- MeSH
- alkoholismus * psychologie terapie MeSH
- lidé MeSH
- recidiva MeSH
- skupinová psychoterapie * MeSH
- Check Tag
- lidé MeSH
PURPOSE: The aim of this study was to assess the outcome of hip preserving surgery for femoroacetabular impingement relative to the condition resulting in FAI and to the patient's age at the time of the surgery. METHODS: With the conditions for exclusion duly met, enrolled in our study were a total of 100 hip joints (83 operated on with the aid of SHD, 17 with AMIS). The minimum follow-up period was 12 months, and the mean follow-up time was three years four months. WOMAC and NAHS questionnaires were used as rating instruments. To analyse the significance of the differences relative to the age at the time of surgery and to the basic diagnosis leading to FAI and subsequently to surgical operation we used non-parametric forms of analysis of variance (Friedman test and Kruskal-Wallis test), i.e., comparisons of the patients' pre-operative and postoperative states, estimation of the rate of improvement in the postoperative functional skills in relation to the age at the time of surgery and/or relative to the basic diagnosis necessitating surgical intervention, with respect to statistical significance at the level of p < 0.05. RESULTS: As testing of our cohort of patients and results analysis showed, the youngest group (<30 years) compared with the rest of the cohort shows greater postoperative improvement and consequently also a better surgical result. Proof was also obtained that the diagnosis leading to surgery for FAI has no effect on the patient's pre- or postoperative state or on the degree of improvement. CONCLUSIONS: The results of the study affirm the relevance of hip preserving surgery, especially in younger-aged groups.
- MeSH
- dospělí MeSH
- femoroacetabulární impingement diagnóza etiologie chirurgie MeSH
- kyčelní kloub chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- pooperační bolest epidemiologie MeSH
- senioři MeSH
- věkové faktory MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
A catalogue of all the known genera and subgenera of the Coleoptera series Derodontiformia and Bostrichiformia, each with a single superfamily (Derodontoidea and Bostrichoidea, respectively), is provided. The following new tribes are established and type genera are designated: Apphianini Háva trib. nov., Ranolini Háva trib. nov. (all Dermestidae); Ochinini Zahradník trib. nov., Phanerochilini Zahradník trib. nov. (all Ptinidae). The subgenus Paranovelsis has been removed as a synonym and has been reelevated to generic rank. The following new synonymies are proposed: Megatoma Herbst, 1791 (= Perimegatoma Horn, 1875 syn. nov., Caucasotoma Mroczkowski, 1967 syn. nov.); Trinodes Dejean, 1821 (= Trinodus Gistl, 1856 syn. nov.); Nosodendron Latreille, 1804 (= Nosodendrium Gistl, 1856 syn. nov.); Casapus Wollaston, 1862 (= Pithodes Wollaston, 1862 syn. nov.).
- MeSH
- brouci klasifikace MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
97 stran : barevné ilustrace ; 21 cm
Studie, která se zaměřila na ekonomické přínosy členství Česka v Evropské unii a na alternativní scénáře. Určeno odborné veřejnosti.; Stěžejním cílem studie je zhodnocení dekády českého členství v Evropské unii a jeho vlivu na domácí ekonomiku. Materiál se také zabývá alternativními scénáři, jakými je například postavení České republiky mimo EU. V takovém případě by jen za loňský rok byl HDP o 12 procent nižší, než je nyní.
- MeSH
- dějiny 21. století MeSH
- ekonomika MeSH
- Evropská unie dějiny ekonomika MeSH
- teoretické modely MeSH
- veřejná politika MeSH
- Check Tag
- dějiny 21. století MeSH
- Publikační typ
- hodnotící studie MeSH
- Geografické názvy
- Česká republika MeSH
- Evropa MeSH
- Konspekt
- Světová ekonomika a mezinárodní finance
- NLK Obory
- politologie, politika, zdravotní politika
- ekonomie, ekonomika, ekonomika zdravotnictví
- O autorovi
- Evropská unie Autorita
PURPOSE OF THE STUDY: Femoroacetabular impingement syndrome (FAI) represents a mechanical conflict between acetabulum and proximal part of the femur. This disorder may gradually result in the development of the hip osteoarthritis. FAI may be caused by an acetabular retroversion, rarely by coxa profunda or by asphericity of the femoral head and missing femoral head-neck offset respectively. However, a combination of both conditions is the most frequent. Before FAI treatment was adopted as a standard technique for hip preservation at our department, detailed cadaver studies of the vascular anatomy of the hip were performed and the relevant literature was reviewed. The aim of this study was to assess the efficiency of hip preserving surgery in relation to the technique used. We hypothesized that surgical intervention helped to alleviate pain and improve hip function. MATERIAL AND METHODS: In the period from October 11, 2005 to June 30, 2012, a total of 168 patients (190 hips) had surgery for FAI. After we met exclusion criteria, 83 hips were treated by surgical hip dislocation (SHD) and 17 undergoing anterior minimally invasive surgery (AMIS). The minimum follow-up was 12 months, with an average of 3 years and 4 months, and a range of 12 months to 7 years and 8 months. The subjective evaluation by the patients and the functional hip assessment were based on the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the non-Arthritic Hip Score (nAHS) questionnaires. To assess the efficiency of the techniques, the pre- and post-operative scores were compared in each group (SHD group, n=83; AMIS group, n=17). A comparison of pre- and post-operative data was also made for the groups joined together to evaluate the benefit of surgery as such in FAI treatment. The results were statistically analysed using the Wilcoxon test for paired samples; the level of significance was set at 0.05. RESULTS: There was a statistically significant increase in the scores obtained after surgery, as compared with the pre-operative data, in the SHD and AMIS groups and in all patients evaluated together. Hip survival without the necessity of conversion to total hip replacement was 96.4% (80/83 hips) in the SHD group and 94.1% (16/17 hips) in the AMIS group. no serious complications were recorded. DISCUSSIOn The rate of failure in the surgical treatment of FAI syndrome in our patients was in accordance with the literature data, as was the number of the patients requiring conversion to total hip replacement. Also the other results were comparable with those of relevant studies. CONCLUSIONS: Hip preservation surgery is an issue which has slowly been gaining consensus although opinions on it, including FAI surgical treatment, still vary. As FAI syndrome is a condition leading to degenerative changes in the hip, it is important to pay attention to a thorough diagnostic evaluation and a correct, though often long-term, therapy.
- MeSH
- alkoholismus etiologie psychologie MeSH
- lidé MeSH
- narcismus MeSH
- poruchy nálady komplikace psychologie MeSH
- poruchy osobnosti komplikace psychologie MeSH
- sebepojetí MeSH
- závislost (psychologie) MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- lidé MeSH
- psychoanalytická teorie MeSH
- schizofrenie a poruchy s psychotickými rysy patofyziologie psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- ambulantní péče MeSH
- lidé MeSH
- psychoanalytická terapie MeSH
- psychoanalýza MeSH
- skupinová psychoterapie MeSH
- sny psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- ambulantní péče MeSH
- dospělí MeSH
- hráčství psychologie MeSH
- lidé MeSH
- psychoanalytická teorie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- přehledy MeSH
- MeSH
- hráčství psychologie MeSH
- lidé MeSH
- psychoterapie MeSH
- sociální hodnoty MeSH
- Check Tag
- lidé MeSH