Poškodbe sprednje križne vezi kolenskega sklepa postajajo vse pogostejši problem aktivne ženske populacije v primerjavi v moškimi. Poleg začasno ali celo trajno okrnjene funkcije sklepa povečujejo ...tudi tveganje za nastanek zgodnje artroze. Prepoznava dejavnikov tveganja za nastanek tovrstnih poškodb v povezavi z razlikami med spoloma bi bila smiselna pri razvoju preventivnih ukrepov pred tovrstnimi poškodbami. Pregledane laboratorijske in epidemiološke raziskave v letih 1992-2012 so poleg anatomskih in biomehanskih razlik potrdile povezavo med nihanjem hormonov menstrualnega cikla in tveganjem za poškodbo sprednje križne vezi. Preovulatorna faza predstavlja obdobje največjega tveganja zaradi povečane koncentracija estrogena. Kljub navedenim ugotovitvam je videti pomen mesečnega nihanja hormonov premajhen, da bi na njem lahko učinkovito gradili preventivne programe pred poškodbami kolenskih vezi pri ženskah.
Anterior cruciate ligament injuries of the knee represent an increasing problem among the active female population in comparison to their male counterparts. Besides temporary or prolonged joint ...dysfunction, such injuries may predispose an individual to early osteo-arthritis. Recognizing the sex differences is essential for the determination of preventive measures against these injuries. Besides anatomical and biomechanical differences, the role of hormonal oscillation during the menstrual cycle has been hypothesized. This manuscript presents a literature review based on cruciate ligament and menstrual cycle research published between 1992 and 2012. According to the experimental and epidemiologic studies, menstrual cycle was shown to be linked to anterior cruciate ligament injuries. The pre-ovulatory phase represents an increased risk, with the peak serum levels of estrogen emerging toward the end of that phase. However, the significance of menstrual cycle seems to be of lesser importance in preventive measures against female anterior cruciate injuries.
Poškodbe sprednje križne vezi kolenskega sklepa postajajo vse pogostejši problem aktivne ženske populacije v primerjavi v moškimi. Poleg začasno ali celo trajno okrnjene funkcije sklepa povečujejo tudi tveganje za nastanek zgodnje artroze. Prepoznava dejavnikov tveganja za nastanek tovrstnih poškodb v povezavi z razlikami med spoloma bi bila smiselna pri razvoju preventivnih ukrepov pred tovrstnimi poškodbami. Pregledane laboratorijske in epidemiološke raziskave v letih 1992-2012 so poleg anatomskih in biomehanskih razlik potrdile povezavo med nihanjem hormonov menstrualnega cikla in tveganjem za poškodbo sprednje križne vezi. Preovulatorna faza predstavlja obdobje največjega tveganja zaradi povečane koncentracija estrogena. Kljub navedenim ugotovitvam je videti pomen mesečnega nihanja hormonov premajhen, da bi na njem lahko učinkovito gradili preventivne programe pred poškodbami kolenskih vezi pri ženskah.
The purpose of this book is to offer an exhaustive overview of the recent insights into the state-of-the-art in most performed arthroplasties of large joints of lower extremities. The treatment ...options in degenerative joint disease have evolved very quickly. Many surgical procedures are quite different today than they were only five years ago. In an effort to be comprehensive, this book addresses hip arthroplasty with special emphasis on evolving minimally invasive surgical techniques. Some challenging topics in hip arthroplasty are covered in an additional section. Particular attention is given to different designs of knee endoprostheses and soft tissue balance. Special situations in knee arthroplasty are covered in a special section. Recent advances in computer technology created the possibility for the routine use of navigation in knee arthroplasty and this remarkable success is covered in depth as well. Each chapter includes current philosophies, techniques, and an extensive review of the literature.
Introduction: Magnetic resonance (MR) imaging is a method of choice in diagnosing internal soft tissue injuries of the knee, such as menisci, cruciate ligaments and joint cartilage. It is, as well, ...the only method for detecting posttraumatic changes in bone marrow, so called bone bruises. Precise analysis of presence and location of bone bruise can explain the pattern of the knee trauma which enables better insight into internal knee lesions. Aim : The aim of the dissertation is to determine the difference in sensitivity of STIR sequence comparing to T1 on MR imaging for detecting bone bruises. The second aim is to determine the importance of bone bruise as the additional sign for detecting post injury lesions of anterior cruciate ligament (ACL) and menisci by determing their association. The additional aim is to determine the association of bone bruise frequency with injuries of ACL regarding the sport. Material and methods: A representative review of 100 MR examinations for the acute knee trauma in different sports was conducted. All the patients were examined within one month of trauma. All MR examinations were performed by using MRP 7000 0.3 T Hitachi MR unit. The standard imaging protocol with SE T1 sagital, FS T2 sagital, coronal, axial and STIR sequence was used. The presence and site of bone bruises were analyzed as well as the difference in bone bruise frequency on STIR and T1 sequence and the level of sensitivity of these sequencies in detecting bone bruises. The frequency of soft tissue lesions of the knee especially ACl and menisci and their association with bone bruises was also analyzed. We have also analyzed the frequency of bone bruises in different sports which led to the knee trauma. Results : Posttraumatic bone bruise was seen in 51 % of patients. Bone bruise was after the knee effusion, the second most often pathological finding on knee MR imaging. The highly statistically significant difference (estimated by Vilcoxon test Z=-5,067,p=0,000 ) was found between T1 and STIR sequence which leads to the conclusion that STIR sequence is much more sensitive in detecting the bone bruise than T1 sequence. The association between bone bruise and ACL lesion was statistically significant which posed bone bruise as the additional sign for detecting ACL injury which can be not so clear on MR imaging. The association between bone bruise and menisci lesion was not found. The frequency of bone bruise appearance was much higher (more than 50%) in certain sports (skiing, football and handball).Bone bruise with ACL lesion was more often in recreational athletes than in professionals. Conclusion :Bone bruise is best seen in STIR images. The association between bone bruise and ACL lesion was highly statistically significant which makes bone bruise significant additional sign in diagnosing ACL lesion. The most extensive knee lesions with bone bruise and ACL lesions are seen in skiing, football and handball.
Magnetna rezonanca (MR) je metoda izbora za dijagnostikovanje povreda unutrašnjih mekotkivnih struktura, kao što su meniskusi, ukrštene veze i zglobna hrskavica. Osim toga, MR je jedina dijagnostička metoda koja prikazuje i posttraumatske promene koštane srži, zvane koštane modrice (KM). Preciznom analizom prisustva i lokacije KM se može razjasniti mehanizam traume kolena, što omogućava bolji uvid u očekivane, udružene, povrede unutrašnjih struktura kolena. Cilj : Cilj disertacije je da se utvrdi razlika u stepenu senzitivnosti STIR u odnosu na T1 sekvencu u detekciji koštanih modrica. Potom da se analizom stepena udruženosti KM i lezija prednjeg ukrštenog ligamenta(ACL) i meniskusa utvrdi značaj KM kao pomoćnog znaka za dijagnostikovanje povreda prednjeg ukrštenog ligamenta i meniskusa. Utvrditi učestalost KM i lezija ACL po sportovima. Materijal i metode : Urađen je MR pregled kolena kod 100 ispitanika sa akutnom povredom kolena, zadobijenom pri sportu. Svi su pregledani u prvih mesec dana nakon traume. Pregledi su obavljeni na MRP 7000 0,3T Hitači. Korišćen je standardizovani protokol sa sekvencama SE T1 sagitalno, FS T2 sagitalno, koronalno i aksijalno i STIR koronalno. Analizirano je prisustvo i raspored koštanih modrica. Analizirana je razlika učestalosti nalaza KM u STIR u odnosu na T1 sekvencu i procena vidljivosti KM u ove obe sekvence. Analizirana je učestalost patoloških nalaza na mekim tkivima kolena, posebno patoloških nalaza na ACL i meniskusima i njihova povezanost sa nalazima košatnih modrica. Analizirali smo učestalost nalaza KM po sportovima pri kojima je došlo do povrede kolena. Rezultati : Nalaz KM je uočen kod 51% ispitanika. KM je drugi, posle efuzije, po učestalosti patološki nalaz na MR pregledu kod akutne traume kolena. Utvrđena je značajna statisička razlika Vilkokson testom (Z=-5,067, p=0,000) između T1 i STIR sekvence što govori da je STIR sekvenca ubedljivo senzitivnija od T1 sekvence za dijagnostiku KM. Uočena je značajna statisitička povezanost između nalaza KM i nalaza lezije prednjeg ukrštenog ligamenta što ukazuje da nalaz KM možemo koristiti kao pomoćni znak za pouzdaniju dijagnostiku lezije ACL, a koja na MR pregledu može biti manje jasna. Nije uočena statistički značajna povezanost između nalaz a KM i lezije meniskusa. Uočeno je da je učestalost nalaza KM bila veća od 50% pri povredama u skijanju, fudbalu i rukometu. Nalaz KM udružen sa povredama ACL je bio oko dva puta učestaliji kod rekreativnih nego kod profesionalnih sportista. Zaključak : Zaključeno je da bolju vidljivost KM daje STIR sekvenca nego T1 sekvenca. Uočena je statistički visoko značajna povezanost nalaza KM sa nalazom lezije ACL, što opravdava značaj nalaza KM kao pomoćnog znaka u dijagnostici lezija ACL. Najekstenzivnije lezije kolena sa, visokim stepenom nalaza KM i lezija ACL, preko 50%, su u skijanju, fudbalu i rukometu.
Original language summary:
Typická jídla v Německu a záliba v pití piva.
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<!endif-->Jídlo rozděluje Německo. Například klobása je bílá na jihu a tmavá na severu. Prusové s Bavory vedou spor, z čeho se dělá Leberkäse. Také stravování na východě a západě Německa stále zůstává odlišné. Celá země však má ráda chřest. I když pochází ze střední Asie, už 140 let se pěstuje v Berlíně. Nyní na 730 ha se ho sklidí 4000 tun. V oblibě ho měl např. básník Goethe. Pivo však pijí všichni Němci. V Berlíně se ho učili vařit podle Čechů, kteří sem přišli v 18. století z náboženských důvodů. Jak tehdy chutnalo, nevíme, ale dnes si ho Němci ředí limonádou nebo do něj nalijí malou sklenku sirupu.
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<!endif-->Food divides Germany. For example, the sausage is white in the south and dark in the north. Prussians with Bavarians dispute what Leberkäse is made of. Also dining in the East and West Germany still remains different. But the whole country likes asparagus. Even though it originates from Central Asia it has been grown in Berlin for 140 years. Today 4000 tones of it is harvested in 730 ha. For example, the poet Gothe liked it. However all Germans drink beer. In Berlin, they learnt to cook it by the Czechs who came here in the 18th century for religious reasons. How it tasted then we do not know, but today Germans like to dilute it with lemonade or pour a small glass of syrup into it.
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Cyklus Postřehy odjinud se vysílal od 8. ledna 1999. Jde o originální společný projekt České televize a Českého rozhlasu, který volně navazuje na Postřehy Karla Kyncla z Velké Británie a Francouzské postřehy Adolfa Bašty. V tomto případě jde ovšem o obrazové ztvárnění rozhlasových fejetonů zahraničních zpravodajů Českého rozhlasu, tedy o jakési "telefejetony" a zcela nový televizní žánr. Cílem tvůrců tohoto cyklu je přiblížit země Evropské unie, jejich současnost, zvyky, zajímavosti...
TV series ,,Views from Elsewhere" was being broadcasted since 8th of January 1999. This is an original joint project of the Czech Television and Czech Radio that freely follows "Karel Kyncl's Views" from Great Britain and "French Views by Adolf Bašta". However, in this case it is a visualization of radio feuilletons by foreign correspondents of the Czech Radio. They are rather kind of "tele-feuilletons", a brand new television genre. The aim of this series authors is to describe the European countries, their presence, customs, traditions, curiosities...
Typical meals in Germany and partiality for drinking beer.
With some fans watching from vehicles beyond the left-field fence, Robinson went 3-for-3 and produced three horn-thumping plays during Friday's 7-4 victory over Central Mountain at Milesburg Youth ...Complex. Robinson's offense -- he was a triple from recording the cycle -- helped the Eagles survive a six-error performance and extend their winning streak to four games. The next set of honks came during the fourth when Robinson sailed a double over center fielder Josh Germello's head. The double scored Brad Kling to give BEA its first lead at 5-4. The same vehicles then honked again when Robinson made a diving catch on a line drive hit by Erik Hendricks in the sixth. BEA has similar pitching depth. Trevor Schall, Justin Koleno and Kochik held the Wildcats to seven hits. Koleno, a left-hander who pitched sparingly on the junior varsity team last season, and Kochik combined to pitch four scoreless relief innings.
"It's more satisfying to watch it," says Randy Koleno, whose son Justin Koleno is a junior outfielder/first baseman/pitcher. "It was a blast going through it but the fact that this year's team is ...having similar success is fantastic." "I'm working on bragging rights now," said Justin Koleno, who's hitting .304 and will carry a five-game hitting streak into today. "But it's not about beating them now." "Whenever I was younger, he would encourage it," Trevor Schall said of his lean toward pitching. "He didn't force me to but whenever we'd play catch, he'd try to show me what he knew."
DREAM SEASON Ganim, Sara
McClatchy - Tribune Business News,
06/2007
Newsletter
John Schall, who scored the first run, a home run, said, "It just all seems like a blur." From the winning out, to the bus ride back and people waving in the streets, "I just kind of want to live in ...the moment," he said. "It was pretty crazy," Justin Koleno said of the ride home. "We were yelling a lot, passing along the big trophy." "It's so special. From a player's perspective, I experienced it," Jim Gardner said. "I know how special it was. I remember it like it was yesterday."
Mark of a champion Ceisner, Todd
McClatchy - Tribune Business News,
06/2007
Newsletter
"I had never seen him catch except for helping out catching pitchers in the gym," Jim Gardner said. "I thought, 'Well, our best bet at that point was to go with Bob Newman.' He had knee problems, ...too, and he told me if we had a three of four-game week, he might need somebody (to play for him). I just told him to let me know and we'll figure something out. That never happened. We did have some four-game weeks but he never said, 'I need a break.'" "I really like to do that," he said. "Once I settle on something, if it's working, I'm not going to change it. I don't like to mess with the kids' heads and have them wondering why and doubting themselves and wonder, 'What's coach going to do next?' Once we find something that works -- you also have to be patient and know a guy may have a game or two where he's struggling a little bit but you don't want to start moving him around. You want to stick with him and support him and hopefully, they come out of it. These guys always did." "We were going on a road trip and he started handing these papers out," Brian Kochik remembered. "We were like, 'What's this?' And he said, 'Just read it.' It was a big, long thing and I didn't feel like reading it but I read it anyway. It said, 'Hold the rope,' and talked about how you had to be a team and if someone can't hold the rope, you had to hold it for them, no matter how bad it burns or how bad it hurts. You just have to be there to back each other up. That's pretty much how our season went. One guy got down, another guy picked him right up. It made for a great team."
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