Frozen shoulder is a common disease which causes significant morbidity. Despite over a hundred years of treating this condition the definition, diagnosis, pathology and most efficacious treatments are still largely un...Frozen shoulder is a common disease which causes significant morbidity. Despite over a hundred years of treating this condition the definition, diagnosis, pathology and most efficacious treatments are still largely unclear. This systematic review of current treatments for frozen shoulder reviews the evidence base behind physiotherapy, both oral and intra articular steroid, hydrodilatation, manipulation under anaesthesia and arthroscopic capsular release. Key areas in which future research could be directed are identified, in particular with regard to the increasing role of arthroscopic capsular release as a treatment.展开更多
Data-Base Management System (DBMS) is the current standard for storing information. A DBMS organizes and maintains a structure of storage of data. Databases make it possible to store vast amounts of randomly created i...Data-Base Management System (DBMS) is the current standard for storing information. A DBMS organizes and maintains a structure of storage of data. Databases make it possible to store vast amounts of randomly created information and then retrieve items using associative reasoning in search routines. However, design of databases is cumbersome. If one is to use a database primarily to directly input information, each field must be predefined manually, and the fields must be organized to permit coherent data input. This static requirement is problematic and requires that database table(s) be predefined and customized at the outset, a difficult proposition since current DBMS lack a user friendly front end to allow flexible design of the input model. Furthermore, databases are primarily text based, making it difficult to process graphical data. We have developed a general and nonproprietary approach to the problem of input modeling designed to make use of the known informational architecture to map data to a database and then retrieve the original document in freely editable form. We create form templates using ordinary word processing software: Microsoft InfoPath 2007. Each field in the form is given a unique name identifier in order to be distinguished in the database. It is possible to export text based documents created initially in Microsoft Word by placing a colon at the beginning of any desired field location. InfoPath then captures the preceding string and uses it as the label for the field. Each form can be structured in a way to include any combination of both textual and graphical fields. We input data into InfoPath templates. We then submit the data through a web service to populate fields in an SQL database. By appropriate indexing, we can then recall the entire document from the SQL database for editing, with corresponding audit trail. Graphical data is handled no differently than textual data and is embedded in the database itself permitting direct query approaches. This technique makes it possible for general users to benefit from a combined text-graphical database environment with a flexible non-proprietary interface. Consequently, any template can be effortlessly transformed to a database system and easily recovered in a narrative form.展开更多
In prior work we described techniques used to capture, store, and retrieve narrative data forms from a database using widely available off the shelf software. This concept makes use of the security and versioning feat...In prior work we described techniques used to capture, store, and retrieve narrative data forms from a database using widely available off the shelf software. This concept makes use of the security and versioning features of database architecture together with those of image-supported electronic document information capture. We present herein the security and audit trail features of our construct. Unique usernames and passwords are used at the operating system level to enforce client validation and control access to the database system via an electronic signature using a Boolean logic algorithm. We used the database domain to capture original data and any changes to the data, developing an audit trail displaying identification information. Version controlled and change tracked electronic documents can be retrieved through the client side web interface to enable direct search operations, thus uncoupling the client from database query languages.展开更多
INTRODUCTION Infants at high risk of neurological impairment(IHRNI)refer to those with in-utero,perinatal,or postnatal high-risk factors that cause motor,cognitive,and/or language delays,abnormal muscle tone and postu...INTRODUCTION Infants at high risk of neurological impairment(IHRNI)refer to those with in-utero,perinatal,or postnatal high-risk factors that cause motor,cognitive,and/or language delays,abnormal muscle tone and posture,swallowing disorders,problematic behaviors,or any other clinical symptoms related to neurological damage.1,2 Although it is too early to determine the long-term prognosis in the early stage,these infants are at risk of developing permanent neurological impairments,such as cerebral palsy,intellectual disability,and neurodevelopmental disorders.1,2 The“early stage”mentioned in this consensus mainly refers to the stage from 0 to 2 years of adjusted age.An Australian cohort study found that the survival rate of extremely premature infants increased from 50%to 73%between 1991 and 2017.However,the incidence of neurodevelopmental disorders among these infants remained high and was inversely related to gestational age.展开更多
文摘Frozen shoulder is a common disease which causes significant morbidity. Despite over a hundred years of treating this condition the definition, diagnosis, pathology and most efficacious treatments are still largely unclear. This systematic review of current treatments for frozen shoulder reviews the evidence base behind physiotherapy, both oral and intra articular steroid, hydrodilatation, manipulation under anaesthesia and arthroscopic capsular release. Key areas in which future research could be directed are identified, in particular with regard to the increasing role of arthroscopic capsular release as a treatment.
文摘Data-Base Management System (DBMS) is the current standard for storing information. A DBMS organizes and maintains a structure of storage of data. Databases make it possible to store vast amounts of randomly created information and then retrieve items using associative reasoning in search routines. However, design of databases is cumbersome. If one is to use a database primarily to directly input information, each field must be predefined manually, and the fields must be organized to permit coherent data input. This static requirement is problematic and requires that database table(s) be predefined and customized at the outset, a difficult proposition since current DBMS lack a user friendly front end to allow flexible design of the input model. Furthermore, databases are primarily text based, making it difficult to process graphical data. We have developed a general and nonproprietary approach to the problem of input modeling designed to make use of the known informational architecture to map data to a database and then retrieve the original document in freely editable form. We create form templates using ordinary word processing software: Microsoft InfoPath 2007. Each field in the form is given a unique name identifier in order to be distinguished in the database. It is possible to export text based documents created initially in Microsoft Word by placing a colon at the beginning of any desired field location. InfoPath then captures the preceding string and uses it as the label for the field. Each form can be structured in a way to include any combination of both textual and graphical fields. We input data into InfoPath templates. We then submit the data through a web service to populate fields in an SQL database. By appropriate indexing, we can then recall the entire document from the SQL database for editing, with corresponding audit trail. Graphical data is handled no differently than textual data and is embedded in the database itself permitting direct query approaches. This technique makes it possible for general users to benefit from a combined text-graphical database environment with a flexible non-proprietary interface. Consequently, any template can be effortlessly transformed to a database system and easily recovered in a narrative form.
文摘In prior work we described techniques used to capture, store, and retrieve narrative data forms from a database using widely available off the shelf software. This concept makes use of the security and versioning features of database architecture together with those of image-supported electronic document information capture. We present herein the security and audit trail features of our construct. Unique usernames and passwords are used at the operating system level to enforce client validation and control access to the database system via an electronic signature using a Boolean logic algorithm. We used the database domain to capture original data and any changes to the data, developing an audit trail displaying identification information. Version controlled and change tracked electronic documents can be retrieved through the client side web interface to enable direct search operations, thus uncoupling the client from database query languages.
基金Featured Clinical Technique of Guangzhou,Grant/Award Number:2023C-TS59Scientific and Technological Planning Project of Guangzhou City,Grant/Award Number:2024A03J01274
文摘INTRODUCTION Infants at high risk of neurological impairment(IHRNI)refer to those with in-utero,perinatal,or postnatal high-risk factors that cause motor,cognitive,and/or language delays,abnormal muscle tone and posture,swallowing disorders,problematic behaviors,or any other clinical symptoms related to neurological damage.1,2 Although it is too early to determine the long-term prognosis in the early stage,these infants are at risk of developing permanent neurological impairments,such as cerebral palsy,intellectual disability,and neurodevelopmental disorders.1,2 The“early stage”mentioned in this consensus mainly refers to the stage from 0 to 2 years of adjusted age.An Australian cohort study found that the survival rate of extremely premature infants increased from 50%to 73%between 1991 and 2017.However,the incidence of neurodevelopmental disorders among these infants remained high and was inversely related to gestational age.
