Knee-high to a grasshopper,

Mode of access: Internet.

(Das) apriorische und ideale moment in der wissenschaft zur orientirung über philosophie und exakte forschung ...

Separate, from Pr.

Lettres au peuple français, sur la véritable conspiration du moment

In defense of the Jesuits.

Précis de l'histoire universelle : ou, Tableau historique présentant les vicissitudes des nations, leur agrandissement, leur décadence et leurs catastrophes, depuis le temps où elles ont commencé à être connues jusqu'au moment actuel /

Includes index.

Nouveaux dialogues des morts entre les plus fameux personnages de la révolution française et plusieurs hommes célèbres, anciens et modernes, morts avant la révolution. Suivis de plusieurs autres dialogues entre des personnages vivants, restés en France ou emigrés, et d'autres interlocuteurs de différentes nations sur les divers évènements de notre révolution, jusq'au moment actuel ...

Mode of access: Internet.

Précis chronologique, généalogique et anecdotique de l'histoire de France : contenant la généalogie exacte et raisonnée des Souverains de France depuis l'origine de la monarchie et la chronologie de la révolution française jusqu'au moment actuel ... /

Includes index.

Just a minute! : moment readings on Scripture passages, and a few on the great war /

Mode of access: Internet.

Uber den Einfluss der Torsion auf das magnetische Moment zirkular magnetisierter Nickel- und Eisendrahte.

Thesis (doctoral)--Georg-Augusts-Universitat, Gottingen.

Untersuchungen uber den Stand des Kindskopfes bei Primi und Multigravidis und seine Eindruckbarkeit in den Beckenkanal als prognostisches Moment der Geburt.

Mode of access: Internet.

Faune entomologique française: Lépidoptères; descriptions de tous les papillons qui se trouvent en France, indiquant l'époque de l'éclosion de chaque espèce, les localités qu'elle fréquent, la plante qui nourrit la chenille, le moment ou il convient de la chasser précédées de renseignements sur la chasse, la préparation et la conservation, etc.

Mode of access: Internet.

Low-bandwidth telerehabilitation for patients who have undergone total knee replacement: preliminary results

We have developed a low-bandwidth, Internet-based telerehabilitation system to provide outpatient rehabilitation to patients who have undergone total knee arthroplasty. The preliminary efficacy of this treatment programme in terms of both physical and functional objective outcome measures was assessed on 21 patients. Subjects receiving a six-week rehabilitation programme were randomized to the telerehabilitation system or the usual face-to-face method. The physical and functional improvements in the telerehabilitation group were similar to those in the control group. There was a non-significant trend for greater improvements in the telerehabilitation group for most outcome measurements. The telerehabilitation programme was well received by patients. The results of this study provide evidence for the efficacy of low-bandwidth telerehabilitation consultations.

Reliability of the Knee Examination in Osteoarthritis: Effect of Standardization

Objective. To assess the reliability of physical examination of the osteoarthritic (OA) knee by rheumatologists, and to evaluate the benefits of standardization. Methods. Forty-two physical signs and techniques were evaluated using a 6 X 6 Latin square design. Patients with mild to severe knee OA, based on physical and radiographic signs, were examined in random order prior to and following standardization of techniques. For those signs with dichotomous scales, agreement among the rheumatologists was calculated as the prevalence-adjusted bias-adjusted kappa (PABAK), while for the signs with continuous and ordinal scales, a reliability coefficient (R-c) was calculated using analysis of variance. A PABAK of >0.60 and an Re of >0.80 were considered to indicate adequate reliability. Results. Adequate poststandardization reliability was achieved for 30 of 42 physical signs/techniques (71%). The most highly reliable signs identified by physical examination of the OA knee included alignment by goniometer (R-c = 0.99), bony swelling (R-c = 0.97), general passive crepitus (R-c = 0.96), gait by inspection (PABAK = 0.78), effusion bulge sign (R-c = 0.97), quadriceps atrophy (R. = 0.97), medial tibiofemoral tenderness (R-c = 0.94), lateral tibiofemoral tenderness (R-c = 0.85), patellofemoral tenderness by grind test (R-c = 0.94), and flexion contracture (R-c = 0.95). The standardization process resulted in substantial improvements in reliability for evaluation of a number of physical signs, although for some signs, minimal or no effect of standardization was noted. After standardization, warmth (PABAK = 0.14), medial instability at 30degrees flexion (PABAK = 0.02), and lateral instability at 30degrees flexion (PABAK = 0.34) were the only 3 signs that were highly unreliable. Conclusion. With the exception of physical examinations for instability, a comprehensive knee examination can be performed with adequate reliability. Standardization further improves the reliability for some physical signs and techniques. The application of these findings to future OA studies will contribute to improved outcome assessments in OA.

Two knees or not two knees? Patient costs and outcomes following bilateral and unilateral total knee joint replacement surgery for OA

Aims: This study aims to address medical and non-medical direct costs and health outcomes of bilateral and unilateral total knee replacement from the patients' perspective during the first year post-surgery. Methods: Osteoarthritis patients undergoing primary unilateral total knee or bilateral total knee replacement (TKR) surgery at three Sydney hospitals were eligible. Patients completed questionnaires pre-operatively to record expenses during the previous three months and health status immediately prior to surgery. Patients then maintained detailed prospective cost diaries and completed SF-36 and WOMAC Index each three months for the first post-operative year. Results: Pre-operatively, no significant differences in health status were found between patients undergoing unilateral TKR and bilateral TKR. Both unilateral and bilateral TKR patients showed improvements in pain, stiffness and function from pre-surgery to 12 months post-surgery. Patients who had bilateral TKR spent an average of 12.3 days in acute hospital and patients who had unilateral TKR 13.6 days. Totally uncemented prostheses were used in 6% of unilateral replacements and 48% of bilateral replacements. In hospital, patients who had bilateral TKR experienced significantly more complications, mainly thromboembolic, than patients who had unilateral TKR. Regression analysis showed that for every one point increase in the pre-operative SF-36 physical score (i.e. improving physical status) out-of-pocket costs decreased by 94%. Out-of-pocket costs for female patients were 3.3 times greater than for males. Conclusion: Patients undergoing bilateral TKR and unilateral TKR had a similar length of stay in hospital and similar out-of-pocket expenditures. Bilateral replacement patients reported better physical function and general health with fewer health care visits one year post procedure. Patients requiring bilateral TKR have some additional information to aid their decision making. While their risk of peri-operative complications is higher, they have an excellent chance of good health outcomes at 12 months and are not going to be doubly 'out-of-pocket' for the experience. (C) 2004 OsteoArthritis Research Society International. Published by Elsevier Ltd. All rights reserved.