Abstract Introduction The purpose of the study was to analyse the impact of the COVID-19 pandemic on the healthcare of the orthopaedic patient, i.e. numbers of hip and knee replacement surgeries, ...90-day mortality, waiting times and outpatient clinic visits. Methods The Hip (HR) and Knee Replacement (KR) records from The National Arthroplasty Registry of Slovenia in the pandemic year 2020 were compared to the year 2019. To compare reasons for revision and 90-day mortality the Chi-square test was used. The median values of the number of operations and waiting times were compared with the 95% confidence intervals. The number of outpatient clinic visits was tested with the Wilcoxon Signed Ranked test. Results All operations fell by 19%, from 7825 to 6335. The number of Primary Total HR declined from 3530 to 2792 (21%) and the number of Primary KR from 3191 to 2423 (24%). The number of hip revisions declined by 10% and knee revisions by 25%. We did not find differences in 90-day mortality (p=0.408). Outpatient clinic visits fell from 228682 to 196582 (14%) per year. Waiting times increased by 15% for HR and by 12% for KR. Conclusion There was an inevitable drop in the number of surgeries and outpatient clinic visits in the spring and autumn lockdown. With the reorganisation of the orthopaedic service in Slovenia, the number of KR and HR stayed at a relatively high level despite the pandemic. An epidemiological model and mechanisms for the reduction of waiting times could overcome the impact of the epidemic.
Izhodišča. Večina raziskav s področja športnih poškodb se nanaša na specifične značilnosti, ki sprožijo, napovedujejo ali preprečujejo športne poškodbe. Raziskava preučuje možnost napovedovanja ...uspešnosti rehabilitacije na osnovi psiholoških značilnosti poškodovanih športnikov, in sicer spoprijemanja z bolečino, vedenja v procesu rehabilitacije (SIRBS), motivacije za rehabilitacijo, tesnobe kot stanja in socialne opore. Metode. V raziskavo je bilo vključenih 68 športnikov po operaciji kolena zaradi resne poškodbe, definirane na osnovi izbranega sistema (1). Rehabilitacijski proces je trajal en mesec ali šest mesecev. Udeleženci so bili psihološko obravnavani pred procesom rehabilitacije in po njem. Rezultati. Rezultati so pokazali, da je uspešnost rehabilitacije večja, če se zmanjša anksioznost in poveča dojemljivost ter zaznata samoučinkovitost in katastrofiziranje. Le za 10 % športnikov lahko rečemo, da je bila pri njih rehabilitacija uspešna. Zaključki. Na osnovi raziskave lahko rečemo, da se konstruktivna vedenja, povezana z rehabilitacijo, povezujejo s psihološko rehabilitacijo poškodovanih športnikov.
Objective. The majority of the literature regarding sports injuries is concentrated on specific characteristics related to sports injuries and injuries at sport activities at all. We strove to ...establish whether the success of the rehabilitation process can be predicted based on numerous psychosocial variables. Methods. Our sample comprised of 68 competing athletes who underwent an operative knee surgery. The rehabilitation process for athletes lasted one or 6 months; all athletes obtained serious injuries by the standards of National Athletic Injury Reporting System (1). The following variables were measured: coping with pain (SIP 15), rehabilitation behaviours (SIRBS), motivation for rehabilitation, anxiety (STAI X1) and social support. A questionnaire that measures the functioning of the knee (2000 IKDC) was taken as an indicator of the rehabilitation success. Participants were tested both prior to and following the process of rehabilitation. Results. Our results showed that the success of psychological rehabilitation could be predicted from changes in certain psychosocial variables (a decrease in anxiety and an increase in susceptibility, self-efficacy and catastrophizing). After the rehabilitation, only 10 % of athletes were able to reach the criteria of a successful physical and psychological rehabilitation. Conclusions. We can conclude that since selected psychological variables were found to have a high loading on psychological rehabilitation there it makes sense to control these variables.
Izhodišča. Večina raziskav s področja športnih poškodb se nanaša na specifične značilnosti, ki sprožijo, napovedujejo ali preprečujejo športne poškodbe. Raziskava preučuje možnost napovedovanja uspešnosti rehabilitacije na osnovi psiholoških značilnosti poškodovanih športnikov, in sicer spoprijemanja z bolečino, vedenja v procesu rehabilitacije (SIRBS), motivacije za rehabilitacijo, tesnobe kot stanja in socialne opore. Metode. V raziskavo je bilo vključenih 68 športnikov po operaciji kolena zaradi resne poškodbe, definirane na osnovi izbranega sistema (1). Rehabilitacijski proces je trajal en mesec ali šest mesecev. Udeleženci so bili psihološko obravnavani pred procesom rehabilitacije in po njem. Rezultati. Rezultati so pokazali, da je uspešnost rehabilitacije večja, če se zmanjša anksioznost in poveča dojemljivost ter zaznata samoučinkovitost in katastrofiziranje. Le za 10 % športnikov lahko rečemo, da je bila pri njih rehabilitacija uspešna. Zaključki. Na osnovi raziskave lahko rečemo, da se konstruktivna vedenja, povezana z rehabilitacijo, povezujejo s psihološko rehabilitacijo poškodovanih športnikov.
Penetrating injuries of the knee joint are among the most difficult groups of bone - joint system injuries. They are characterized by extensive destruction of all anatomical structures of the knee ...joint.
This paper presents two patients with penetrating wounds of the knee joint, of which one was injuried by shrapnel bomb, while another was wounded by a bullet from a gun. Both patients were treated by primary surgical treatment for penetrating wound of the joint. Arthroscopic surgery was performed in both patients to remove fragments of the bomb and bullet. Parenteral antibiotic and anti-tetanus therapy were administered in both patients.
Surgical treatment of penetrating wound of the knee joint is a two-stage procedure. The first act is the primary surgical treatment of penetrating wound of the joint according to the principles of war wounds treatment. Primary surgical treatment of penetrating, gunshot wounds to the knee joint is usually from the surface to deeper layers of the wound and involves the removal of the entire non-vital, necrotic tissue. Excision of the joint capsule should be extremely sparing, but the whole damaged joint capsule must be removed. Only the joint synovial membrane can be closed primarily. If this is not possible, then the joint capsule should be closed. Other structures are left open for delayed primary closure. The second act is a delayed closure of penetrating gunshot wound of the joint. Arthroscopic removal of fragments from the knee joint is a useful method to prevent complications and infection after this injury.
Provider: Czech digital library/Česká digitální knihovna - Institution: National Medical Library/Národní lékařská knihovna - Data provided by Europeana Collections- Sinding-Larsen-Johansson syndrom ...je komplex změn při entezopatii kraniálního úponu patelárního ligamenta na apex patelly s projevy osteochondrózy patelly provázené bolestí ventrálního kompartmentu kolenního kloubu. Syndrom SLJ bývá diagnostikovaný u mladých sportovců ve věkovém rozmezí nejčastěji 10-14 let. Kazuistika poukazuje na význam stanovení včasné diagnostiky SLJ syndromu magnetickou rezonancí a zahájení adekvátní terapie u mladého aktivního fotbalisty. Syndrom SJL je vzácnou, ale důležitou diagnózou pro určení příčiny patelofemorální bolesti mladých pacientů.- Sinding-Larsen-Johansson syndrome is a complex of changes in the enthesopathy of the cranial insertion of the patellar ligament to the patella apex with manifestations of patella osteochondrosis accompanied by pains in the ventral compartment of the knee joint. SLJ syndrome is usually diagnosed in young athletes, mostly aged from 10 to 14. Case study highlights the importance of establishing an early diagnosis of SLJ syndrome by magnetic resonance imaging and the commencement of an adequate therapy for an active young footballer. SJL syndrome is a rare but important diagnosis to determine the cause of patellofemoral pain in young patients.- Boris Pauček- Literatura- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
De scheepvaart op de Moezel : stand van zaken van de departementale bronnen en pistes voor verder onderzoek.
De scheepvaart op de Moezel tussen de agglomeratie rond Nancy en de samenvloeiing met de ...Rijn, is sinds de negentiende eeuw op de zware industrie gericht, en is van essentieel belang voor de lokale economie. Dit bracht voortdurende aanpassingen aan de steeds groeiende behoeften van de economische actoren met zich. Deze ontwikkelingen hebben grote hoeveelheden aan informatiebronnen opgeleverd, die vooral draaiden om de werkzaamheden aan de waterwegen en de havens. Sommige bronnen over nooit uitgevoerde projecten brachten onderzoekers informatie over de economische en politieke bekommernis van belangengroepen en hun wensen, zoals het project om de Lotharingse steenkoolmijnen met een eigen waterweg uit te rusten.
Inland Navigation via the Moselle : Regional Sources of Documentation and Tracks for Research.
Inland navigation via the Moselle between the urban district of Nancy and its confluence with the Rhine is essential to regional and local economy ; as early as the 19th century it supports mainly the coal and steel industry. It required permanent efforts to adapt to the changing and raising needs of economic actors. These historical developments have left a record of various archives about major works in the inland rivers and ports. Some sources on never started projects enlighten promising fields for further research in economic and social history. We can mention for example a project aimed at providing the Lorraine coal mines their own waterway.
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