Classification and Treatment of Supramalleolar Deformities

2011 ◽  
Vol 32 (11) ◽  
pp. 1023-1031 ◽  
Author(s):  
Markus Knupp ◽  
Sjoerd A.S. Stufkens ◽  
Lilianna Bolliger ◽  
Alexej Barg ◽  
Beat Hintermann
Keyword(s):  
Ankle Joint ◽  
Operative Procedure ◽  
Level Of Evidence ◽  
Age And Gender ◽  
Additional Surgery ◽  
Different Types ◽  
Prospective Comparative Study ◽  
And Gender ◽  
Classification And Treatment

Background: Supramalleolar osteotomies are increasingly popular for addressing asymmetric arthritis of the ankle joint. Still, recommendations for the indication and the use of additional procedures remain arbitrary. We preoperatively grouped different types of asymmetric arthritis into several classes and assessed the usefulness of an algorithm based on these classifications for determining the choice of supramalleolar operative procedure and the risk factors for treatment failure. Methods: Ninety-two patients (94 ankles) were followed prospectively and assessed clinically and radiographically 43 months after a supramalleolar osteotomy for asymmetric arthritis of the ankle joint. Results: Significant improvement of the clinical scores was found. Postoperative reduction of radiological signs of arthritis was observed in mid-stage arthritis. Age and gender did not affect the outcome. Ten ankles failed to respond to the treatment and were converted to total ankle replacements or fused. Conclusions: Supramalleolar osteotomies can be effective for the treatment of early and midstage asymmetric arthritis of the ankle joint. However, certain subgroups have a tendency towards a worse outcome and may require additional surgery. Therefore preoperative distinction of different subgroups is helpful for determination of additional procedures. Level of Evidence: II, Prospective Comparative Study

Soft Tissue Thickness Variations of the Nose: A Radiological Study

2020 ◽  
Vol 40 (7) ◽  
pp. 711-718
Author(s):  
Melekber Çavuş Özkan ◽  
Fatma Yeşil ◽  
İnci Bayramiçli ◽  
Mehmet Bayramiçli
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Soft Tissue Coverage ◽  
Limited Information ◽  
Tissue Thickness ◽  
Level Of Evidence ◽  
Age And Gender ◽  
Soft Tissue Envelope ◽  
Soft Tissue Thickness ◽  
And Gender

Abstract Background Soft tissue thickness (STT) is a major factor affecting the outcome in rhinoplasty. However, limited information is found in the literature on the age- and gender-related variations of the nasal STT. Objectives The purpose of this study was to measure STT at various landmarks over the nasal framework and compare the age- and gender-related differences. Methods STT measurements were made at 11 landmarks in 325 patients by employing magnetic resonance imaging. Patients were divided into subgroups to compare the STT differences between female and male and between the age groups as young, middle age, and elderly. Results Soft tissue was thickest at the nasion and thinnest at the rhinion. The soft tissue coverage was significantly thicker in the male population at the supratip, tip, nasal bones, upper lateral cartilages, and alar lobules, whereas it is thicker in females at the rhinion. Average thickness of the soft tissues over the entire nasal framework increases with age except the rhinion. Conclusions The STT is variable over different parts of the osteocartilaginous framework. Gender and age influence the STT. The soft tissue is thicker at the distal half of the nose in male patients, and these areas become gradually thicker with age, whereas the soft tissue over the midvault becomes thinner. Increasing age presents a particular challenge to achieve predictable results in rhinoplasty, and an understanding of the soft tissue envelope allows for improved aesthetic outcome. Level of Evidence 2

scholarly journals Ludność powiatu bialskiego w latach międzywojennych – wybrane aspekty analizy demograficznej

2020 ◽  
Vol 17 (4) ◽  
pp. 32-51
Author(s):  
Anna Madej ◽  
Keyword(s):  
Population Growth ◽  
Urban Population ◽  
Data Sets ◽  
Demographic Structure ◽  
Age And Gender ◽  
Peripheral Position ◽  
History Of ◽  
And Gender ◽  
Demographic Potential

The Biała Podlaska poviat was almost at the geographical centre of the interwarperiod Second Polish Republic (1918–1939). However, its peripheral position in relation to other Districts of central voivodships resulted in a number of events and processes that were taking place at that time having a slightly different outmode in its territory. The article attempts to present selected aspects of the demographic structure to confront the extent to which the field of interest diverges from the neighbouring areas. Besides a determination of the population of the district, its structure was analysed in terms of age, gender, level of urbanization and structure of employment. Particularly valuable information was obtained through confrontation of data from the 1921 and 1931 censuses in terms of changes taking place among employment in fundamental branches of the economy. The period was also important for the urban population, which is one of the determinants of the level of modernity of society. Presentation of population growth the county and its characteristics in terms of age and gender provided information on the demographic potential of the analysed area. The analysis provided a number of interesting data sets, somewhat corroborating the varied character of the Biała Podlaska district. The information can be used for further research on the history of the district.

scholarly journals Determination of Moving Speed of School Age Children

2021 ◽  
Vol 2021 ◽  
pp. 1-16
Author(s):  
Milan Simeunović ◽  
Ilija Tanackov ◽  
Pavle Pitka ◽  
Milja Simeunović ◽  
Zoran Papić
Keyword(s):  
School Age Children ◽  
Experimental Measurements ◽  
School Age ◽  
Age And Gender ◽  
Average Speed ◽  
Gender And Age ◽  
And Gender ◽  
Moving Speed ◽  
Number Of Authors

School age children (pedestrians) can move at different speeds, which are conditioned by certain parameters. Not all parameters have the same effect on the pedestrian speed. According to the literature, gender and age are the most researched parameters that have an impact on the speed of pedestrians. However, a small number of authors have dealt with the influence of movement regimes (slow, normal, fast, run, and rush) on pedestrian speed, while at the same time taking into account age and gender. For that reason, this article measured the speed of movement of school age children by movement regimes, taking into account age and gender. Within the same movement regime, the influence of age, sex, height, and weight on the speed of movement was investigated. Experimental measurements of the speed of movement of pedestrians aged 7 to 20 years were performed. Based on the results of measurements and statistical analyzes, recommendations on the average speed of movement regimes, age, and gender are given.

scholarly journals Estimation of Spectral Amplitude Measures in Healthy Aged Individuals

2015 ◽  
Vol 5 (2) ◽  
pp. 42-47
Author(s):  
Radish Kumar Balasubramanium ◽  
Dhanya Monnappa
Keyword(s):  
Healthy Aging ◽  
Spectral Amplitude ◽  
Physiological Changes ◽  
Harmonic Structure ◽  
Age And Gender ◽  
Age And Gender Differences ◽  
Different Types ◽  
Harmonic Measures ◽  
And Gender ◽  
The Voice

ABSTRACT Introduction The anatomical and physiological changes in the phonatory system due to aging have a major impact on voice. Widely researched parameters of voice like fundamental frequency and the perturbation measures have strong correlation with age. However, these measures depend on the location of the exact pitch pulses and it may yield unreliable results in case of a severely aperiodic voice. Also, harmonic measures of voice in healthy aging are scanty in the literature. Aim The present study focused on determining the changes in harmonic-related measures in healthy aging individuals using spectral amplitude measures. Materials and methods The participants were classified into three groups as young, middle-aged, and elderly adults based on their age. All the participants were required to sustain three different types of vowels. Voice samples were analyzed using CSL software to obtain the spectral amplitude measures. Results This showed that there was a decrease in spectral amplitude measures with aging. Discussion Thus, suggesting that the harmonic structure of voice is not affected in healthy aged individuals. Vowel type and gender also influences the harmonic-related measures in the healthy aging population. Conclusion The results of the present study could be used by the voice clinicians while assessing adults with voice disorders. It will also help the clinicians in delineating the age and gender differences in the vocal parameters. How to cite this article Monnappa D, Balasubramanium RK. Estimation of Spectral Amplitude Measures in Healthy Aged Individuals. Int J Phonosurg Laryngol 2015;5(2):42-47.

Postmodern consumption and alternative medications

2001 ◽  
Vol 37 (2) ◽  
pp. 157-176 ◽  
Author(s):  
Lisa Rayner ◽  
Gary Easthope
Keyword(s):  
Self Assembly ◽  
Use Value ◽  
Niche Markets ◽  
Paradigm Case ◽  
Age And Gender ◽  
Different Types ◽  
Symbolic Value ◽  
Predominantly Female ◽  
And Gender ◽  
Alternative Medications

Alternative medicine consumption is examined as a paradigm case of postmodern consumption. Content analysis of advertisements and analysis of a survey of purchasers of such medicines demonstrate niche markets delineated by life style, an emphasis on symbolic value rather than use value and the use of such medicines as a means of self-assembly – all features predicted by theorists of postmodern society. However, purchasers are predominantly female, and age and gender distinguish different types of products purchased, purchase is not entirely symbolic and many purchases are made to be consumed by others, making it uncertain whether they are used for self-assembly. These results suggest modifications to theories of postmodern consumption are necessary.

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