Hallux rigidus: Arthroplasty or arthrodesis. What technique produces better results?

Hallux rígidus (HR) affects the first metatarsophalangeal joint (MTPJ) between 35% and 60% of the population over 65 years and there are multiple ways of treatment. Depending on the radiological stage where you find the deformity determines the procedure to be performed; in the early stages cheilectomy techniques and corrective osteotomy is performed while the more advanced ratings, the surgeon chooses destructive techniques considered as arthrodesis and arthroplasty. This final of degree project aims to focus on 1 MTPJ destructive techniques to clarify which of the procedures generates better results by a number of parameters; outcomes of the American Orthopaedic Foot scale and Ankle Society Hallux metatarsophalangeal Interphalangeal-scale (AOFAS), range of motion (ROM) of the 1ºAMTF, radiological classification. As for the implant arthroplasty technique, this article offers information on material and design that generates better relating to patient characteristics such as age, inflammatory joint diseases, viability and durability of the implant results. The conclusion from this review is that the values obtained in the arthrodesis according AOFAS decrease due to loss of mobility, but both techniques have similar values of effectiveness and concludes with the decision that the technique used is determined taking into account various factors and patient characteristics. Keywords: Hallux rígidus; (Hallux Rígidus) and surgery treatment; Hallux Rígidus arthrodesis; Hallux Rígidus arthroplasty; Hallux Rígidus (arthroplasty and arthrodesis).

Franchise nations : theorising diaspora from outside In(dia)

Research on diaspora has long been dominated by approaches that centre on displacement, relocation, mixed identities, cultural hybridity, loss, yearning and disaffection. In this paper, I outline a fresh conceptual framework, franchise nation, which approaches the study of diaspora from the perspective of the state. What this framework allows is the study of the processes that states employ to woo, nurture and engage their diasporas so as to extend their sovereignty extra-territorially, ie. statecraft. The franchise nation concept draws on the notion of cultural expediency and complements two approaches that dominate the study of statecraft today: soft power and nation branding. However, the point of this is not, to borrow Gayatri Spivak’s words, to be either pro or anti-sovereign but rather to stay awake to how sovereignty is “invoked, extended, deterritorialised, aggregated, [and] abrogated” (2007). Far from suggesting the imminent arrival of a post-national period, the intention with the franchise nation concept is to explicate and better understand the complexities that inhabit the terrain between diaspora, home and host nation that allow and accompany the exercise of sovereignty from afar.

Epidemiology and risk factors of oral cancer in South Africa

Head and neck cancers are some of the leading cancers in the coloured and black South African male population and the perception exists that the incidence rates are rising. Aims: To determine the standardised morbidity rates and some of the risk factors for oral cancer in South Africa. Methods: Using histologically verified data from the National Cancer Registry, the age standardised incidence rates (ASIR) and life-time risks (LR) of oral cancer in South Africa were calculated for 1988-1991.2. In an ongoing case control study (1995 +) among black patients in Johannesburg/Soweto, adjusted odds ratios for developing oral cancers in relation to tobacco and alcohol consumption were calculated. Results: Coloured males vs. females: ASIR 13.13 vs. 3.5 (/100,000/year), LR 1:65 vs. 1:244. Black males vs. females: ASIR 9.06 vs. 1.75, LR 1:86 and 1:455. White males vs. females: ASIR 8.06 vs. 3.18, LR 1:104 vs. 1:278. Asian males vs. females: ASIR 5.24 vs. 6.66, LR 1:161 vs. 1:125. The odds ratio for oral cancer in black males in relation to smoking was 7.0 (95% CI 3.0-14.6) and daily alcohol consumption 1.3 (95% CI 0.6-2.8). In black females the odds ratios in relation to smoking were 3.9 (95% CI 1.7 8.9) and daily alcohol consumption 1.7(95% CI 0.7-4.1). Conclusions: The risk factors for oral cancer in South Africa are multiple and gender discrepancies in ASIR and LR signal differences in exposure to carcinogens. It is unclear whether the incidence of oral cancers will rise in the future.

Emil Joachimsthal Collection 1906-1916

Trauer-Gedenkbuch (commemoration booklet); military passport.

Weisenheim; Jewish Community Collection 1986

Clippings on visit of David Meyer in Weisenheimer synagogue in 1986.

Erich Goldberg Collection 1928-1933

Admission letter from Westfalia Loge (1928); letter of refusal for hospital admission for non Aryans (1933).

Hans Friedrich Kayser Collection 1877-1893

Photocopies of birth certificate (1877) and release from citizenship certificate (1893), Berlin.

Wittenberg; Jewish Community Collection 1933-1945

List of Jewish residents between 1933 and 1945. Photocopy from "The Jewish Chronicle" (1935) on persecution of Jews in Wittenberg.

Archives; Amsterdam.

Christie's; Amsterdam, 1989.

Wilhelm Dorn Collection 1908-1937

Documents: passport (Deutsches Reich/1937); citizenship certificate (1908).

Eugene Katz Collection 1947-1992

Various materials pertaining to the recollections of Eugene (Egon) Katz about his life in the 1920s and 1930s in Barntrup in North Rhine-Westphalia, Germany.

前列腺肥大对尿射流特性的影响

本文分析了尿射流的破碎特性,分析结果由实验加以验证,分析结果及实验方法为无创伤检测前列腺肥大疾病提供了可能。

流体力学基本方程组(BEFM)的层次结构理论和简化Navier-Stokes方程组(SNSE)

本文从流场中空间和时间的尺度分析及流体力学基本方程组(BEFM)中诸项的量级分析出发,提出了BEFM的层次结构理论,表明:当特征雷诺数Re>l、且一坐标方向的长度尺度大于其它坐标方向的长度尺度吋,按照BEFM中诸项的量级关系,形成从Euler方程到 BEFM 和从边界层方程到 BEFM 的两支层次结构,文中以二维可压缩流动和不可压缩轴对称射流为例说明了两支层次结构的关系和特点,分析了诸层次方程组的特征、次特征(Subcharacteristics)以及它们的数学性质,并把诸层次方程组与已有的诸简化Navier-Stakes方程组(SNSE)作了对照比较。

恒稳推进的煤与瓦斯突出

本文建立理想的一维运动模型,对煤与瓦斯突出的机理进行了探讨,指出煤的破碎起动与瓦斯渗流的耦合是煤与瓦斯突出的内在因素,大型突出相应于恒稳推进的情况,通过分析给出了讨论煤与瓦斯突出的重要的无量纲参数以及突出判据的近似形式。

用白光散斑的直接记录法测量曲面变形

本文提出以物体表面精细光学结构在白光照射下辐射率随机分布函数作为散斑场,以全息软片为记录介质,采取无镜头成象技术,得到宽频域的散斑底片,并用有一定带宽的准单色光进行全场分析,测量可展曲面变形,其结果不仅具有较高的灵敏度,较大的灵敏度调节范围,而且其中的准备过程、记录过程和分析过程比现有的各种测量曲面变形的散斑法都要简单,该方法将可展曲面变形问题简单地转化为平面问题处理,保留了白光散斑直接记录法在测量平面变形时的全部优点,并能脱离暗室在工程现场中应用。