187,901 research outputs found
Conversation with Dieter Declercq and Ian Sabroe
No full textEp. 1 of podcast "Conversations About Arts, Humanities & Health
Baglivi (Nicola). Ammianea
No full textDeclercq Georges. Baglivi (Nicola). Ammianea. In: Revue belge de philologie et d'histoire, tome 76, fasc. 1, 1998. Antiquité - Oudheid. p. 232
Baglivi (Nicola). Ammianea
No full textDeclercq Georges. Baglivi (Nicola). Ammianea. In: Revue belge de philologie et d'histoire, tome 76, fasc. 1, 1998. Antiquité - Oudheid. p. 232
Horatius M. Premoli, barnabite, Histoire de l'Église contemporaine (1900-1925). Traduit de l'italien par le R. P. L. Declercq, 1930
No full textConstantin C. Horatius M. Premoli, barnabite, Histoire de l'Église contemporaine (1900-1925). Traduit de l'italien par le R. P. L. Declercq, 1930. In: Revue des Sciences Religieuses, tome 15, fascicule 4, 1935. pp. 624-625
Optimal location of intermodal terminals in Europe : an evaluation model
No full textTitle from cover. "August, 1998."Includes bibliographical references (leaf 5).Supported in part by The European Commission, project EMOLITE. ST-96-SC.1018Moreira, M.D., Ribeiro, R.A., Declercq, E
Horatius M. Premoli, barnabite, Histoire de l'Église contemporaine (1900-1925). Traduit de l'italien par le R. P. L. Declercq, 1930
No full textConstantin C. Horatius M. Premoli, barnabite, Histoire de l'Église contemporaine (1900-1925). Traduit de l'italien par le R. P. L. Declercq, 1930. In: Revue des Sciences Religieuses, tome 15, fascicule 4, 1935. pp. 624-625
Étude cinématique de l'articulation glénohumérale avec pincement interne en fin de phase préparatoire
No full textBaeyens J.-P., Van Roy P., Cattrysse E., Declercq G., Clarys J.-P. Étude cinématique de l'articulation glénohumérale avec pincement interne en fin de phase préparatoire. In: Les Cahiers de l'INSEP, n°35, 2005. Les sports de raquette. Données scientifiques et méthodologiques. Applications pour l'entraînement. pp. 213-214
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Going Beyond Counting First Authors in Author Co-citation Analysis
No full textThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Ninety-Day Follow-up Is Inadequate for Diagnosis of Fracture-related Infections in Patients with Open Fractures
No full textBackground
Fracture-related infection (FRI) is a challenging complication in musculoskeletal trauma surgery and often complicates the management of open fractures. The CDC currently advocates a surveillance period of 90 days after fracture fixation, but it is unclear what duration of follow-up constitutes adequate surveillance for FRI. Inadequate follow-up will underestimate infections and, in clinical research, will make any interventions studied appear better than they really are, thereby resulting in misleading conclusions.
Questions/purposes
(1) What is the timing of FRI onset in patients with open fractures? (2) What is the proportion of FRIs captured when follow-up is limited to 90 days postoperatively versus when follow-up is extended to 1 year?
Methods
This is a secondary analysis of patient data from a previous retrospective cohort study that investigated whether the duration of perioperative antibiotic prophylaxis was independently associated with FRI in patients with open fractures. Of the 530 eligible patients in the source study, 3% (14) died. Of the remaining 516 patients, 97% (502) patients with 559 long-bone open fractures had 2 years of follow-up constituted the base cohort. Forty-seven fractures in 46 patients were complicated by FRI and were the focus of this secondary analysis. Medical records were reviewed in detail specifically for the current study. Seventy-eight percent (36 of 46) of patients were male, and the mean ± SD age was 42 ± 16 years. The most common mechanism of injury was a motor vehicle accident (63% [29 of 46] of patients), and the tibia was the most involved site (53% [25 of 47] of fractures). The median (interquartile range) time to debridement was 3.0 hours (IQR 2.0 to 4.0). FRIs developed in 3% (7 of 247) of Type I open fractures, 7% (11 of 164) of Type II, 17% (18 of 107) of Type IIIA, 29% (9 of 31) of Type IIIB, and 20% (2 of 10) of Type IIIC open fractures. Each clinic visit of each patient was reviewed, and data about the time of onset of any symptoms and signs suggesting or confirming an FRI, as reported by patients and/or determined by treating surgeons, were recorded. The proportions of FRIs with onset by specific time periods were determined. A Kaplan-Meier survival analysis was performed, and the FRI event rates with 95% confidence intervals were calculated.
Results
The median (IQR) time to the onset of FRI was 52 days (IQR 15 to 153). Follow-up of 90 days captured only 64% (30 of 47) of FRIs, whereas follow-up of 1 year captured 89% (42 of 47) of FRIs. The proportion of FRIs with onset within 1 year increased to 95% (42 of 44) in the presence of an already healed fracture.
Conclusion
Follow-up of 90 days after the management of an open long-bone fracture is inadequate for postoperative surveillance, especially for research purposes. Clinical research on interventions would report results appearing to be much better than they really are, potentially resulting in misleading conclusions. Follow-up of 1 year is preferable because most FRIs will develop before that time, especially when fracture union has occurred. A small percentage of patients may still develop infections beyond the first year after the management of an open fracture. The risk of missing these infections by not extending follow-up beyond 1 year must be balanced against the additional logistical burden. Future prospective multicenter studies and registries with long-term patient follow-up would help clarify this issue
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