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Dual mobility system. The French solution in elderly patients with intracapsular hip fracture and high risk of dislocation.

Rev Esp Cir Ortop Traumatol (Engl Ed)

August 2021

Servicio de Ortopedia y Traumatología, Centro de Educación Médica e Investigación Clínicas (CEMIC), Buenos Aires, Argentina.

Objective: Actually there is a controversy about the treatment of hip fractures on older patients with high risk of dislocation. Our study is focused on report clinico-functional and radiographic results in this population treated with total hip replacement using a dual mobility system after a minimum follow up of 2 years.

Materials And Methods: In the period from January 2015 to January 2016 patients assisted at the Emergency Unit at the participant hospital were recluted for participation.

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The Aim Of The Study: To evaluate the prevalence and clinico-functional features of myocardial dysfunction in persons 65 years or older in the primary care seting.

Materials And Methods: The prospective cohort study "Crystal" included participants 65 years and older. The arm of "Crystal" study evaluated a random sample size of 284 people.

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Functional imaging methods, such as resting-state functional magnetic resonance imaging, reflect changes in neural connectivity and may help to assess the widespread consequences of disease-specific network changes in Parkinson's disease. In this study we used a relatively new graph analysis approach in functional imaging: eigenvector centrality mapping. This model-free method, applied to all voxels in the brain, identifies prominent regions in the brain network hierarchy and detects localized differences between patient populations.

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The objective of this study was to evaluate the clinico-functional state of mucosa of upper respiratory tracts, acoustic and vestibular analyzers in 638 workers opertating different techniques of plasma metal processing and exposed to different combinations of high-frequency occupational noise and toxic dust-gas mixtures containing ozone, nitric oxides, and composite aerosols. The study revealed high frequency of inflammatory and dystrophic changes in upper respiratory mucosa, functional disturbances in the vestibular analyzer and neurosensory sound-perceiving apparatus. The character and degree of these clinico-functional changes were shown to depend on a peculiar combination of the strength and duration of environmental factors affecting the above morphological structures.

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With the aim to investigate influence of glycemic control on clinical state and course of disease, renal function, and neurohormonal profile of patients with chronic heart failure (CHF) and type 2 diabetes mellitus (DM) we studied 81 patients with NYHA functional class (FC) II - III CHF, left ventricular ejection fraction (LVEF) 45% and type 2 DM. As a result of randomization 2 groups were formed - active with achievement of target levels of glycemia (n=41) and usual treatment (n=40). Retrospective analysis in dependence of efficacy of sugar lowering therapy was also conducted.

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