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The location and angle of scaphoid fractures are important attributes which guide management. We used a 3 dimensional scaphoid model, generated from CT scans, to map scaphoid fracture planes. The point at which the fracture plane crossed the central axis of the scaphoid was noted. The angle of the fracture planes with regard to the central axis was also noted. This allowed calculation of the location of the fracture and the angle of the 379 fractures. The mean point of intersection for fractures with the scaphoid axis was 50% along the scaphoid. Sixty percent of all fractures were found around the central 20% of the scaphoid. The mean angle between the scaphoid axis and the fracture plane was 63 degrees). On comparing angle with location, as fractures move away from the scaphoid waist, they become less perpendicular to the scaphoid axis (p?.01). Older patients are more likely to have proximal fractures (p?.01). Men are more at risk of proximal scaphoid fractures than women (p?.001). Proximal fractures increases risk of progressing to non-union (p?=?.018). There was no link between fracture plane angles and age, sex and union status. Most fractures occur at the centre of the scaphoid. There is a link between the location and angle of scaphoid fractures. It also identifies older patients and males are more likely to have more proximal scaphoid fractures. 相似文献
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《Journal of endodontics》2020,46(11):1682-1688
IntroductionThe purpose of this study was to evaluate the effect of 5 different curvature locations on the fatigue resistance of thermomechanically treated nickel-titanium (NiTi) files and superelastic NiTi files at body temperature and to document the corresponding phase transformations.MethodsEndoSequence (ES; Brasseler USA, Savannah, GA), EndoSequence CM (ESCM, Brasseler USA), K3 (SybronEndo, Orange, CA), K3XF (SybronEndo), and Vortex Blue (VB; Dentsply Tulsa Dental Specialties, Tulsa, OK) NiTi files (size 25/.04) were subjected to fatigue tests inside customized artificial canals containing a curvature of 60° and a 3-mm radius. There were 5 different canals based on the location of initial curvature; these included groups in which the distance between the canal orifice and the location of the curvature (DOC) was 5, 6, 8, 10, and 11 mm. The model canal was immersed in water at 37°C ± 1°C. The number of cycles to failure (Nf) was recorded, and the fracture surface of the fragments was examined by scanning electron microscopy. Two unused files of each brand were examined by differential scanning calorimetry.ResultsThe Nf was highest in the 10-mm and 11-mm DOC groups and lowest with the 5-mm and 6-mm DOC groups (P < .05). ESCM files had the highest fatigue resistance followed by the VB, K3XF, K3, and ES files (P < .05). ESCM files had the highest Nf (P < .05), and ES and K3 files had the lowest Nf (P < .05) depending on the curvature location. Two endothermic peaks were observed on the heating curve of the heat-treated files (ESCM, K3XF, and VB).ConclusionsThe location of the canal curvature had a significant effect on the fatigue resistance of both heat-treated and superelastic NiTi files. The fatigue life of files in the coronal curve was quite short. 相似文献
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Test–retest Reliability in Reporting the Pain Induced by a Pain Provocation Test: Further Validation of a Novel Approach for Pain Drawing Acquisition and Analysis 下载免费PDF全文
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不同病因胆汁反流性胃炎中医证型横断面调查 总被引:1,自引:0,他引:1
[目的]调查不同病因胆汁反流性胃炎中医证型。[方法]使用横断面调查方法,调查2011年3月至2012年3月福建省晋江市安海医院确诊为胆汁反流性胃炎患者。参照《证素辨证学》证素诊断标准,结合《中药新药临床研究指导原则》对症状轻、中、重程度定义,制定规范的四诊资料采集量表。患者入院确诊后即进行中医四诊资料规范化采集。规范数据采集环节,培训资料采集人员。设计统一调查表,建立调查档案。集观察对象症状、体征,在辨证四诊基础上,采用证素辨证方法辨证。[结果]符合初步纳入164例,排除14例,剩余150例;胆囊疾病50例,胃大部切除术后50例,不明原因50例。胆汁反流性胃炎病位证素主要为胃、脾、肝,病性证素积分从高到低依次为气滞、阳虚、气虚、湿、食积、血瘀、阴虚、血寒、血寒、热、寒、痰,频数分从高到低依次为气滞、湿、阳虚、气虚、食积、寒、热、血瘀、阴虚、痰、血寒、血虚。本病表现为虚中夹实,主以气虚、阳虚为本,并见气滞、湿困、食积实邪,可兼夹血瘀、寒邪、热邪、痰、血虚、血寒。[结论]病位证素:不明原因主要为脾、胃;胆囊疾病主要为脾、胃、肝、胆;胃大部切除术后主要为脾、胃、肝、胆。病性证素:不明原因主要为气滞、气虚、阳虚、食积、湿;胆囊疾病主要为气滞、湿、阳虚、热、寒、气虚;胃大部切除术后主要为气滞、湿、阳虚、气虚、血瘀、热、寒;三组间均主要为气滞、气虚、阳虚、湿,胃大部切除术后与胆囊疾病还同见寒、热证素,胃大部切除术后同时还存在血瘀证素。 相似文献
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目的基于文献研究,探讨失眠症的中医证候要素分布规律。方法通过检索中国知网数据库(CNKI)、万方数据库、维普全文期刊数据库2009年1月至2018年12月中医药期刊文献所报道的治疗失眠症相关文献,收集统计失眠症中医证候并提取证素信息,利用SPSS 23.0软件进行统计描述分析。结果(1)共检出文献653篇,符合要求317篇,整理后规范证名得到44种中医证候,其中以心脾两虚证、痰热内扰证、肝郁化火证、阴虚火旺证、心肾不交证等频次较高。(2)证素组合规律中以两证素、三证素、四证素组合为主。(3)在单一病性证素中以热(火)、气虚、血虚、阴虚等频次较高;病位证素以肝、心、脾、肾等频次较高。(4)在证素组合时以热(火)+肝、气虚+血虚+心+脾、热(火)+痰、热(火)+阴虚等频次较高。结论失眠症的主要病理因素以热(火)、气虚、血虚、阴虚为主,病位主要以肝、心、脾、肾为主。 相似文献
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Different Trends of Changes in Heart Rate Variability in Patients with Anterior and Inferior Acute Myocardial Infarction 总被引:2,自引:0,他引:2
MARIA VITTORIA PITZALIS FILIPPO MASTROPASQUA FRANCESCO MASSARI REA PASSANTINO GIOVANNI LUZZI LUANA LIGURGO ROBERTO COLOMBO MARIA GIUSEPPINA BIASCO PAOLO RIZZON 《Pacing and clinical electrophysiology : PACE》1998,21(6):1230-1238
Modifications in heart rate variability (HRV) parameters occur after acute myocardial infarction. The aim of this study was to evaluate the trend of HRV change during the acute phase and the first month after myocardial infarction, and establish whether they were affected by the anterior or inferior location of the infarction. The time-domain HRV measures of 59 patients with a first uncomplicated acute myocardial infarction were computed from 24-hour ECG recordings made on days 1, 2, 10, and 28 after hospital admission. At day 1, the mean RR cycle length (NN), the standard deviation of the NN intervals (SDNN), and the root mean square successive difference of NN intervals (RMSSD) were lower in the patients with anterior myocardial infarction. Although the parameters were similar in all of the patients at day 28, their behavior over time was different (P = 0.01): the SDNN in the patients with inferior myocardial infarction had decreased to the values found in anterior myocardial infarction patients by day 2 but, at day 10, both NN and SDNN tended to recover in both groups; RMSSD had diminished in both groups by day 2, but at day 10, had increased in the patients with anterior, but not in those with inferior myocardial infarction. These findings suggest that (1) in the very early phase of myocardial infarction, HRV is different in the two locations, (2) during the first hours of myocardial infarction patients with inferior location showed a greater vagal activity than patients with anterior location that became lower at day 10, and (3) the recovery of HRV is an early phenomenon in both groups, being already evident by the second week after myocardial infarction. 相似文献
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