Study DesignProspective cohort study.PurposeTo assess whether additional implantation of Coflex following spinal decompression provided better clinical outcomes compared to decompression alone for symptomatic lumbar spinal stenosis (LSS) and to determine whether improvement in clinical outcomes correlated with changes in the radiological indices studied.Overview of LiteratureLiterature on benefits of additional Coflex implantation compared to decompression alone for symptomatic LSS is limited.MethodsPatients with symptomatic LSS who met the study criteria were offered spinal decompression with Coflex implantation. Those patients who accepted Coflex implantation were placed in the Coflex group (n=22); while those opting for decompression alone, were placed in the comparison group (n=24). Clinical outcomes were assessed preoperatively, six-months, one-year and two-years postoperatively, using the Oswestry disability index, 100 mm visual analogue scale (VAS)-back pain and VAS-leg pain, and short form-36 (SF-36). Radiological indices (disc height, foraminal height and sagittal angle) were assessed preoperatively, six months, one year, and two years postoperatively.ResultsBoth groups showed statistically significant (p<0.001) improvement in all the clinical outcome indicators at all points in time as compared to the preoperative status. However, improvement in the Coflex group was significantly greater (p<0.001) than the comparison group. Changes in the radiological indices did not correlate significantly with the improvement in clinical outcome indicators.ConclusionsAdditional Coflex implantation after spinal decompression in symptomatic LSS offers better clinical outcomes than decompression alone in the short-term. Changes in radiological indices do not correlate with the improvements in clinical outcomes after surgery for symptomatic LSS.
Pelvic orientation is determined by lumbar and hip stiffness. This impacts on acetabular version.
Problem solving and researching are connected activities in the engineering profession and across education. The empirical research presented in this paper considered the effectiveness for teaching and learning of a model that was based on this connection and derived from the parameters of the Research Skill Development framework. The model, devised by students for students, is called the Optimising Problem Solving (OPS) pentagon, and was piloted in a large first-year engineering course in 2014-2015 and in another university in the first half of 2016. This article presents data from formal research conducted on the 2016 offering of the course gathered from pre (n=221) and post (n=169) surveys, and semi-structured interviews of students (n=5) and student/tutors (n=5) sixteen months after course completion. Statistically significant (p < 0.01) changes from pre to post in items with medium to large effect sizes provided student perspectives on which problem-solving skills improved, and the interview data provided rich detail on the nature of changes and how these changes were effected. For the 2016 cohort studied, our evidence suggests that use of the OPS pentagon was associated with improved student problem-solving skills, and tutors’ capacity to teach problem solving.
Background: Surgical diabetes is syndrome of hyperglycemia and disturbance of carbohydrate, fat and protein metabolism associated with absolute or relative deficiency of insulin secretions. Diabetes mellitus and hypertension considered as a major medical and public health issues worldwide, and both are important risk factors for both macrovascular and microvascular diseases like coronary artery disease, heart failure and cerebrovascular diseases.Methods: This cross-sectional study was conducted among 175 patients coming to Govt. medical college and SSG hospital, Vadodara from 2014 to 2015 having diabetes mellitus were studied and evaluated for hypertension and its various risk factor like age, obesity.Results: one hundred and twenty-nine (127) out of 175 subjects had hypertension, thus giving a prevalence rate of 73.7% of which 64 males (49.6%) were hypertensive compared with 65 (50.3%) females. Mean age of patients having hypertension with Diabetes Mellitus (case) is 59.87 compare to DM without hypertension (control) was 56.21. Mean BMI in diabetes cases with hypertension was 30.93 while without hypertension was 23.47 suggest obese are more prone to develop hypertension. Waist hip ratio DM with hypertension was 0.96 while was 0.81 in DM without hypertension.Conclusion: Hypertension and its associated risk factor like obesity, dyslipidemia are important risk factor for development of complication in diabetes patients so early detection and intervention measures should be undertaken for aggressive control of blood pressure control , obesity and it will likely to offer the greatest promise for reducing the incidence of complications and its associated mortality.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.