Background: Transforaminal epidural injections (TEI) can alleviate symptoms and help to maintain physical functioning and quality of life in patients with lumbar radicular pain. We aim to develop a prediction model for patient outcome after TEI in patients suffering from unilateral lumbar radicular pain due to lumbar disc herniation (LDH) or single-level spinal stenosis (LSS). The secondary aim is to estimate short-term patient outcome differences between LDH and LSS patients, the association between psychological variables and patient outcome, the rate of additional injections, surgery and complications, and to explore the short-term cost-effectiveness of TEI.
View Article and Find Full Text PDFObjective: To compare the carbon footprint of caesarean and vaginal birth.
Design: Life cycle assessment (LCA).
Setting: Tertiary maternity units and home births in the UK and the Netherlands.
Introduction: Although urothelial carcinoma (UC) generally is non-invasive, contrastingly in 25% of patients UC metastasizes. Isolated central nervous system (CNS) metastasis from UC without other distant metastases are considered rare. In this report we describe a patient with an isolated and solitary cerebellar metastasis from UC.
View Article and Find Full Text PDFPurpose: The purpose of this systematic review and meta-analysis was to determine whether epidural steroid injections (ESI) are superior to epidural or non-epidural placebo injections in sciatica patients.
Methods: The PubMed, Embase, Cochrane Library, and Web of science databases were searched for trials comparing ESI to epidural or non-epidural placebo. Risk of bias was assessed using the Cochrane RoB 2 tool.
World Neurosurg
April 2021
Objective: Lumbar radiculopathy is a condition with major physical, social, and economic consequences. Despite its favorable prognosis, the burden can be significant. In this study, we aimed to determine the value of magnetic resonance imaging (MRI) and the efficacy of transforaminal epidural injections (TEIs) in patients with lumbar radiculopathy secondary to lumbar disc herniation (LDH) and other causes (non-LDH).
View Article and Find Full Text PDFBackground: Sciatica is a condition that is characterised by radicular pain in the leg and primarily caused by a herniated lumbar intervertebral disk. In addition to leg pain, patients can experience back pain, leg numbness and leg weakness resulting in decreased productivity and social activity. The majority of sciatica cases recovers spontaneously and therefore patients are initially treated conservatively with oral pain medication.
View Article and Find Full Text PDFBackground: Preterm birth is in quantity and in severity the most important topic in obstetric care in the developed world. Progestogens and cervical pessaries have been studied as potential preventive treatments with conflicting results. So far, no study has compared both treatments.
View Article and Find Full Text PDF-COK-14 zeolite, the variant of COK-14 (OKO topology) with a systematically interrupted framework, exhibits unusual behaviour in high pressure intrusion-extrusion cycles of 20 M LiCl solution. After the first cycle with deviating behaviour and partially irreversible intrusion, subsequent cycles show stable reversible behaviour. The system behaves like a spring with unique progressive intrusion in the range of 10-120 MPa followed by enhanced uptake before saturation.
View Article and Find Full Text PDFIn this study, indicators are proposed to characterize the intrinsic environmental properties and external value of urban parks. The intrinsic properties involve both acoustic factors and non-acoustic factors, such as visual aspects and size. To assess external value, the restoration level is defined, which measures the nearby presence of a quiet, 'green' area at residential areas outside parks.
View Article and Find Full Text PDFThe Dutch government aims at an increase of wind energy up to 6 000 MW in 2020 by placing new wind turbines on land or offshore. At the same time, the existing noise legislation for wind turbines is being reconsidered. For the purpose of establishing a new noise reception limit value expressed in L den , the impact of wind turbine noise under the given policy targets needs to be explored.
View Article and Find Full Text PDFBackground: Fundal pressure during the second stage of labour involves application of manual pressure to the uppermost part of the uterus directed towards the birth canal in an attempt to assist spontaneous vaginal delivery and avoid prolonged second stage or the need for operative delivery. Fundal pressure has also been applied using an inflatable girdle. A survey in the United States found that 84% of the respondents used fundal pressure in their obstetric centres.
View Article and Find Full Text PDFObjective: To compare the outcomes of pregnancies in women with pre-existing, type 1 and type 2, diabetes and to examine the influence of ethnicity on these outcomes.
Design: Prospective cohort study.
Setting: Large district hospital in Yorkshire with an ethnically mixed population.
Comput Methods Programs Biomed
October 1996
Automatic speech recognition has since long been seen as an ideal method for innovation in diagnosis reporting. Speech technology now seems on the verge of introducing (commercially) attractive systems. The selection of a good speech recogniser is only one consideration in system design.
View Article and Find Full Text PDFData are presented on the incidence of various streptococcal infections in pigs in the Netherlands. 314 Strains isolated in the course of routine post-mortem diagnosis were examined. The most frequently occurring streptococcus was S.
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