Epiphyseal fracture of distal humerus in children, treated with bio-absorbable materials: one year follow-up

Introduction: The use of bioabsorbable materials for orthopaedic useand traumatic fracture fixation in children has been poorly investigatedin the litterature and the effects on growing bones seem contradictory.The aim of the study is to compare the clinical and radiological resultsand evolution between bioabsorbable and traditional K-Wires for thetreatment of elbow epiphyseal fractures in children.Method: From jan. 2008 to Dec. 2009 21 children with similar fracturesand age were separated in two groups according to the way of fracturefixation: bioabsorbable K-Wire group and traditional K-Wire group.Follow-up was done at 3, 6 and 12 month post-operatively. Range ofmotion and elbow stability were measured for all patients. Theradiological evolution of the two groups were compared in term ofconsolidation, ossous resorption and radiolucencies. The clinicalresults were compared according to the Mayo Elbow Peformancescore. Controlateral elbow is compared with injured elbow in the twogroups.Results: In the bioabsorbable K-wire group, there were 10 children,including 5 girles and 5 boys with an average age of 9.5 years, rangingfrom 5 to 14 years. They were 7 external condylar fractures and3 epitrochlear fractures. In the traditional K-Wire group there were11 children, 2 girls and 9 boys with an average age of 7.6 years,ranging from 4 to 14 years. There were 10 external condylar fracturesand 1 epitrochlear fracture. At first follow up. The Mayo ElbowPerformance score was 93.8 (85-100 )for the bioabsorbable K-Wiregroup and 95.5 (85-100) for the traditional K-Wire group. In twochildren from the bioabsorbable K-Wire group there were transitoryradiolucencies along the wire tract on the x-ray, without clinicalmanifestation of it.We didn't see any premature closure of growingcartilage.Discussion: There is no significant differencies in term of clinical andradiological outcome between the two groups. The use ofbioabsorbable pins seems to be a good alternative to removabletraditional materials, avoiding a second operation.

Kasvupaikkatekijöiden vaikutus vanhojen ojitusalueiden taimettumiseen : Kirjallisuuteen perustuva tarkastelu

Summary: effect of site factors on restocking of old drainage areas. A litterature review

Fictions cartographiques

Considering normal maps that geographers do, it is possible to discuss strange maps in confrontation with the status of real maps. It is by using a precise epistemological model inspired by S. Lupasco that we will examine four relevant examples of fictuous maps. We will refer explicitly to a ternary epistemological model to confront extravagant situations furnished by litterature in regard to our normal maps. By using an explicite ternary language in relation here to the structure of the map, we will refer to the two fundamental concepts of scale and legend to show how those four fictions are emblematic and help us to understand the real maps. The ternary model scale/legend/mapmaking will be the reference model to illustrate how the Captain's map in L. Carroll, the Utopia Island of T. More, the Map of China of J.-L. Borgès and the Tender Map of M. de Scudéry are referenced in our model in regard of the real map, tertium datur, the mediator in the interaction of scale and legend.

Kirjallisuuskatsaus giardian epidemiologiaan ja esiintyminen suomalaisissa kissoissa

Summary: Litterature review of epidemiology of Giardia and prevalence study in Finnish cats

Rupture d'une hyperplasie nodulaire focale. A propos de deux cas [Rupture of hepatic focal nodular hyperplasia. About two cases]

The diagnostics of focal nodular hyperplasia is reached through the use of imaging. When the diagnostic is certain, surgical abstention is the rule. Nevertheless, we were confronted with two cases of a rare complication; that of intraperitoneal rupture. In this situation, we suggest to first do an arteriography to control the bleeding, then to perform surgery when the patient has reached hemodynamic stability. Spontaneous rupture as a complication of benign nodular hyperplasia remains a rare event and only five cases were reported in litterature.

Travail militant, action collective et rapports de genre

In that paper we propose a gendered approach to social movements and political activism, based on a critical review of the litterature in French and English. In social movements and militantism studies, gender lines of division are most of the time ignored. Social movements are perceived as being « gender neutral ». However, that dimension is a determinant factor of collective action at the macro level of political opportunities and contexts, at the meso level of organisations and their modes of functionning, at the micro level of the logics of individual commitment and the division of militant labor.

India in Translation through Hindi Literature. A Plurality of Voices

What role have translations from Hindi literary works played in shaping and transforming our knowledge about India? In this book, renowned scholars, translators and Hindi writers from India, Europe, and the United States offer their approaches to this question. Their articles deal with the political, cultural, and linguistic criteria germane to the selection and translation of Hindi works, the nature of the enduring links between India and Europe, and the reception of translated texts, particularly through the perspective of book history. More personal essays, both on the writing process itself or on the practice of translation, complete the volume and highlight the plurality of voices that are inherent to any translation. As the outcome of an international symposium held at the University of Lausanne, Switzerland, in 2008, India in Translation through Hindi Literature engages in the building of critical histories of the encounter between India and the «West», the use and impact of translations in this context, and Hindi literature and culture in connection to English (post)colonial power, literature and culture.

Drug utilisation in a neonatal intensive care unit of a swiss university hospital

Introduction Medication errors in hospitalsmay occur at any step of the medication process including prescription, transcription, preparation and administration, and may originate with any of the actors involved. Neonatal intensive care units (NICU) take care of extremely frail patients in whom errors could have dramatic consequences. Our objective was to assess the frequency and nature of medication errors in the NICU of a university hospital in order to propose measures for improvement.Materials & Methods The design was that of an observational prospective study over 4 consecutivemonths. All patients receiving C 3drugs were included. For each patient, observations during the different stages were compiled in a computer formulary and compared with the litterature. Setting: The 11-bed NICU of our university hospital.Main outcome measures:(a) Frequency and nature of medication errors in prescription,transcription, preparation and administration.(b) Drugs affected by errors.Results 83 patients were included. 505 prescriptions and transcriptions, 447 preparations and 464 administrations were analyzed. 220 medications errors were observed: 102 (46.4%) at prescription, 25 (11.4%) at transcription, 19 (8.6%) at preparation and 73 (33.2%) at administration. Uncomplete/ambiguous orders (24; 23.5%) were the most common errors observed at prescription, followed by wrong name (21; 20.6%), wrong dose (17; 16.7%) and omission (15; 14.7%). Wrong time (33; 45.2%) and wrong administration technique (31; 42.5%) were the most important medication errors during administration. According to the ATC classification, systemic antibacterials (53; 24.1%) were the most implicated, followed by perfusion solutions (40; 18.2%), respiratory system products (30; 13.6%), and mineral supplements and antithrombotic agents (20; 9.1%).Discussions, Conclusion Proposed recommendations: ? Better teaching of neonatal prescription to medical interns;? Improved prescription form to avoid omissions and ambiguities;? Development of a neonatal drug formulary, including prescription,preparation and administration modalities to reduce errors at different stages;? Presence of a clinical pharmacist in the NICU.Disclosure of Interest None Declared

On y voit rien. Le recours aux sources de presse pour l'analyse des mobilisations protestataires

Aujourd'hui la PEA est devenue la méthode la plus employée dans le champ des études de mobilisation. Toutefois, il est frappant que les limites, nombreuses, de cette méthode, demeurent peu explorées, malgré une abondante littérature critique. C'est à ces questions des biais propres aux sources de presse dans le cadre de la PEA et aux moyens de les explorer que ce working paper se consacre. Nous commencerons par montrer, en deux temps, comment la question de la systématicité gagne à être explorée à partir d'enquêtes qualitatives, en nous appuyant sur un travail inédit mené naguère auprès du journal Le Monde, dans le cadre d'une recherche collective sur les transformations de l'activisme environnemental en Europe, dont les données seront comparées avec des sources de police, le dépouillement des dépêches de l'Agence France-Presse sur six mois, et surtout une série d'interviews avec des journalistes spécialisés dans l'environnement. L'on revient dans un second temps à la question de la sélectivité des sources en tentant de montrer comment dans toute une série de circonstances et pour toute une série de groupes, les luttes ne sauraient se réduire ni aux événements protestataires ni à un appel à l'Etat ou à l'opinion. L'on espère ainsi proposer des moyens de se garder d'un défaut commun à tout conventionnalisme méthodologique qui, ici comme ailleurs, frappe la recherche, soit la réitération de mesures conventionnelles ayant pour effet de les institutionnaliser en dehors de toute réflexion sur leur pertinence. Protest Events Analysis (PEA) has by no doubts become one the most used method in the field of social movement research. Yet, the numerous biases of that method have not been explored completely, despite a rich litterature. Our paper first proposes a discussion of the systematicity of biases, based on an empirical research on environmental journalists in various French newspapers and Agence France press. Secondly, we deal with the question of selectivity of biases. Finally, we propose some methodological recommendations in order to improve our understanding of social movements and to avoid methodological conventionalism.

Formeritelan alipaineen vaikutus kartonkikitaformerin vedenpoistojakaumaan ja rainan ominaisuuksiin

Diplomityön tavoitteena oli selvittää kartonkikitaformerin formeritelan alipaineen vaikutusta vedenpoistoon ja rainan ominaisuuksiin. Kirjallisuusosuudessa selvitetään erilaisten vedenpoistotapahtumien teoreettisia vedenpoistokaavoja sekä niiden avulla laskettuja vedenpoistopaineita. Kokeellisessa osuudessa verrataan vedenpoistopaineen ja vedenpoistomäärän mandollista suhdetta. Kokeiden perusteella voi todeta, että alipaineella voi vaikuttaa kokonaisvedenpoistoon sekä vedenpoistojakaumaan. Vedenpoistopaineen ja poistuneen vesimäärän välistä riippuvuussuhdetta ei useimmissa tutkituissa vedenpoistotapahtumissa ollut havaittavissa. Nykyiset vedenpoistopaineen yhtälöt kattavat tela-alueen vedenpoistotapahtumat vain osittain. Tela-alueen vedenpoistotapahtumien ja erilaisten riippuvuussuhteiden ymmärtäminen vaatii tulevaisuudessa vielä enemmän tutkimustyötä.

El escepticismo identitario en la obra de Jorge Luis Borges

Este trabajo estudia la actitud de Borges respecto de la identidad, en general, y la identidad nacional, en particular. En la primera parte realizo una breve exposición de la tradición escéptica, de la que Borges es deudor, centrándome especialmente en el tratamiento que ésta le da al tema de la identidad. En la segunda parte, estudio de qué modo el escepticismo identitario se concreta en la obra de Jorge Luis Borges ; ABSTRACT: This paper explores the attitude of Borges with regard to identity, specifically the national identity. In the first part I study the skeptic tradition, that is predominant in Borges works, specially in connexion with the subject of identity. In the second part, I study how identitary skepticism appears in borgean litterature. KEYWORDS: Jorge Luis Borges. Skepticism. Identity. Nationalism. Latin american literature. Michel de Montaigne.

Ketjumainen toimintamalli henkilöstöravintolayrityksessä

Tutkimuksen tavoitteet Tutkimuksen tavoitteina oli selvittää millaisella toimintamallilla voidaan varmistaa asiakaslähtöinen ja kustannustehokas toimintatapa, joka tuottaa tasalaatuiset palvelut sekä varmistaa yhteisesti sovittujen toimenpiteiden toteutumisen case-yrityksen ylläpitämissä henkilöstöravintoloissa nopeasti ja tehokkaasti. Tutkimusongelmaa lähestyttiin strategisesta näkökulmasta. Kilpailustrategian avulla yritys asemoidaan ympäristöönsä sekä valitaan käytettävät kilpailukeinot. Kilpailuetua haetaan toimintamalleja ja niiden osia kehittämällä. Tällaisia ovat esimerkiksi oppiminen, organisaatiorakenne ja asiakkuuden hallinta. Kustannustehokkuus aikaansaadaan ketjuohjauksella ja asiakaslähtöisyys hyväksikäyttämällä massaräätälöintiä. Asiakasryhmien määrittämiseen käytettiin segmentoinnin teoriaa. Lähdeaineisto Teoriaosuudessa lähdeaineistona käytettiin kotimaista ja ulkomaista kirjallisuutta, jotka käsittelevät strategista ajattelua, kilpailustrategiaa, kilpailuetua, ketjutoimintaa, massaräätälöintiä, segmentointia ja asiakkuuden hallintaa. Empiriaosuuden lähdeaineistona toimivat case-yrityksen strategiaprosessia varten keräämät materiaalit sekä tutkijan omat kokemukset projektin vetäjänä. Tulokset Lopputuloksena case-yritykselle ehdotetaan tutkimuksessa rakentuneita valikoimien- ja toiminnanohjausmalleja. Valikoimien ohjausmallin muodostamiseen käytettiin massaräätälöinnin teoriaa. Toiminnanohjausmalli rakennettiin puolestaan ketjutoiminnan teoriaan perustuen.