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Biomedical subjects

M Wildner

Publications and source records attributed to M Wildner.

42 records · Page 3Linked to original sources

Avoidable causes of cancellation in elective orthopaedic surgery.

As part of an audit of clinical practice in an orthopaedic unit for elective surgery, a study was made of the causes of cancellation of operations. Despite careful liaison with general practitioners, and a booked admission policy, over 6% of patients were cancelled as unsuitable. The results of this study suggest that the number of cancellations on medical grounds would be reduced by closer liaison with general practitioners, and the establishment of preadmission clinics. Ensuring that only consultants book patients for surgery would also reduce the number of cancellations due to incorrect indications for surgery.

Appointments and Schedules↗

[Transport of benzo(a)pyrene into animal organs following the feeding of activated sludge from swine manure].

In feeding experiments with pigs and fish (carp and trout) the test animals received quotas of activated sludge of 7.5 and 15% DM (pigs) and 20% (carp) in their mixed feed. In an experiment with trout in an aquarium the quota of activated sludge was increased from 20% to 50%. The benzo(a)pyrene content was ascertained in selected organs of the pigs (kidney, liver, bacon, muscles) and the edible parts of the fish. As a result of this experiment one can say that the feeding of activated sludge from pig manure does not result in an increased benzo(a)pyrene content in the tested organs of the pigs and the edible parts of the fish.

Animal Feed↗

[Evaluation of the North American Spine Society Instrument for assessment of health status in patients with chronic backache].

PURPOSE OF THE STUDY: The translation/back and translation and validation of the North American Spine Society (NASS) Instrument in German was published recently. This contribution aims at describing the scoring of this questionnaire. METHOD: The scoring is oriented on the recommendations of the developing scientists of the US-American original, with whom we cooperated during the German validation. RESULTS: The scoring algorithm is described, a program for computerized scoring in SPSS was written. Program syntax and the questionnaire are reproduced. CONCLUSION: The contribution enables interested researchers to apply and score the NASS questionnaire in German-speaking countries.

Back Pain↗

[Validation of the North American Spine Society Instrument for assessment of health status in patients with chronic backache].

BACKGROUND: Pain and functional limitations are the chief symptoms in patients with back pain. However, standardized assessment of these domains are still not commonplace in clinical practice. The objective of this study was the cultural adaptation and validation of the North American Spine Society (NASS) Lumbar Spine Outcome Assessment Instrument for German speaking patients with back pain. METHODS: Translation and backtranslation of the NASS instrument was performed according to international recommendations. 56 consecutive inpatients with a confirmed diagnosis of dorsopathia completed a German version of the NASS instrument, the SF-36 and an established German instrument for back patients (FFbH-R). All patients completed the questionnaires 48 hours apart to assess test-retest reliability. Validity was assessed through correlation with corresponding subscales of the SF-36, the FFbH-R and a 0-10 pain numeric rating scale. Internal consistency and item-to-scale correlation served as statistics of reliability. RESULTS: The two subscales of the NASS Instrument for cervical and lumbar problems correlate significantly with the corresponding subscales of the FFbH-R and the SF-36 (r = 0.28-0.83, p < 0.05) and 0.39-0.68 (p < 0.05) with a pain numeric rating scale. Test-retest reliability demonstrated intraclass correlation coefficients between 0.82 to 0.89. CONCLUSION: The German version of the NASS Cervical and Lumbar Spine Outcome Assessment Instrument allows the standardized assessment of pain, functional limitations and neurogenic symptoms in patients with back pain and the international comparison of health states and therapeutic outcomes.

Activities of Daily Living↗

[Results with Garth's modified roentgen exposures].

With the apical oblique view of Garth, a modified ap-projection of the shoulder, the postero-lateral aspect of the humeral head (Hill-Sachs defect) and the antero-inferior glenoidal rim (Bankart lesion) are well demonstrated. Additionally a posterior dislocation of the shoulder can be detected and an orthograde view of the glenohumeral joint can be obtained at the same time. The affected arm is kept close to the body which is advantageous in case of a fresh trauma. The apical oblique view has worked well at the radiological follow-up of 56 patients 10-23 years after the Eden-Hybbinette-Lange operation for chronic shoulder instability for an assessment of a Hill-Sachs lesion and of the fate of the bone block antero-inferiorly. The results are described. Disadvantages of the apical oblique view are a geometrical distortion and an exposure to radiation which is three times that of a standard ap x-ray picture.

Adolescent↗