1,372 research outputs found
Protocol for the United Kingdom Rotator Cuff Study (UKUFF) : a randomised controlled trial of open and arthroscopic rotator cuff repair
No full textThis project was funded by the NIHR Health Technology Assessment programme (project number 05/47/02). J. L. Rees has received a grant from Oxford University which is related to this paper. J. Dawson reports that Oxford University has received a grant from HTA which is related to this paper, as well as a study grant.Peer reviewe
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No full textThis unsigned, Cuff-type microscope is attributed to Tiedemann of Stuttgart. The instrument is attached to the box-foot by a beveled rectangular brass base. The curved pillar supports the limb, to which are attached the body-tube and the spring stage. Focusing is by the screw at the top of the limb. Accessories include objective lenses, ivory sliders, and stage forceps. For other Cuff-type instruments in the collection, see George Adams and Henry Shuttleworth
RLS : Regional Language Studies
No full text“Date of this entry” : queries raised by the “1805 Conception Bay Plantations Book” / Robert H. Cuff -- “There’s no place like Petty Harbour” : negation in a post-insular community / Jennifer Thorburn -- The genesis of James Cook’s Australian place-names / William J. Kirwin -- Miscellany / William J. Kirwin
Transtendon rotator-cuff repair of partial-thickness articular surface tears can lead to medial rotator-cuff failure
No full textTom C Woods,4 Michael J Carroll,1 Atiba A Nelson,2 Kristie D More,2 Randa Berdusco,1 Stephen Sohmer,3 Richard S Boorman,1,2 Ian KY Lo1,21Department of Surgery, 2Sport Medicine Centre, University of Calgary, Calgary, AB, Canada; 3Department of Orthopaedics, University of British Columbia, Vancouver, 4St Joseph's Hospital, Comox, BC, CanadaPurpose: The purpose of this study was to evaluate clinical and anatomic outcomes of patients following transtendon rotator-cuff repair of partial articular supraspinatus tendon avulsion (PASTA) lesions.Patients and methods: Patients in the senior author's practice who had isolated PASTA lesions treated by transtendon rotator-cuff repair were included (n=8) and retrospectively reviewed. All patients were evaluated preoperatively and at a mean of 21.2 months (±9.7 months) postoperatively using standardized clinical evaluation (physical exam, American Shoulder and Elbow Surgeons, and Simple Shoulder Test). All patients underwent postoperative imaging with a magnetic resonance imaging arthrogram.Results: There was a significant improvement in American Shoulder and Elbow Surgeons (42.7±17.5 to 86.9±25.2) and Simple Shoulder Test (4.6±3.2 to 10.1±3.8) scores from pre- to postoperative, respectively. Postoperative imaging demonstrated full-thickness medial cuff tearing in seven patients, and one patient with a persistent partial articular surface defect.Conclusion: Transtendon repair of PASTA lesions may lead to improvements in clinical outcome. However, postoperative imaging demonstrated a high incidence of full-thickness rotator-cuff defects following repair.Keywords: rotator cuff, PASTA lesion, transtendon repai
Detection of impaired cerebral autoregulation improves by increasing arterial blood pressure variability
No full textAlthough the assessment of dynamic cerebral autoregulation (CA) based on measurements of spontaneous fluctuations in arterial blood pressure (ABP) and cerebral blood flow (CBF) is a convenient and much used method, there remains uncertainty about its reliability. We tested the effects of increasing ABP variability, provoked by a modification of the thigh cuff method, on the ability of the autoregulation index to discriminate between normal and impaired CA, using hypercapnia as a surrogate for dynamic CA impairment. In 30 healthy volunteers, ABP (Finapres) and CBF velocity (CBFV, transcranial Doppler) were recorded at rest and during 5% CO(2) breathing, with and without pseudo-random sequence inflation and deflation of bilateral thigh cuffs. The application of thigh cuffs increased ABP and CBFV variabilities and was not associated with a distortion of the CBFV step response estimates for both normocapnic and hypercapnic conditions (P=0.59 and P=0.96, respectively). Sensitivity and specificity of CA impairment detection were improved with the thigh cuff method, with the area under the receiver-operator curve increasing from 0.746 to 0.859 (P=0.031). We conclude that the new method is a safe, efficient, and appealing alternative to currently existing assessment methods for the investigation of the status of CA
Rotator cuff: anatomy and injuries
No full textUvod: Rotatorna manšeta je pomemben del ramenskega sklepa, ki mu omogoča stabilnost
in gibljivost. Diplomsko delo obravnava anatomijo rotatorne manšete in njene poškodbe ter
poklicno tveganje za nastanek poškodb pri medicinskih sestrah. Namen: Namen
diplomskega dela je raziskati anatomsko zgradbo rotatorne manšete in njeno funkcijo ter
analizirati pogostost in vzroke za poškodbe rotatorne manšete, možne preventivne in
terapevtske ukrepe. Poseben poudarek je na poklicnih tveganjih, povezanih z delom
medicinskih sester. Metode dela: Diplomsko delo temelji na sistematičnem pregledu
literature v podatkovnih bazah PubMed, Elsevier in Cinahl. Uporabili smo recenzirane
znanstvene in strokovne članke v slovenskem in angleškem jeziku. Rezultati: Rotatorno
manšeto sestavljajo subskapularna, supraspinatna in infraspinatna mišica ter mišica teres
minor. Poškodbe rotatorne manšete vključujejo tendinitis, kalcifirajoči tendinitis in delno ali
popolno raztrganje kite mišic rotatorne manšete. Glavni dejavniki tveganja so ponavljajoči
se gibi, dvigovanje težkih bremen in neustrezna ergonomija delovnega mesta. Rezultati
kažejo, da so medicinske sestre zaradi fizičnih in psihičnih obremenitev pri delu še posebej
izpostavljene tveganju za poškodbe rotatorne manšete. Razprava in zaključek: Preventivni
ukrepi za zmanjšanje tveganja za poškodbe rotatorne manšete vključujejo izboljšanje
ergonomskih pogojev, izobraževanje o pravilnih tehnikah dvigovanja in premikanja
pacientov ter redno usposabljanje za uporabo ergonomskih pripomočkov. Organizacijske
spremembe, kot sta zmanjšanje delovne obremenitve in zagotavljanje ustreznih odmorov, so
prav tako ključne. Celosten pristop, ki vključuje tako fizične kot psihosocialne ukrepe, je
nujen za ohranjanje zdravja in delovnih sposobnosti medicinskih sester, kar bo prispevalo k
izboljšanju kakovosti oskrbe bolnikov ter splošnega delovnega okolja v zdravstvenih
ustanovah.Introduction: The rotator cuff is an important part of the shoulder joint that enables its
stability and mobility. The thesis deals with the anatomy of the rotator cuff and its injuries,
as well as the occupational injury risk in nurses. Purpose: The purpose of the thesis is to
investigate the anatomy of the rotator cuff and its function, and to analyze the frequency and
causes of rotator cuff injuries as well as possible preventive and therapeutic measures.
Particular emphasis is placed on the occupational risks associated with the work of nurses.
Methods: The thesis is based on a systematic literature review in the PubMed, Elsevier and
Cinahl databases. Peer reviewed scientific and professional articles in Slovenian and English
were used. Results: The rotator cuff consists of the subscapularis muscle, the supraspinatus
muscle, the infraspinatus muscle and the teres minor muscle. Rotator cuff injuries include
tendinitis, calcifying tendinitis, and partial or complete tears of the rotator cuff tendons. The
main risk factors are repetitive movements, heavy lifting, and inadequate ergonomics in the
workplace. The results show that nurses are particularly exposed to the risk of rotator cuff
injuries due to physical and psychological stress at work. Discussion and Conclusion:
Preventive measures to reduce the risk of rotator cuff injuries include improving ergonomics,
education in proper patient lifting and moving techniques, and regular training in the use of
ergonomic aids. Organizational changes such as reducing workload and providing adequate
breaks are also crucial. An integrated approach that includes both physical and psychosocial
measures is necessary to maintain the health and work ability of nursing staff, which will
contribute to improving the quality of patient care and the overall working environment in
medical institutions
Arthroscopic Rotator Cuff Debridement
No full textABSTRACT Recent evidence has shown that rotator cuff pathology, in most patients, is due to primary intrinsic tendon degeneration. This degeneration leads to a build up of tendinosis at the insertion of the rotator cuff. Arthroscopic debridement of this tendinosis tissue without acromioplasty has been shown to have long-term efficacy in the treatment of Bimpingement syndrome( rotator cuff symptoms in the absence of a full-thickness tear). The details of this technique are described
Case study of physiotherapy care of a patient diagnosed with rotator cuff syndrome
No full textTitle: Case study of physiotherapy care of a patient diagnosed with rotator cuff syndrome. Objectives: Summary of theoretical knowledge of the rotator cuff conditions and their treatment using physical therapy. Case study of a patient diagnosed with rotator cuff syndrome. Methods: The general part covers conditions of the rotator cuff, the impingement syndrome and physiotherapy methods used in pathology of the subacromial space. It also includes anatomy, kinesiology and biomechanics of the shoulder girdle. Case study of a patient with diagnosed with rotator cuff syndrome is described in the special part. Therapy plan was determined on the basis of history and input kinesiology analysis and the effect of therapy was evaluated after individual therapies and output kinesiology analysis. Results: Motion in the patient's shoulder joint is painfree. Range of motion is increased in both flexion and abduction, and muscle strength is increased too. The patient was advised to continue physical therapy. Keywords: shoulder joint, impingement syndrome, rotator cuff, shoulder arthroscopy, physiotherap
Cultivator Cuff
No full textPatent for a cultivator cuff, which is directed to improvements in connections for cultivator beams, and has for its object to so construct a device of this character that the distance between the shovel standard and the beam may be regulated and adjusted, and held in position independently and without molesting the angle or fastenings which control the angle of the shovel standard
The Historian as Pessimist
No full text Robert Wiebe. The Segmented Society: An Historical Pre- face to the Meaning of America. New York: Oxford Univer- sity Press, 1975. 209 pp. Although this highly speculative book is likely to disappoint appreciative read- ers of Robert Wiebe's earlier work, Businessmen and Reform: A Study of the Progressive Movement (1962), a thoughtful monograph, and The Search for Order, 1877-1920 (1967), an impressive and influential piece of historical synthesis, it is not without interest. This is so not only for the interesting perspective it offers on the nature of Wiebe's creative, historical imagination; it also allows us to see more clearly some of the assumptions which have informed his previous writing. More importantly still, it raises persistent, if intractable, questions about the nature of historical writing itself. </jats:p
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