602 research outputs found
The prevalence of scoliosis in spina bifida subpopulations: a systematic review
No full textPrevalence of scoliosis within spina bifida subpopulations is important for diagnostics and therapeutic purposes. This review determined the prevalence of scoliosis within spina bifida subpopulations by means of a systematic literature review by using the following databases: Medline-Pubmed, Embase, Cochrane and Pedro. All Dutch- and English-written literature using the MESH-terms: "Spinal Dysraphism", "Neural Tube Defects", "Scoliosis" was analysed using the exclusion criteria: animal studies, case reports, studies regarding the prevalence of spina bifida among patients with scoliosis, studies with inclusion of patients with scoliosis 10°, studies without an own study group, articles comprising the same patient group as another article, neural tube defects besides spina bifida and articles without specification of spina bifida subtype. It resulted in six articles, two concerning diastematomyelia (103 patients, 82 females and 21 males), four about myelomeningocele (479 patients, 283 females and 196 males) with an overall weighted prevalence of scoliosis (20° Cobb angle cut off) of 44.4% and 52.5% respectively. It can be concluded that most studies have a lot of methodological flaws so there is a need for further research with standardisation of data collection to allow comparison of different data
Patient perspective vs expert opinion: Optimal rehabilitation practices for management of single-and double level lumbar fusion surgery
No full textThe politics of the European Union / Herman Lelieveldt and Sebastiaan Princen.
No full textIncludes index.economic&political bookfair2015xxvi, 313 pages :"A new introduction to the European Union which uses the lens of comparative politics. This approach helps students understand the EU through comparisons with domestic politics and links with broader debates in political science. The text is supported by numerous examples, and chapters include briefings, fact files and controversy boxes which highlight important information and controversial issues in EU politics to widen and deepen student understanding. The authors have developed online 'Navigating the EU' exercises that introduce students to useful sources of information on the internet and help them to analyse policy-making in the EU. This textbook is a comprehensive introduction to EU politics and covers history, theory, key institutions and participants, as well as policies and policy-making"-- Provided by publisher
Best practices in the rehabilitation of single- and double level lumbar fusion surgery: results of a modified delphi process
No full textThe Infinity Loop of Healthcare Innovation: Development of an Integrated Rehabilitation Pathway for Lumbar Fusion Surgery Through Design Thinking
No full textIntroduction: Integrated care pathways may help to bridge evidence-practice gaps. To overcome the limitations of traditional researcher-centred and linear pathway development frameworks, a more user-centred approach is needed. In this study, we propose design thinking as a framework for developing integrated care pathways, specifically targeting rehabilitation of patients undergoing lumbar fusion surgery. Description: From 2017 to 2022, we utilized the design thinking infinity loop to create an evidence-based rehabilitation pathway for patients undergoing lumbar fusion surgery. This approach consisted of five phases: (1) empathizing with user needs, (2) defining problem statements, (3) ideating through meta-analysis, expert consensus, and brainstorming, (4) prototyping the pathway, and (5) testing its effectiveness and implementability. Discussion: Through the proposed design thinking phases, innovative elements such as prehabilitation, early mobilization, and consistent communication emerged as the building blocks of the new rehabilitation pathway, addressing the needs of both patients and healthcare providers. These results serve as a practical guide for applying design thinking in developing integrated care pathways. Conclusion: Design thinking, represented by the infinity loop, presents a user-centred framework for developing integrated care pathways, and has the potential to effectively bridge the gap between evidence and clinical practice
The prevalence of scoliosis within Belgian myelomeningocele population and the correlation with ambulatory status and neurological comorbidities: a chart audit
No full textSTUDY DESIGN: Retrospective chart audit. OBJECTIVES: Firstly determining the prevalence of scoliosis in myelomeningocele (MMC) patients of the University Hospitals Leuven. Secondly analyzing whether there are differences concerning distribution of radiological level, ambulatory status, hydrocephalus, tethered cord, and syringomyelia in MMC patients with/without scoliosis. SETTING: University Hospitals Leuven, spina bifida convention. METHODS: The following data were collected: age, gender, radiograph type, age at the time of the radiograph, position during radiograph, presence of fusion, age at the time of fusion, diagnosis of hydrocephalus, tethered cord, or syringomyelia, radiological level of MMC, ambulatory status, main Cobb angle, main curve convexity, and main curve location. Correlation between prevalence of scoliosis and ambulatory status, neurological comorbidities, and radiological level were investigated. RESULTS: There were 116 patients remaining, after excluding patients without MMC or useful images. The scoliosis prevalence in MMC patients was 78.4% (95% CI, 71.0-85.8) for Cobb angle ≥10°; 60.3% (95% CI, 51.4-69.2) for ≥20°, 52.6% (95% CI, 43.5-61.7) for ≥30°, and 36.6% (95% CI, 27.7-45.5) for an angle ≥40°. Wheelchair users had 4 to 8 times more chance of having scoliosis than patients able to walk on all surfaces without aid. Thoracolumbar and lumbar radiological levels had a slightly higher prevalence of scoliosis than sacral levels. CONCLUSIONS: The high prevalence of scoliosis warrants a thorough screening and follow-up for MMC. There was no statistically significant difference between hydrocephalus, tethered cord, or syringomyelia regarding scoliosis. Future studies should focus on the interactions of the neurological comorbidities associated with MMC and scoliosis.status: Publishe
On the Control of a Seawater-Hydraulic Wind Farm with the Delft Offshore Turbine
No full textOffshore wind energy is a promising prospect to meet the ever-growing demand for energy. Its reputation is, however, sullied by high costs not yet competitive with conventional energy resources. The Delft Offshore Turbine (DOT) attempts to radically reduce the Levelized Cost of Energy (LCOE) of offshore wind by utilising a seawater-hydrostatic transmission from individual wind turbines to a central power station, where power is generated collectively. Recent theoretical research on the DOT employed variable displacement pumps in the wind turbines interconnected through a collective pipeline. A variable displacement pump does not yet commercially exist and leaves the implementation of a fixed-displacement pump more viable in the near future. Recent practical research implemented a fixed-displacement pump with an individual pipeline. To benefit from the economy of scale however, a collective pipeline is preferred. The DOT wind farm considered in this thesis incorporates fixed-displacement pumps interconnected through a collective pipeline. The difficulty herein arises from the combination of an equal hydraulic torque but varying aerodynamic torque throughout the wind farm. The combined effect results in the inability to control individual rotor speeds, which inevitably leads to suboptimal individual rotor efficiency. This research explores a novel control strategy that obtains the best suboptimal performance when the wind turbines are controlled through a collective pressure.Mechanical Engineering | Systems and Contro
Best practices in the rehabilitation of single- and double level lumbar fusion surgery: results of a modified delphi process
No full textBest practices in the rehabilitation of single- and double level lumbar fusion surgery: results of a modified delphi process
No full textFunctionality, Pain and Return to Work After Lumbar Fusion Surgery: a Preliminary Study.
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