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Clinical Characteristics in U19 Elite soccer Players, Implications on Injury Prevention

Journal of sports science 2019年第1期7卷 6-15页

作者： Luis Llurda-Almuzara Albert Pérez-Bellmunt Carlos López-de-Celis Ramón Aiguadé Oriol Casasayas Raul navarro Mathias simon Olivier Peillon sara Ortiz-Miguel Anatomy Unit of Universitat Internacional de Catalunya Barcelona (08195) Spain Medical services of Damm FC Barcelona (08031) Spain Physiotherapy Deparment of Universitat Internacional de Catalunya Barcelona 08195 Spain Physiotherapy Department Universitat de Lleida Lleida (25006) Spain

Background: Young soccer players’injuries are receiving increased interest. The need of adopting injury prevention strategies to reduce financial, social and sport costs is obligated. The main purpose of this study is to analyse clinical characteristics of young soccer players in order to develop specific and effective injury prevention programs. Methods: This observational, transversal study includes 25 young soccer players from spanish national League. strength, motor control, flexibility and range of motion characteristics were analysed before the first preseason training. Results: statistically significant differences were found for hip internal rotation (p value=0.001), Thomas test (p value =0.012) and ankle dorsiflexion test (p value=0.009) between both sides. Dorsiflexion test showed a positive correlation with the hip internal rotation rom (pnd with the triple hop test (pnternal rotation rom showed a positive correlation with the Thomas test (pnd with the single leg squat test (p st showed a positive correlation with the single leg squat test (pnclusions: Clinical characteristics shown in this study should be taken into account in order to develop specific injury prevention for this specific population. Moreover, data shown in this study can be used as norm values for young soccer semi-professional players in future researches.

关键词： Youth sports soccer prevention and control

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Elements of Physical Hydrology

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1998年

作者： Hornberger, George M. (EDT)/ Raffensperger, Jeffrey P./ Wiberg, Patricia L./ Eshleman, Keith n./ Hornberger, George M.

ISBN: (纸本)9780801858574

The science of physical hydrology centers on the physical principles involved in the study of the occurrence and movement of water on and beneath the earth's surface. Because of its far-reaching implications for other disciplines, physical hydrology is of interest to students in fields ranging from the environmental sciences to engineering, policy studies, and even law. In this introductory-level text the authors begin from the premise that the complexities of modern hydrology can be mastered by understanding basic physical principles of fluid movement. Focusing first on analysis at the scale of a single watershed, they then introduce the mechanics of fluids in closed conduits and open channels. They reevaluate catchment processes in light of fluid mechanics, open channel hydraulics, and groundwater flow. In a concluding chapter, they stress the importance of understanding water movement in the environment by exploring the relationship of hydrology to such disciplines as atmospheric science, ecology, and geology. Accompanying the book is a CD-rom, which provides a Web version of the text (netscape navigator 2.0 or later required). Included are video demonstrations, additional content and interactive review questions, and extensive links to facilitate study and review. Instructions for using the Web version are included. Also on the CD-rom are simulation tools to study hydrological processes (MATLAB student version 5.0 required).

关键词： Hydrology.

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颈总动脉内膜-中层厚度在腔隙性梗死和脑内出血风险评估中的作用

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世界核心医学期刊文摘(神经病学分册) 2006年第2期 26-27页

作者： Tsivgoulis G. Vemmos K.n. spengos K. 邓剑平 Iofontos 2 street 11634 Athens Greece.Dr

Background and purpose: Arterial hypertension is the major risk factor for intracerebral haemorrhage (ICH) and lacunar infarction (LI) and both types of cereb ral lesions originate from pathology of the same deep perforating small arteries . We aimed to evaluate the relationship between vascular risk factors including common carotid artery intima-media thickness (CCA-IMT) with LI versus ICH. Met hods: We prospectively collected data from 159 firstever stroke patients (67 cas es with ICH and 92 cases with LI) with documented history of hypertension. All s ubjects underwent B-mode ultrasonographic measurements of the CCA-IMT. Logisti c regression modelling was used to determine the factors (established vascular r isk factors, severity and duration of hypertension, concomitant medications and CCA-IMT) that may significantly differentiate LI from ICH. Results: Patients wi th LI had significantly (p = 0.002) larger CCA-IMT values (0.926 mm, 95%CI: 0. 881-0.971) than subjects with ICH (0.815 mm, 95%CI: 0.762-0.868) even after a djusting for baseline characteristics and cardiovascular medications. The multiv ariate logistic regression procedure selected CCA-IMT, diabetes mellitus and hy percholesterolaemia as the only independent factors able to discriminate between LI and ICH. The risk for LI versus ICH increased continuously with increasing C CA-IMT. For each increment of 0.1 mm in CCA-IMT the probability of suffering f rom LI versus ICH increased by 36.6%(95 %CI: 13%-65.2%, p = 0.001) even aft er adjustment for cardiovascular risk factors. Conclusions: Increased CCA-IMT v alues are a factor favouring LI over ICH in hypertensive patients. The measureme nt of CCA-IMT may be a useful non-invasive diagnostic tool for the risk assess ment of LI with respect to ICH in such patients.

关键词：腔隙性梗死脑内出血颈总动脉中层厚度内膜风险评估

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腰骶椎前路同种异体骨垫的设计及其生物力学评价

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中国临床解剖学杂志 2007年第4期25卷 462-465页

作者：姚女兆王文军曹盛俊南华大学附属第一医院脊柱外科湖南衡阳421001

目的:研制出腰骶椎前路同种异体骨垫并评价其生物力学性能。方法:(1)CT测量:通过CT扫描测量33名正常人腰骶椎各椎间隙的前后点高度、腰骶椎的矢、冠状径,为设计出同种异体骨垫提供解剖学依据。(2)生物力学试验:将设计出的骨垫与钛网、... 详细信息

目的:研制出腰骶椎前路同种异体骨垫并评价其生物力学性能。方法:(1)CT测量:通过CT扫描测量33名正常人腰骶椎各椎间隙的前后点高度、腰骶椎的矢、冠状径,为设计出同种异体骨垫提供解剖学依据。(2)生物力学试验:将设计出的骨垫与钛网、自体髂骨对比,评价它们在三维运动范围、最大抗压负荷最大拔出力等方面的生物力学性能。结果:(1)CT测量结果:正常腰骶椎椎间隙前高大于后高,两者之间存在显著性差异(P0.05);而与髂骨相比,骨垫更能增强脊柱稳定性,存在显著性统计学差异(P0.05),而与髂骨比较均存在非常显著性差异(P<0.01)。结论:腰骶椎前路骨垫设计符合腰椎生理解剖,具有足够抗压、抗滑、稳定脊柱节段的生物力学性能。

关键词：腰骶椎前路椎间融合同种异体骨融合器生物力学设计

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soil and Phytosociological Characterisation of Grasslands in the Western Mediterranean

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American Journal of Plant sciences 2014年第21期5卷 3213-3240页

作者： A. Cano-Ortiz E. Bioindi C. J. Pinto Gomes s. Del Río González E. Cano Department of Interra sustainability Resources Engineering and SL Spain Square Salamanca Spain Department of Environmental sciences and Crop Production Polytechnic University of Marche Ancona Italy Department of Landscape Environment and Planning/Institute of Agricultural and Environmental Sciences Mediterranean (ICAAM) University of évora (Portugal) Rua Rom&atildeo Ramalho Portugal Department of Biodiversity and Environmental Management (Department of Botany) Livestock Mountain Institute (CSIC-ULE Joint Center) School of Bio-logical and Environmental Sciences University of León Vegazana Campus León Spain Department of Animal Biology Plant and Ecology Botany University of Jaén Jaén Spain

A study was made of grasslands in olive groves with a high frequency of Hordeum leporinum Link, Chrysanthemum coronarium L., Malva neglecta Wallr., Aegilops geniculata Roth and Dasypyrum villosum (L.) Borbas, initially included in the alliance Hordeion leporini Br.-Bl. in Br.-Bl., Gajewski, Wraber & Walas 1936 corr. O. Bolós 1962, and sub-alliance Malvenion neglectae Gutte 1966. The study was carried out in the western Mediterranean (spain, Italy, Portugal and northern Morocco). The soil and phytosociological treatment of the samples contributes information for new plant communities. In the study of plant communities, the indices of degree of presence are adapted to those of Van der Maarel. The new alliance securigero securidacae-Dasypyrion villosi is proposed for the sub-Mediterranean and Euro-siberian territories, with the new communities securigero securidacae-Dasypyretum villosi and Convolvulo elegantissimi-Aegilopetum geniculatae. This last community, due to its richness in Aegilops geniculata Roth, could be included in the alliance Taeniathero-Aegilopion geniculatae Rivas-Martínez & Izco 1977;however, the soil and statistical analyses reveal that it should remain part of the alliance securigero securidacae-Dasypyrion villosi. The soil and floristic study of Hordeion leporini and Malvenion neglectae allows us to describe the new sub-alliance Resedo albae-Chrysanthemenion coronarii, subordinated to Malvion neglectae (Gutte 1966) status novo.

关键词： soil Grassland Community Association

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国产膝关节表面假体的临床应用初步报告

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中华骨科杂志 2012年第2期32卷 151-156页

作者：张绍龙关振鹏裴征李云鹏张卓王宁北京大学人民医院关节病诊疗研究中心 100044

目的比较国产T-free膝关节假体与同类进口假体膝关节置换的早期疗效.方法 2008年7月至2009年12月采用国产T-free膝关节表面假体施行膝关节置换25例35膝,单侧15例、双侧10例；屈曲挛缩19例25膝、内翻畸形11例18膝、外翻畸形4例5膝.膝关... 详细信息

目的比较国产T-free膝关节假体与同类进口假体膝关节置换的早期疗效.方法 2008年7月至2009年12月采用国产T-free膝关节表面假体施行膝关节置换25例35膝,单侧15例、双侧10例；屈曲挛缩19例25膝、内翻畸形11例18膝、外翻畸形4例5膝.膝关节活动度75.11°±27.68°,美国膝关节协会评分系统（Knee society score,Kss）膝评分（17.88±14.37）分,Kss功能评分（21.62±21.27）分.同期同一术者施行的同类进口膝关节假体置换27例39膝做为对照进行回顾性研究.两组患者年龄、体重指数、随访时间、术前膝关节活动度的差异无统计学意义；术前Kss膝评分及Kss功能评分的差异有统计学意义.结果国产假体组24例平均随访（14.92±8.32）个月,与进口假体组26例（15.42±9.87）个月的差异无统计学意义.末次随访时国产假体组的膝关节活动度平均107.53°±18.32°,与进口假体组112.84°±9.76°的差异无统计学意义；Kss膝评分平均（86.71±9.78）分,与进口假体组（86.68±6.01）分的差异无统计学意义；Kss功能评分平均（65.88±25.01）分,与进口假体组（71.35±16.74）分的差异无统计学意义.国产假体组患者的满意率为95.8％（23/24）.结论国产T-free膝关节表面假体与同类进口产品的近期疗效相当.

关键词：关节成形术,置换,膝假体设计治疗结果

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艰难梭菌性结肠炎行结肠切除术的预后

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世界核心医学期刊文摘（胃肠病学分册） 2005年第4期1卷 18-19页

作者： LongoW.E. Mazuski J.E. Virgo K.s. 樊菁 Yale University scho ol of Medicine Department of Surgery 333 Cedar Street New Haven CT 06510 Un ited StatesDr.

PURPOsE: Clostridium difficile colitis is a relatively common entity, yet large series of patients with fulminant C. difficile coliti s are infrequently reported. This study was designed to identify risk factors, c linical characteristics, and outcome of patients who required colectomy for fulm inant C. difficile colitis. METHODs: A population based study on all patients i n 159 hospitals of the Department of Veterans Affairs from 1997 to 2001 was perf ormed. Data were compiled from several national computerized Department of Veter ans Affairs data sets. supplementary information including demographic informati on,discharge summaries, operative reports, and pathology reports were obtained f rom local medical records. Patient variables were entered into a computerized da tabase and analyzed using the Pearson chi squared and Fishers exact tests. st atistical significance was designated as P sULTs: sixtyseven patients (mean age, 69 (range, 40-86) years; 99 percent males) were identified. All 67 p atients had C. difficile verified in the colectomy specimens. Thirty six of 67 patients (54 percent) developed C. difficile colitis during a hospitalization fo r an unrelated illness, and 30 of 36 patients (87 percent) after a surgical proc edure. Thirty one of 67 (46 percent) developed C. difficile colitis at home. Th ere was no history of diarrhea in 25 of 67 patients (37 percent). Thirty of 67 p atients (45 percent)presented in shock (blood pressure, nts (64 percent) presented with an acute surgical abdomen. Mean whit e blood cell count was 27.2; mean percent bands was 12. Twelve of 67 patients (1 8 percent) had a negative C. difficile colitis stool assay. Abdominal computed t omography correctly diagnosed 45 of 46 patients (98 percent) who were imaged. Tw enty six of 67 patients (39 percent) underwent colonoscopy; all 26 were found t o have severe inflammation or pseudomembranes. Fifty three of 67 patients (80 p ercent) underwe

关键词：结肠切除术艰难梭菌全结肠切除部分结肠切除腹部疾病医疗记录暴发性细胞学检测外科手术补充信息

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浮刺结合温灸治疗慢性非特异性腰背痛:随机对照预试验

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中国针灸 2018年第10期38卷 1058-1062页

作者：金晓飞李茹陈利芳王超陈晓军浙江中医药大学附属第三医院杭州310005 浙江中医药大学附属第三医院针灸科杭州310005

目的:比较浮刺结合温灸和传统温针灸法治疗慢性非特异性腰背痛(CnLBP)的临床疗效。方法:将60例患者随机分为浮刺温灸组和温针灸组,各30例。浮刺温灸组采用腰背部膀胱经经筋浮刺结合灸盒温灸法,温针灸组在腰背部采用传统温针灸疗法。每... 详细信息

目的:比较浮刺结合温灸和传统温针灸法治疗慢性非特异性腰背痛(CnLBP)的临床疗效。方法:将60例患者随机分为浮刺温灸组和温针灸组,各30例。浮刺温灸组采用腰背部膀胱经经筋浮刺结合灸盒温灸法,温针灸组在腰背部采用传统温针灸疗法。每次治疗30 min,每周治疗3次,连续治疗3周,随访期为3个月。观察两组患者治疗前、治疗3次、治疗结束以及随访期视觉模拟评分(VAs)、腰部关节活动度和Oswestry功能障碍指数(ODI)。结果:两组在治疗3次、治疗结束、随访期的VAs评分、腰部关节活动度及ODI较治疗前均有改善(均Ps评分、腰部关节活动度及ODI优于治疗3次(均Ps评分、后伸及左右旋活动度、ODI均优于治疗结束期(均PnLBP,在改善疼痛、腰部关节活动度和功能障碍方面优于传统温针灸,并体现出较高的患者依从性。

关键词：慢性非特异性腰背痛浮刺温灸随机对照预试验

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股骨偏心距重建与全髋关节置换术后关节功能的相关性

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中国组织工程研究与临床康复 2007年第43期11卷 8621-8624页

作者：关振鹏李利昕郭开今李云鹏王宁史振才寇伯龙吕厚山北京大学人民医院骨关节科北京市100044 山东省枣庄矿业集团公司中心医院骨科山东省枣庄市277011 徐州医学院附属医院骨科江苏省徐州市221002 中日友好医院骨科北京市100029

目的:股骨偏心距的恢复和重建,在髋关节软组织张力的平衡中具有非常重要的作用,是调节软组织平衡的主要手段。分析重建股骨偏心距与人工全髋关节置换术后关节功能恢复的关系。方法:选择2004-01/2005-06北京大学人民医院骨关节科收治的... 详细信息

目的:股骨偏心距的恢复和重建,在髋关节软组织张力的平衡中具有非常重要的作用,是调节软组织平衡的主要手段。分析重建股骨偏心距与人工全髋关节置换术后关节功能恢复的关系。方法:选择2004-01/2005-06北京大学人民医院骨关节科收治的单侧髋关节置换患者76例,随访资料均完整,患者对治疗方案均知情同意。随访时间16￣29个月,平均23.2个月。手术均采用髋关节外侧入路,使用Zweymüller双锥形螺旋臼及sL-PLUs矩形直柄(颈干角135°,股骨头假体的直径均为28mm)。术前和术后随访时拍摄双髋正侧位X射线片,测量股骨偏心距、髋外展肌力臂及双下肢长度;记录手术前后髋关节活动度及Harris评分,分析股骨偏心距与其他指标的相关性。结果:76例患者全部进入结果分析。①股骨偏心距与髋外展肌力臂具有正相关性(r=0.523,Ps评分与股骨偏心距均存在明显回归相关关系(r=0.419,0.326,P<0.001)。③股骨偏心距重建与否对下肢长度的影响存在显著性意义(χ2=4.62,P<0.01)。结论:人工全髋关节置换术中股骨偏心距重建与髋外展肌的力臂增加、髋关节的活动度、功能改善及稳定性增强呈正相关。

关键词：关节成形术,置换,髋人工假体

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吻合血管的跖趾及趾间关节移植修复掌指及指间关节缺损

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中华显微外科杂志 2012年第1期35卷 16-19,93页

作者：李崇杰辛畅泰梁晓旭沙德峰瑚匕阳车敏于灏田芙蓉陈兵沈阳医学院奉天医院手外科沈阳110024

目的探讨吻合血管的足部跖趾及指间关节移植修复手部掌指关节及指间关节缺损的临床疗效。方法自1993年4月至2010年11月，分别对4例掌指关节及5例近位指间关节和3例掌指关节连同近位指间关节一并缺损的患者，应用吻合血管的第二跖趾关节... 详细信息

目的探讨吻合血管的足部跖趾及指间关节移植修复手部掌指关节及指间关节缺损的临床疗效。方法自1993年4月至2010年11月，分别对4例掌指关节及5例近位指间关节和3例掌指关节连同近位指间关节一并缺损的患者，应用吻合血管的第二跖趾关节、近位趾间关节或同一足趾的跖趾关节连同近位指间关节一并移植进行修复。结果12例关节移植均全部成活，术后创口均一期愈合，移植关节的骨愈合时间为5-10周，术后随访时间为4-28个月。移植关节均无明显骨及关节的退变。其修复后的掌指关节伸屈活动为0°-70°，近位指间关节的伸屈活动10°-90。，参照关节活动度TAM／TAF评定标准评定：优5例，良4例，可2例，差1例，优良率为75％。结论应用吻合血管的跖趾关节及趾问关节移植修复掌指关节及指间关节缺损，其愈后功能恢复比较满意，关节活动能达到基本正常的工作和生活需求。可获得较好的关节功能。

关键词：跖趾关节掌指关节趾间关节显微外科手术

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