Arthroscopy in Arthrosis: Is It Worth it? A case Presentation

2018 ◽  
Vol 69 (8) ◽  
pp. 2232-2235
Author(s):  
Marius Moga ◽  
Mark Edward Pogarasteanu ◽  
Antoine Edu

The role of arthroscopy in incipient and mild arthrosis, even combined with proximal tibial ostetomy, is well known and well documented. On the other hand, its role in the treatment of advanced arthrosis of the large joints, especially the knee, is a subject of controversy. The proponents of the use of arthroscopy in advanced arthrosis claim that meniscectomy, synovectomy, ostophytectomy, chondral lesion stabilization, arthroscopic release, plica and loose body removal greatly improve the quality of life for most patients, especially if followed by the use of viscoelastic injection, by diminishing pain and improving joint range of motion. The opponents claim that, even though the advantages are clear in the cases that refuse arthroplasty, in all the other cases the surgical indication should be total knee arthroplasty, as the clinical relief is temporary, but with all the risks of a surgical intervention. We have conducted an overview of the recent literature, in order to find objective evidence to sustain either point of view. We focused on articles published that included an objective measurement of before and after clinical status through clinical scores and objective measurements. We also focused on the follow-up period and on the evolution of the pathology after arthroscopy.

1990 ◽  
Vol 69 (3) ◽  
pp. 880-884 ◽  
Author(s):  
G. L. Jones ◽  
C. G. Lane ◽  
P. M. O'Byrne

Airway hyperresponsiveness after inhaled ozone in dogs may occur as a result of thromboxane release in the airway. In this study, two thromboxane receptor antagonists, L-655,240 and L-670,596, were used in doses that inhibit the response to an inhaled thromboxane mimetic, U-46619, to determine further the role of thromboxane in ozone-induced airway hyperresponsiveness. Dogs were studied on 2 days separated by 1 wk. On each day, the dogs inhaled ozone (3 ppm) for 30 min. On one randomly assigned day, 10 dogs received an infusion of L-655,240 (5 mg.kg-1.h-1) and 5 dogs received an infusion of L-670,596 (1 mg.kg-1.h-1); on the other day dogs received a control infusion. Airway responses to doubling doses of acetylcholine were measured before and after inhalation of ozone and were expressed as the concentration of acetylcholine giving a rise in resistance of 5 cmH2O.l-1.s from baseline (acetylcholine provocation concentration). The development of airway hyperresponsiveness after ozone was not inhibited by the thromboxane antagonists. The mean log difference in the acetylcholine provocative concentration before and after ozone on the L-655,240 treatment day was 0.62 +/- 0.12 (SE) and on the control day was 0.71 +/- 0.12 (P = 0.48); on the L-670,596 treatment day the mean log difference was 0.68 +/- 0.15 (SE) and on the control day it was 0.75 +/- 0.19 (P = 0.45). These results do not support an important role for thromboxane in causing ozone-induced airway hyperresponsiveness.


Author(s):  
Adistya Iqbal Irfani, ◽  
Moh. Yasir Alimi ◽  
Rini Iswari

Tujuan penelitian ini adalah untuk mengeksplorasi bentuk toleransi dan faktor pendorong dan faktor penghambat toleransi masyarakat Jawa dengan studi kasus di Dukuh Medono Kabupaten Batang. Di dukuh tersebut, penganut organisasi agama seperti NU, Muhammadiyah dan Kristen Jawa di Dukuh Medono saling hidup rukun. Metode penelitian menggunakan metode penelitian kualitatif dengan pendekatan fenomenologi. Hasil penelitian menunjukan bahwa toleransi antar penganut NU, Muhammadiyah, Kristen Jawa tampak berbagai bentuk. Antara NU dan Kristen Jawa dalam bentuk partisipasi dalam ritual tahlilan, sedangkan antar ketiganya tampak dalam bentuk kerja bakti, saling membantu dalam acara hajatan, perkawinan campur dan saling berkunjung bila ada yang sakit. Faktor pendorong toleransi antara lain budaya toleransi yang sudah lama, pernikahan antar penganut yang berbeda, sosialisasi toleransi dalam keluarga, dan kepemimpinan desa yang menekankan pentingnya toleransi. Sedangkan faktor penghambat toleransi yaitu perbedaan pandangan antar penganut NU dan Muhammadiyah dalam pelaksanaan ibadah, pernikahan beda keyakinan, dan sikap menyinggung keyakinan diantara penganut yang ada. The objective of this study is to explore forms of tolerance and the driving factor of religious tolerance in Dukuh Medono, Batang. In that village, the followers of NU, Muhammadiyah, and Kristen Jawa live peacefully and united in tolerance. The research method used here is a qualitative method with phenomenology approach. The result of the research shows that the tolerance between NU followers and Javanese Christians take the form of participation in tahlilan ritual. The tolerance between NU, Muhammadiyah followers, and Kristen Jawa followers are expressed through kerja bakti, mutual support in hajatan rituals, mixed marriage, visits to the sick, and social activities together. The factors which help to create tolerance include the culture of tolerance which exist in the village, marriages between religious followers, the socialization of tolerance within family, the socialization of tolerance within the society and the role of village administrative leaders. On the other hand, the factors which distract tolerance are different point of view between NU dan Muhammadiyah followers in some religious aspects, marriage between different religious followers, and the attitude of insulting others beliefs.


2019 ◽  
Vol 25 (2) ◽  
Author(s):  
David Wästerfors ◽  
Hanna Edgren ◽  
André Grigoriadis

”Fighting was the only thing I was good at”– Accounts and biographical turns in previously criminal women’s personal storiesToday’s narrative criminology offers a more nuanced approach to understanding crime than many previous approaches. In this article we draw on personal stories from four middle-aged women with criminal experiences to explore some analytic tracks in this area. First, we show how recognizable sad tales, employed by the women to account for previous crimes and drug use, are supplemented by incorporated aspects of happy tales, as well as reflexive markers of storytelling and ”accounts of accounts”. The women identify their formerly active neutralizations, and they account for why they used them. Second, we refine an analysis of biographical turning points by focusing details that complicate the points at issue. Life changes are narrated as more uncertain, oscillating, long lasting and educational than might be expected. ”Doing motherhood” and a Meadian story of taking the role of the other are conspicuous; the narrators try to depict their lives from their children’s point of view. Having a child and, eventually, caring for it is attributed a life changing significance.


Author(s):  
M. Nur Erdem

Violence has been a part of daily life in both traditional and digital media. Consequently, neither the existence of violence in the media nor the debates on this subject are new. On the other hand, the presentation of violence in fictional content should be viewed from a different point of view, especially in the context of aesthetization. Within this context, in this chapter, the serial of Penny Dreadful is analyzed. As analyzing method, Tahsin Yücel's model of the “space/time coordinates of narrative” is used. And the subject of “aestheticization of violence” is analyzed through a serial with the elements of person, space, and time. Thus, the role of not only physical beauty but also different components in the aestheticization of violence is examined.


2019 ◽  
Vol 16 (2) ◽  
pp. 219-238
Author(s):  
Nikos Vergis

AbstractDoes having a communicative role other than the speaker’s make a difference to the way pragmatic meaning is construed? Standard paradigms in interpersonal pragmatics have implicitly assumed a speaker-centric perspective over the years, however modern approaches have re-considered the role of listener evaluations. In the present study, I examine whether assuming different communicative roles (speaker, listener, observer) results in varying interpretations. A web-based experiment revealed that participants who took the perspective of different characters in short stories differed in the way they interpreted what the speaker meant. In most cases, participants in the role of the listener interpreted speaker meaning in more negative ways than participants in the other roles. The present study suggests that the directionality of the difference (negative inferences under the listener’s perspective) could be explained by taking into account affective factors.


2012 ◽  
Vol 24 (3) ◽  
pp. 229-248
Author(s):  
Tim Carter

AbstractBy the last quarter of the eighteenth century, the typical Metastasian two-stanza aria text could be set to music in one of two ways: in the ternary form typical of the earlier da capo aria (stanzas 1–2–1) or in a binary one (stanzas 1–2–1–2). Why did Mozart choose one form over the other in Idomeneo (1781); what does this tell us about the role of his librettist, Giovanni Battista Varesco, both before and after the composer left Salzburg for Munich to finish composing the opera and to prepare its performance; and how might these issues enable some rational inquiry into questions of music and drama?


Author(s):  
Helle Vandkilde

Warfare may be understood as violent social encounter with the Other, and has in this sense occurred from the first hominid societies until today. Ample evidence of war-related violence exists across time and space: skeletal traumata, material culture, weapons, war-related ritual finds, fighting technologies, fortifications, and martial iconographies. The archaeology of war is a late ‘discovery’ of the mid 1990s, but advances have recently been made in understanding the scale and roles of warfare in pre- and protohistory and how warfare and warriorhood relate to society, culture, evolution and human biology. This chapter ventures into this discursive field from a theoretical and archaeological point of view while reflecting upon the effectiveness and role of war as a prime mover in history. It is argued that war was often present but never truly endemic, and that war essentially is a matter of culture.


1998 ◽  
Vol 30 (6) ◽  
pp. 928-932 ◽  
Author(s):  
MALACHY P. McHUGH ◽  
IAN J. KREMENIC ◽  
MICHAEL B. FOX ◽  
GILBERT W. GLEIM

2012 ◽  
Vol 28 (2) ◽  
pp. 222-227 ◽  
Author(s):  
Neil E. Bezodis ◽  
Aki I.T. Salo ◽  
Grant Trewartha

Two-dimensional analyses of sprint kinetics are commonly undertaken but often ignore the metatarsal-phalangeal (MTP) joint and model the foot as a single segment. The aim of this study was to quantify the role of the MTP joint in the early acceleration phase of a sprint and to investigate the effect of ignoring the MTP joint on the calculated joint kinetics at the other stance leg joints. High-speed video and force platform data were collected from four to five trials for each of three international athletes. Resultant joint moments, powers, and net work at the stance leg joints during the first stance phase after block clearance were calculated using three different foot models. Considerable MTP joint range of motion (>30°) and a peak net MTP plantar flexor moment of magnitude similar to the knee joint were observed, thus highlighting the need to include this joint for a more complete picture of the lower limb energetics during early acceleration. Inclusion of the MTP joint had minimal effect on the calculated joint moments, but some of the calculated joint power and work values were significantly (P < .05) and meaningfully affected, particularly at the ankle. The choice of foot model is therefore an important consideration when investigating specific aspects of sprinting technique.


2016 ◽  
Vol 4 (4) ◽  
pp. 367-384 ◽  
Author(s):  
Thomas Birkner ◽  
Daniel Nölleke

Using the concept of mediatization, in this article, we analyze the relationship between sport and media from a sport-centered perspective. Examining the autobiographies of 14 German and English soccer players, we investigate how athletes use media outlets, what they perceive as the media’s influence and its logic, and—crucially—how this usage and these perceptions affect their own media-related behavior. Our findings demonstrate the important role of the media for the sports systems from the athlete’s point of view and demonstrate the research potential of mediatization as a fruitful concept in studies on sport communication. On the one hand, the sport stars reflect in their autobiographies that their status and income depend on media coverage; and on the other hand, they complain about the omnipresence of the media, especially offside the pitch and feel unfairly treated by the tabloid press, both in England and in Germany.


Sign in / Sign up

Export Citation Format

Share Document