Compliance is associated with more effective BP control. Physicians can enhance patient compliance and hypertension control by devoting more time to counselling, avoiding unnecessary changes in drug regimens and restricting the tablet numbers.
The purpose of this study was to assess the chemical composition, structure and degree of double bond conversion of retrieved bone cement from 29 total hip replacement revision arthroplasties, employing a multi-technique approach. Scanning electron microscopy revealed a porous cement surface, which replicated the characteristics of bone or femoral stem surface irregularities. Fourier transform infrared spectroscopy indicated that the retrieved bone cement samples were covered by a well-organized proteinaceous film rich in amides and alcohols, probably because of the adsorption of species from body tissues and fluids. X-ray fluorescence spectrometry showed the presence of potassium, sodium, calcium and phosphorus, implying the development of a mineralization process of the adsorbed biofilm. X-ray microtomography demonstrated a dense porous network in the bulk material comprised of macropores with a mean diameter >1 mm. FTIR analysis of the degree of double bond conversion of retrieved samples was in the order of 70%, similar to that of samples prepared in vitro in air, but 30% lower relative to their counterparts mixed in vitro and set in water. The effect of the adsorption of species onto bone cement surface on the reactivity of the material with the surrounding tissues and materials, is currently unknown. The results of this investigation reveal that the in vivo aging pattern of bone cements may involve alterations, which cannot be simulated under current in vitro protocols, emphasizing the necessity for adopting in vivo approaches including retrieval studies in assessing bone cement properties.
Public health and city planning are highly interconnected; however, the nexus between the urban state of buildings and sidewalks and corresponding public and urban health issues is lacking in Greece. In a case study in Athens, Greece, we evaluated unsafe buildings, facades, balconies, and sidewalks during a 15-year follow-up. We manually inspected (a) if the building/location’s condition had worsened and (b) any effective intervention by the state. Of the 400 initially selected buildings, 251 nonoverlapping buildings were analyzed. Overall, ~20% of the buildings posed a subjectively perceived severe risk for collapse, 35% had near-to-fall objects, and 45% had other minor issues. Fifteen years later, ~85% of the buildings were at the same or higher risk of complete or partial fall, and in only 15% had the risk of collapse been reduced or removed by private or public intervention. We detected uneven and dangerous parts of sidewalks hindering walkability and increasing the risk of falling or tipping. Our assessment revealed that Athens’ historical center harbors plausible safety and health risks for pedestrians and dwellers due to entire or partial building collapse and poor-condition sidewalks, which can potentially act as stress factors. Collectively, the issue of near-collapse buildings and risky sidewalks as an urban health determinant appears neglected by municipal authorities in their urban planning priorities; thus, future studies are needed in the field.
Comparing radiographies we have examined the degree in which the static angles of the knee are affected, because of a fault projection under the influence of some factors. We have found that an inwards or an outwards turn, even of a small degree (IQ), a bending or preexistent (pathological) anomalies, each alone or in combination, affected the right projection of the angles in a face radiography. Physiological knees possibly are presented like "varum" or "valgum" projectional. It is clear that the right position during the taking of the radiography is of a great significance in order to decide about the indication of osteotomy and to determine the degree of correction. We suggest as a criterion of the right radiographies the factor "patellacondylus".
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