1,720,966 research outputs found
Psychological support in the rehabilitation process of patients with spinal cord injury
Get PDFPoškodbe hrbtenice in hrbtenjače predstavljajo eno izmed najzahtevnejših
zdravstvenih stanj tako z vidika zdravljenja kot rehabilitacije. Psihološka podpora je
ključna komponenta celostne obravnave pacientov s poškodbo hrbtenjače, saj menimo,
da pomembno vpliva na njihov proces zdravljenja in okrevanja. Uporabljena je bila kvalitativna metodologija z izvedbo polstrukturiranih
intervjujev. Podatki so analizirani z metodo tematske analize. Pred začetkom so
pridobljena soglasja etične komisije ustanove in udeležencev. V raziskavo je bilo
vključenih deset oseb po poškodbi hrbtenjače. Povprečna starost udeležencev je znašala približno 44 let. Analiza je razkrila
glavno temo: vpliv psihološke podpore na uspešnost rehabilitacije. Podtemi sta se
nanašali na psihološko podporo po poškodbi, vključno z doživljanjem čustev in podporo
bližnjih, ter na podporo zdravstvenega osebja med hospitalizacijo in rehabilitacijo. Rezultati potrjujejo pomembnost psihološke podpore v rehabilitaciji oseb s
poškodbo hrbtenjače. Dostopnost podpore prispeva k večji motivaciji, optimizmu in
sodelovanju pacientov. Čeprav uspešnost rehabilitacije ni bila neposredno obravnavana,
so ključni dejavniki uspeha razvidni iz osebnih izkušenj in vedenjskih odzivov udeležencev. Psihološka podpora pomembno prispeva k uspešnejši rehabilitaciji oseb s
poškodbo hrbtenjače, kar poudarja potrebo po dodatnem usposabljanju zdravstvenega
osebja na tem področju.Spinal and spinal cord injuries are among the most challenging medical
conditions, both in terms of treatment and rehabilitation. Psychological support is a key
component of the comprehensive care of patients with spinal cord injury, as it is believed
to significantly influence their treatment and recovery process.A qualitative methodology was applied through semi-structured interviews.
Data were analysed using thematic analysis. Prior to the study, approval was obtained
from the institution’s ethics committee as well as from the participants. The research
included ten individuals who had sustained a spinal cord injury. The average age of participants was approximately 44 years. The analysis
revealed a main theme: the impact of psychological support on the success of
rehabilitation. The subthemes related to psychological support after the injury, including
emotional experiences and support from relatives, as well as the support provided by
healthcare professionals during hospitalisation and rehabilitation. The findings confirm the importance of psychological support in the
rehabilitation of individuals with spinal cord injury. The availability of support
contributes to greater motivation, optimism, and patient engagement. Although the
success of rehabilitation was not directly assessed, key success factors emerged from
participants’ personal experiences and behavioural responses. Psychological support plays an important role in achieving more successful
rehabilitation outcomes for individuals with spinal cord injury, highlighting the need for
additional training of healthcare professionals in this field
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Hybrid fixation for repair of dual forearm fractures of adolescent patients: A case report and literature review : Hibridna oskrba zloma podlahti pri mladostniku: reprezentacija primera in pregled literature
No full textPurpose: To assess hybrid fixation as an alternative option for repair of dual forearm fractures of adolescent patients.
Case presentation: An 11-year-old boy presented with trauma to his right forearm resulting from playing on a trampoline. X-ray examinations confirmed fractures of both the right ulna and radius. Closed reduction and internal ESIN (elastic stable intramedullary nailing) fixation was selected for repair of the radius. Closed reduction of the ulnar fracture was unsuccessful, thus open reduction was performed. However, due to instability of the ulnar fracture after open reduction, internal plate fixation of the ulna was selected. At 3 months after surgery, the patient demonstrated full range of motion with no pain.
Namen: Namen prispevka je reprezentacija primera in definiranje hibridne fiksacije kot ustrezne alternative v zdravljenju zlomov obeh kosti podlahti pri mladostniku.
Reprezentacija primera: Obravnavamo primer 11-letnega pacienta moškega spola, ki je pri padcu na trampolinu utrpel zlom obeh kosti desne podlahti. V splošni narkozi je bila opravljena zaprta repozicija zloma in intramedularna fiksacija zloma koželjnice z elastično titanijevo žico. Nestabilni zlom podlahtnice je bil odprto naravnan in v anatomskem položaju fiksiran s ploščo in vijaki. Na kontrolnem pregledu tri mesece po operaciji je pacient izkazal polno gibljivost desne podlahti, zlom je bil zaceljen v dobrem položaju, drugih težav ni bilo
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
Adjacent vertebral fractures after percotaneous vertebral augmentation of osteoporotic vertebral fracture
Get PDFUvod: Osteoporotični zlomi vretenc so vse pogosteje zdravljeni minimalno invazivno z eno od metod perkutane avgmentacije, z balonsko kifoplastiko (BK) ali vertebroplastoko (VP). Obe metodi naj bi bili uspešni pri odpravi bolečin, obstaja pa sum povečanega vpliva obeh metod na zlome sosednjih vretenc.
Še vedno ostaja nejasno, ali so zlomi sosednjih vretenc po BK in VP posledica povečane togosti vretenca kot posledica same avgmentacije ali pa so preprosto posledica napredovale osteoporoze. Po objavljenih podatkih naj bi izliv cementa v medvretenčni prostor povečal tveganje za zlom sosednjega vretenca.
Namen raziskave je bil oceniti tveganje za zlom sosednjega vretenca po opravljeni BK v primerjavi z VP in določiti možne dejavnike tveganja za zlome sosednjih vretenc.
Bolniki in metode: Triinsedemdeset bolnikov z bolečimi osteoporotičnimi zlomi vretenc je bilo vključenih v prospektivno nerandomizirano raziskavo. BK je bila opravljena pri 46 bolnikih (51 vretenc) in VP pri 27 bolnikih (32 vretenc). Na prvem pregledu bolnikov po utrpelem OZV smo predooperativno opravili klinične in radiografske preiskave. Pooperativni kontrolni pregledi, zajeti v analizi rezultatov, so bili prvi pooperativni dan in 1 leto po opravljeni avgmentaciji.
V kontrolno skupino smo vključili bolnike z OZV z manjšo lokalno kifoze (<15°) in brez hujše bolečnosti. Te bolnike smo zdravili na konzervativen (neoperativen) način (ortoza, analgetiki).
Rezultati: Eno leto po ugotovljenem OZV je do zloma sosednjega vretenca prišlo pri 3 od 46 (6.5%) bolnikov, zdravljenih z BK in pri 2 od 27 (7.4%) bolnikov, zdravljenih z VP. V kontrolni skupini konzervativno zdravljenih bolnikov je v 1 letu do zloma sosednjega vretenca prišlo pri 10 od 64 bolnikov (21.7%).
Kot pomembna napovedna dejavnika za zlom sosednjega vretenca sta se izkazala stopnja lokalne kifoze in MKG. Pri operativno zdravljenih bolnikih z MKG ≥-3.0 je prišlo do zloma sosednjega vretenca v večjem deležu (4/20, 20%) kot pri bolnikih z MKG <-3.0 (1/53, 2%) (p=0.011). Bolniki, ki so imeli pooperativno lokalno kifozo <9°, so doživeli zlom sosednjega vretenca v manjšem deležu (1/52, 2%) kot bolniki z lokalno kifozo ≥9° (4/21, 19%) (p=0.013).
Obeti za zlom sosednjega vretenca so bili pri bolnikih z višjo stopnjo pooperativne lokalne kifoze (≥9°) 12-krat (95% IZ: 1.25-114.88) večji kot pri nižji stopnji kifoze (<9°), ter 13-krat (95% IZ: 1.35-124.81) večji pri višji T vrednosti MKG (≥-3.0) kot pri nižji (<-3.0).
V nobenem primeru zloma sosednjega vretenca nismo ugotavljali intervertebralnega izliva cementa. Z avgmentacijo dosežena pooperativna poprava kota kifoze je bila signifikantno večja
pri BK v primerjavi z VP (7.7 ± 4.5 oz. 2.3 ± 2.3) (p=0.001). V obeh skupinah je po operativnem posegu prišlo do bistvenega upada VAS vrednosti (mediana predoperativna vrednost VAS obeh skupin=9). Bolniki obeh skupin so po operativnem posegu stopnjo bolečine ocenili podobno (mediana VAS vrednost=2).
Pri konzervativno zdravljenih bolnikih je utrpelo zlom sosednjega vretenca 9/39 (23%) bolnikov z lokalno kifozo ob zlomu prvega vretenca ≥5.0° in le 1/22 (5%) bolnikov z lokalno kifozo ob zlomu prvega vretenca <5.0° (p=0.061). Med bolniki z MKG ≥ -2.6 je imelo zlom sosednjega vretenca 8/31 (26%) bolnikov, med bolniki z MKG < -2.6 pa 2/30 (7%) bolnikov (p=0.044). Obeti za zlom sosednjega vretenca so bili pri bolnikih z višjo stopnjo lokalne kifoze (≥5.0°) ob ugotovljenem zlomu prvega vretenca 6.3 krat (95% IZ: 0.74, 53.54) (p=0.092) večji kot pri bolnikih z nižjo stopnjo lokalne kifoze (<5.0°), ter 4.87 krat (95% IZ: 0.94, 25.22) (p=0.059) večji pri bolnikih z višjo T vrednostjo MKG (≥ -2.6 ) kot pri bolnikih z nižjo T vrednostjo MKG (< -2.6).
Zaključek: Naši rezultati kažejo, da sta BK in VP metodi z nizkim tveganjem za zlom sosednjega vretenca. Najpomembnejša dejavnika tveganja za zlom sosednjega vretenca po perkutani avgmentaciji OZV sta stopnja osteoporoze in spremenjena biomehanika hrbtenice kot posledica lokalne kifoze.
Na podlagi pIntroduction: Osteoporotic vertebral fractures are being increasingly treated with minimally invasive bone augmentation techniques such as balloon kyphoplasty (BK) and vertebroplasty (VP). Both are reported to be an effective means of pain reliefhowever, there may be an increased risk of developing subsequent vertebral fractures after such procedures.
It is still controversial whether adjacent level fractures after BK and VP should be regarded as the consequence of stiffness achieved by augmentation with bone cement or if the adjacent level fractures are simply the result of the natural progression of osteoporosis. It was reported that cement leakage into the disc increases the risk of new fracture of adjacent vertebral bodies.
The purpose of this study was to evaluate the adjacent level fracture risk after BK as compared with VP and to determine the possible dominant risk factor associated with adjacent level fractures.
Materials and methods: Seventy-three patients with painful osteoporotic vertebral fractures were enrolled in a prospective nonrandomized study. BK was performed in 46 patients (51 vertebral bodies) and VP in 27 patients (32 vertebral bodies). The first patient’s visit was before the operative procedure, when clinical and radiographical examinations were done. The follow-up visits, considered in the analysis, were on the first day and after 1 year, postoperatively.
The control group included patients with osteoporotic vertebral fractures with lower rates of local kyphosis (<15°) and without severe pain. These patients were treated with conservative nonsurgical procedures (orthosis, analgetics).
Results: In 3 out of 46 patients (6.5%) treated with BK and in 2 out of 27 patients (7.4%) treated with VP adjacent level fracture occurred within 1 year after diagnosed osteoporotic vertebral fracture. Within a 1-year period there were 10 out of 64 (21.7%) patients of the control group (conservatively treated patients) with adjacent level fractures.
The degree of local kyphosis and bone mineral density (BMD) were identified as important predictive factors for adjacent level fracture. In surgically treated patients with BMD ≥-3.0 adjacent level fractures occurred in a greater extent as in patients with BMD <-3.0 (1/53, 2%) (p=0.011). Adjacent level fracture occurred in a lesser extent (1/52, 2%) in patients with postoperative local kyphosis <9° as in patients with local kyphosis ≥9° (4/21, 19%) (p=0.013).
The prospects for an adjacent level fracture in operatively treated patients with higher rates of
postoperative local kyphosis (≥9°) were 12 times greater (95% CI: 1.25-114.88) than in patients with lower rates of local kyphosis (<9°). Moreover, they were13 times greater (95% CI: 1.35-124.81) in patients with higher T-value of BMD (≥-3.0) than in patients with lower T-values of BMD (<-3.0).
We did not found any intradiscal cement leakage in cases with adjacent level fractures. The postoperative mean kyphotic angle improved significantly better in patients treated with BK compared with patients treated with VP (7.7 ± 4.5 vs. 2.3 ± 2.3) (p=0.001), and in both groups, the mean VAS score fell dramatically from the baseline (preoperative) value of about 9 to the value of about 2 immediately post OP.
Adjacent level fractures occurred in 9 out of 39 (23%) conservatively treated patients with local kyphosis ≥5.0° following first vertebral fracture and only in 1 out of 22 (5%) patients with local kyphosis <5.0° following first vertebral fracture (p=0.061). Among patients with BMD ≥ -2.6, 8 out of 31 (26%) patients had adjacent level fracture, while among patients with BMD < -2.6 only 2 out of 30 (7%) patients had adjacent level fracture (p=0.044).
The prospects for an adjacent level fracture in conservatively treated patients with higher rates of local kyphosis (≥5.0°) following the diagnosis of the first vertebral fracture were 6.3 times greater (95% CI: 0.74, 53.54) (p=0.092) than in patients with lower rates of local kyphosis (<5.0°). Moreover, they were 4.87 times greater
- …
