδοποίησης για λήψη μόνο δημοφιλών αποτελεσμάτων

 

[PDF] Ανάλυση αποφάσεων για τη βέλτιστη επιλογή τοποθεσίας εγκατάστασης μονάδας ανακύκλωσης φωτοβολταϊκών panels

Β Σουτζόγλου - 2022

Από τις αρχές της δεκαετίας του 2000, τα ηλιακά φωτοβολταϊκά (ΦΒ) συστήματα
έχουν αναπτυχθεί με πρωτοφανείς ρυθμούς, αποτελώντας μια από τις ταχύτερα
αναπτυσσόμενες τεχνολογίες ανανεώσιμων πηγών ενέργειας. Καθώς αυξάνεται η …

[PDF] Τεχνητή νοημοσύνη και αξιοποίηση της προς όφελος της τεχνολογίας και του ανθρώπου

Β Τζωρτζής - 2022

… Αυτό οφείλεται κατά κύριο λόγο στην κλιματική αλλαγή για την οποία ο άνθρωπος
έχει παίξει καθοριστικό ρόλο. Φυσικό επακόλουθο αυτής της αλλαγής είναι η απώλεια
ανθρώπινων ζωών κατά την διάρκεια ακραίων φαινομένων αλλά παράλληλα και η …

[PDF] Σύγχρονες εφαρμογές γεωργίας/υδατοκαλλιέργειας ακριβείας

Β Παπαϋφαντής - 2022

… ορισμένους θεμελιώδεις παράγοντες, όπως η κλιματική αλλαγή, η χωρική
μεταβλητότητα του εδάφους, οι ασθένειες των καλλιεργειών κ.λπ. … προσαρμογή
στην κλιματική αλλαγή, και 4. έλεγχος των αποβλήτων (τροφίμων και λοιπών). Τα …

[PDF] Η ΕΝΣΩΜΑΤΩΣΗ ΤΩΝ ΠΡΟΣΦΥΓΩΝ ΣΤΙΣ ΧΩΡΕΣ ΥΠΟΔΟΧΗΣ

Σ Πάττα, Ε Σπαγκαδώρου, Α Αγγελάκη - 2022

… , δυσανάλογη κατανομή του πλούτου παγκοσμίως ανάμεσα σε χώρες που είναι
υπό ανάπτυξη ή είναι ανεπτυγμένες , η αποδιοργάνωση της αγοράς εργασίας σε
παγκόσμιο επίπεδο και διαφόρων ειδών καταστροφές που δημιουργούν οι άνθρωποι …

[PDF] Η συμβολή των νέων τεχνολογιών στην προώθηση των προγραμμάτων περιβαλλοντικής εκπαίδευσης σε πλαίσια ειδικής αγωγής

Α Καδά - 2022

… δηλαδή οι οποίες απαρτίζουν την Ευρωπαϊκή Ένωση και καταγράφει
συγκεκριμένες περιβαλλοντικές προκλήσεις όπως: ✓ η κλιματική αλλαγή, … Οι στόχοι
οι οποίοι τίθενται σε βάθος χρόνου έως το 2030 είναι η διαχείριση των επικίνδυνων …

[PDF] Η εκμετάλλευση των ενεργειακών πόρων στο θαλάσσιο χώρο και η προστασία του περιβάλλοντος

Α Αδαμίδης - 2022

… πόρων και των υποδομών που διασχίζουν τόσο χερσαία όσο και θαλάσσια σύνορα,
με την ανάγκη για συνεργασία σε όλο και πιο ευρύ επίπεδο με στόχο την
αντιμετώπιση των περιβαλλοντικών επιπτώσεων - ιδίως δε των επιπτώσεων των …

[PDF] Ο εναλλακτικός τουρισμός στα ελληνικά νησιά. Ο γεωτουρισμός και η περίπτωση του απολιθωμένου δάσους Λέσβου

Ε Μάρα - 2022

… οι εκπαιδευτικές δράσεις οι οποίες υλοποιούνται στο Απολιθωμένο Δάσος σχετικά
με την κλιματική αλλαγή ευαισθητοποιώντας τους μαθητές, οι δράσεις διεθνούς
συνεργασίας για την κατανόηση της κλιματικής κρίσης, οι δράσεις ανάπτυξης …

[PDF] Η βιώσιμη ηγεσία στη δευτεροβάθμια εκπαίδευση. Απόψεις εκπαιδευτικών για το ρόλο του διευθυντή γυμνασίων-λυκείων

Σ Αντωνιάδου - 2022

Η παρούσα εργασία ασχολείται με τη βιώσιμη ηγεσία στη δευτεροβάθμια εκπαίδευση.
Αρχικά, στην εργασία γίνεται αναφορά στην έννοια της βιώσιμης ανάπτυξης και στους
στόχους της βιώσιμης ανάπτυξης, ενώ ακολουθεί αναφορά στη σχέση μεταξύ …

[PDF] Αγορές εμπορευμάτων-χρηματιστήριο εμπορευμάτων-επενδύσεις σε γεωργικά προϊόντα στο χρηματιστήριο

Σ Μανώλη - 2021

… Όσον αφορά τους παράγοντες που επέδρασαν στην προσφορά ήταν τα σοκ στην
παραγωγή που προκλήθηκαν από δυσμενείς καιρικές συνθήκες και την κλιματική
αλλαγή, η μείωση των αποθεμάτων, ο αργός ρυθμός της αύξησης της …

[PDF] Presentations in English

RHC Kosmidou-Hardy, J Whitehead, LD Bibeau…

… αδικία, η ανισότητα, η κλιματική αλλαγή, οι πρόσφυγες, οι μετανάστες και οι
μειονοτικές ομάδες. …

 

Το μήνυμα αυτό στάλθηκε από το Google Scholar επειδή ακολουθείτε νέα αποτελέσματα σχετικά με το θέμα ["κλιματική αλλαγή"].

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