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991.
Mauricio Sanabria Martha Devia Gilma Hernández Kindar Astudillo Carlos Trillos Mauricio Uribe Catalina Latorre Astrid Bernal Angela Rivera the local investigators in the study 《Peritoneal dialysis international》2015,35(1):52-61
♦ Background and Objective: Colombia is a country of diverse geographic regions, some with mountainous terrain that can make access to urban areas difficult for individuals who live in remote areas. In 2005, a program was initiated to establish remote peritoneal dialysis (PD) centers in Colombia to improve access to PD for patients with end-stage renal disease who face geographic or financial access barriers.♦ Patients and Methods: The present study was a multi-center cohort observational study of prevalent home PD patients who were at least 18 years of age and were being managed by one of nine established remote PD centers in Colombia over a 2-year period. Data were collected from clinical records, databases, and patient interviews. Patient survival, incidence of peritonitis, and rate of withdrawal from PD therapy were assessed.♦ Results: A total of 345 patients were eligible for the study. The majority (87.8%) of patients lived on one to two times a minimum monthly salary (equivalent to US$243 – US$486). On average, patients traveled 1.2 hours and 4.3 hours from their home to their remote PD center or an urban reference renal clinic, respectively. The incidence rate of peritonitis was 2.54 episodes per 100 patient-months of therapy. A bivariate analysis showed a significantly higher risk of peritonitis in patients who were living on less than one times a monthly minimum salary (p < 0.05) or who had a dirt, cement, or unfinished wood floor (p < 0.05). The 1-year and 2-year patient survival rates were 92.44% and 81.55%, respectively. The 1-year and 2-year technique survival rates were 97.27% and 89.78%, respectively.♦ Conclusions: With the support of remote PD centers that mitigate geographic and financial barriers to healthcare, home PD therapy is a safe and appropriate treatment option for patients who live in remote areas in Colombia. 相似文献
992.
Sayeh Ehsani Brian Nebbe David Normando Manuel O Lagravere Carlos Flores-Mir 《The Angle orthodontist》2015,85(6):997
Objective:To compare the short-term skeletal and dental effects of two-phase orthodontic treatment including either a Twin-block or an XBow appliance.Materials and Methods:This was a retrospective clinical trial of 50 consecutive Class II cases treated in a private practice with either a Twin-block (25) or XBow (25) appliance followed by full fixed orthodontic treatment. To factor out growth, an untreated Class II control group (25) was considered.Results:A MANOVA of treatment/observation changes followed by univariate pairwise comparisons showed that the maxilla moved forward less in the treatment groups than in the control group. As for mandibular changes, the corpus length increase was larger in the Twin-block group by 3.9 mm. Dentally, mesial movement of mandibular molars was greater in both treatment groups. Although no distalization of maxillary molars was found in either treatment group, restriction of mesial movement of these teeth was seen in both treatment groups. Both treatment groups demonstrated increased mandibular incisor proclination with larger increases for the XBow group by 3.3°. The Wits value was decreased by 1.6 mm more in the Twin-block group. No sex-related differences were observed.Conclusions:Class II correction using an XBow or Twin-block followed by fixed appliances occurs through a relatively similar combination of dental and skeletal effects. An increase in mandibular incisor inclination for the XBow group and an increased corpus length for the Twin-block group were notable exceptions. No overall treatment length differences were seen. 相似文献
993.
Carlos E. Carvalho Rubens A. da Silva André W. Gil Márcio R. Oliveira Juliana A. Nascimento Deise A. A. Pires-Oliveira 《Journal of Physical Therapy Science》2015,27(3):705-710
[Purpose] The aim of this study was to compare age-related differences in balance and
anthropometric posture measurements of the foot and to determine any relationship between
them. [Subjects and Methods] Sixty-eight older and 42 younger adults participated in this
study. Foot posture was tested for four domains: 1) hallux flexion and extension range of
motion using a goniometer, 2) navicular height and 3) length of the foot using a
pachymeter, and 4) footprint (width of forefoot, arch index and hallux valgus). Balance
was tested under two conditions on a force platform: bipodal in 60-s trials and unipodal
in 30-s trials. The sway area of the center of pressure and velocity in the
anteroposterior and mediolateral directions were computed. [Results] Older individuals
showed significantly poorer balance compared with younger adults under in the unipodal
condition (center of pressure area 9.97 vs. 7.72 cm2). Older people presented a
significantly lower hallux mobility and higher values for width of the forefoot and
transverse arch index than younger adults. The correlations between all foot posture and
center of pressure parameters varied across groups, from weak to moderate
(r −0.01 to −0.46). Low hallux mobility was significantly related to
higher center of pressure values in older people. [Conclusion] These results have clinical
implications for balance and foot posture assessments.Key words: Posture, Aging, Foot 相似文献
994.
Luís Alberto Garcia Freitas Sandro dos Santos Ferreira Rosemari Queiroz Freitas Carlos Henrique de Souza Erick Doner Santos de Abreu Garcia Sergio Gregorio da Silva 《Journal of Physical Therapy Science》2015,27(7):2221-2224
[Purpose] The aim of this study was to observe the effect of self-selected intensity or
imposed intensity during aerobic training on perceptual and affective responses in obese
women. [Subjects] The study included 26 obese women aged 30–60 years. [Methods] The
subjects were randomly divided into two groups, with 13 subjects in each group:
self-selected intensity and imposed intensity (10% above ventilatory threshold) groups.
All subjects completed an intervention program that lasted 12 weeks, with three exercise
sessions a week. The rating of perceived exertion and affective responses (Feeling Scale
and Felt Arousal Scale) were monitored in the first, sixth, and twelfth weeks. [Results]
Significant differences were observed between groups in heart rate and rating of perceived
exertion. The affective responses during exercise were more negative in the imposed
intensity group. [Conclusion] Use of a self-selected exercise intensity can promote
smaller negative affective responses during exercise and provide a sufficient stimulus for
improvement in cardiorespiratory fitness.Key words: Self-selected exercise, Rating of perceived exertion, Affective responses 相似文献
995.
The accuracy of International Classification of Diseases coding for dental problems not associated with trauma in a hospital emergency department 下载免费PDF全文
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Didier M. Payen Joelle Guilhot Yoann Launey Anne Claire Lukaszewicz Mahmoud Kaaki Benoit Veber Julien Pottecher Olivier Joannes-Boyau Laurent Martin-Lefevre Matthieu Jabaudon Olivier Mimoz Rémi Coudroy Martine Ferrandière Eric Kipnis Carlos Vela Stéphanie Chevallier Jihad Mallat René Robert The ABDOMIX Group 《Intensive care medicine》2015,41(6):975-984