Search results for " CARE"
showing 10 items of 8189 documents
Influence of sutures configuration on the strength of tendon-patch joints for rotator cuff tears treatment
2019
Abstract Purpose Massive rotator cuff tears are common in the aging population. The incidence of failed rotator cuff repairs is still quite high, especially in the treatment of full-thickness tears or revision repairs. In this context, natural and synthetic meshes can be used as augmentation scaffolds or as devices to close the gap between a retracted tendon and the bone. The purpose of this work is to evaluate the ultimate tensile strength of different tendon-patch joints in order to consider their use in the treatment of massive cuff tears. Materials and methods Porcine tendons and a synthetic low-density polypropylene mesh have been used. A preliminary study on the tensile strength of te…
The PROMISE study protocol: a multicenter prospective study of process optimization with interdisciplinary and cross-sectoral care for German patient…
2021
Background and purpose — Knee and hip replacement are common and increasing procedures, and an optimized care process that could be implemented in different settings would be useful. The PROMISE trial investigates whether a new care process works equally in different German settings and how the results compare with current non-standardized care. Patients and methods — This multi-center prospective mixed-method study includes 2,000 German patients receiving arthritis-related hip or knee endoprostheses. An interdisciplinary and cross-sectoral care process was developed and implemented in 3 German hospitals with different levels of care, and corresponding rehabilitation centers were included t…
Patients' conceptions of undergoing physiotherapy for persistent low back pain delivered in Finnish primary healthcare by physiotherapists who had pa…
2020
To explore the conceptions of patients with persistent low back pain (LBP) of undergoing physiotherapy delivered in Finnish primary healthcare by physiotherapists who had participated in brief training in Cognitive Functional Therapy (CFT).As part of a feasibility implementation study exploring CFT in management of LBP in the Finnish primary healthcare system, we interviewed nine patients from four geographical areas in Finland after receiving care. We used a phenomenographic approach to explore the variation in their conceptions.The analysis revealed four descriptive categories: "hung out to dry," "stuck," "making sense and taking control," and "holistic approach to care and living," that …
The challenge of using the rheumatoid arthritis diagnostic criteria in clinical practice.
2015
The new 2010 ACR/EULAR (American College of Rheumatology/European League Against Rheumatism) criteria of Rheumatoid Arthritis recently published, have been released to classify and identify patients with early RA who could benefit from early therapy. They recommend anti-citrullinated protein antibody (ACPA) testing as an alternative criterion to Rheumatoid Factor (RF) and ACPA that were introduced together with the other classic criteria in a scoring system. We previously criticized these new criteria because of unavailable specificity and sensibility in the first paper, and the use of ACPA as dichotomous criterion (presence/absent) and alternatives to rheumatoid factor. Our previous work p…
Guidance strategies and motor modelling in physiotherapy
1996
Patient education is an important aspect of physiotherapy. Supporting and developing patients' self-motivation and activity requires efficient education during the practice period. Physiotherapists use predominantly verbal instruction and demonstration in their teaching activities. The aim of this study was to investigate how physiotherapists organise their therapeutic interventions in order to facilitate patients' learning. This was done by studying the ways in which physiotherapists provide their patients with the mental and motoric imagery pertaining to the action to be performed using verbal, visual and manual guidance. The study was undertaken at three hospitals in southern Finland. Fi…
Management of Statin Intolerance in 2018: Still More Questions Than Answers.
2018
Statin therapy is generally well tolerated and very effective in the prevention and treatment of cardiovascular disease, regardless of cholesterol levels; however, it can be associated with various adverse events (myalgia, myopathy, rhabdomyolysis, and diabetes mellitus, among others). Patients frequently discontinue statin therapy without medical advice because of perceived side effects and consequently increase their risk for cardiovascular events. In patients with statin intolerance, it may be advisable to change the dose, switch to a different statin, or try an alternate-day regimen. If intolerance is associated with all statins—even at the lowest dose—non-statin drugs and certain nutra…
Women Scientists Who Made Nuclear Astrophysics
2019
Female role models reduce the impact on women of stereotype threat, i.e. of being at risk of conforming to a negative stereotype about one’s social, gender, or racial group (Fine in Delusion of Gender. W.W. Norton & Co. NY, p. 36, 2010 [1]; Steele and Aronson in J Pers Soc Psychol 69:797–811, 1995 [2]). This can lead women scientists to underperform or to leave their scientific career because of negative stereotypes such as, not being as talented or as interested in science as men. Sadly, history rarely provides role models for women scientists; instead, it often renders these women invisible (CafeBabel Homepage [3]). In response to this situation, we present a selection of twelve outst…
Finnish welfare service system from the standpoint of women in vulnerable life situations
2020
In this chapter, the authors analyse how the Finnish welfare service system, as it consists of different institutions and professionals, meets or fails to meet the needs of women in varying vulnerable life situations. The participants are women with severe substance abuse problems, women sentenced for committing a crime and poor lone mothers living on basic social benefits. The findings show that women’s experiences of encounters with welfare professionals as well as their access to and use of the services share a number of characteristics. They described several barriers and problems related to the complexity of the service system. These included receiving only limited support for basic ne…
Síntesis y caracterización de compuestos de Cu(II) con derivados triazólicos. Estudio de su actividad como potenciales nucleasas químicas
2014
The main goal of this PhD thesis concerns the development of artificial metallonucleases based on copper(II)-1,2,4-triazole compounds. In order to do so, we have obtained metal compounds of different nuclearities by reaction of a new family of 1,2,4-triazole ligands with copper(II) salts. The ligands own the characteristic triazole properties upon coordinating to metals and also integrate DNA binding units (aromatic moieties) with the aim of increasing the affinity of the corresponding metal complexes to double strand DNA. We have also chosen the copper(II) ion due to its intrinsic redox and coordination properties. Here we present our conclusions in relation with their structure/activity a…
Depresijas un uztvertā emocionālā siltuma bērnībā saistība ar mātes narcistiskām personības iezīmēm 18-44 gadus veciem pieaugušajiem
2022
Pētījuma mērķis bija izpētīt saistības starp depresiju, uztverto emocionālo siltumu bērnībā un mātes narcistiskām personības iezīmēm 18 – 44 gadus veciem pieaugušajiem. Pētījums tika veikts divās atkarīgās izlasēs. Pirmo izlasi veido 80 pieaugušie vecumā no 18 līdz 44 gadiem (M = 30,04, SD = 7,75), kas aizpildīja Epidemioloģijas pētījumu centra depresijas skalu (Center for Epidemiologic Studies Depression Scale (Eaton, Muntaner, Smith, Tien & Ybarra, 2004)), Latvijā aptauju adaptējušas M. Bērtule un I. Melne 2018. gadā (Bērtule & Melne, 2018), Vecāku attieksmes aptauju (Parental Bonding Instrument (Parker, Tupling & Brown, 1979)), Latvijā aptauju adaptējusi I. Bite 1998. gadā (Bite, 1998) u…