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Bone Mineral Density Reporting Underestimates Fracture Risk in Ontario 被引量:3
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作者 Joanna E. M. Sale Earl Bogoch +5 位作者 Lynn Meadows Monique Gignac Lucy Frankel Taucha Inrig Dorcas Beaton Ravi Jain 《Health》 2015年第5期566-571,共6页
Objective: Analysis of clinical documents such as bone mineral density (BMD) reports is an important component of program evaluation because it can provide insights into the accuracy of assessment of fracture risk com... Objective: Analysis of clinical documents such as bone mineral density (BMD) reports is an important component of program evaluation because it can provide insights into the accuracy of assessment of fracture risk communicated to patients and practitioners. Our objective was to compare fracture risk calculations from BMD test reports to those based on the 2010 Canadian guidelines. Methods: We retrieved BMD reports from fragility fracture patients screened through a community hospital fracture clinic participating in Ontario’s Fracture Clinic Screening Program. Fracture risk was determined according to the 2010 Canadian guidelines using age, sex, and T-score at the femoral neck, in addition to three clinical factors. Three researchers classified patients’ fracture risk until consensus was achieved. Results: We retrieved reports for 17 patients from nine different BMD clinics in the Greater Toronto Area. Each patient had a different primary care physician and all BMD tests were conducted after the 2010 Canadian guidelines were published. The fracture risk of 10 patients was misclassified with 9 of the 10 reports underestimating fracture risk. Nine reports acknowledged that the prevalence of a fragility fracture raised the risk category by one level but only four of these reports acknowledged that the patient had, or may have sustained, a fragility fracture. When we raised fracture risk by one level according to these reports, eight patients were still misclassified. Fracture risk in the majority of these patients remained underestimated. Inconsistent classification was found in the majority of cases where reports came from the same clinic. Four reports described risk levels for two different types of risk. Conclusions: More than half of patients received BMD reports which underestimated fracture risk. Bone health management recommendations based on falsely low fracture risk are likely to be sub-optimal. 展开更多
关键词 FRACTURE Risk Bone DENSITOMETRY REPORTS FRAGILITY FRACTURE ontario
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Possible Impacts of Climate Change on Daily Streamflow and Extremes at Local Scale in Ontario, Canada. Part II: Future Projection 被引量:2
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作者 Chad Shouquan Cheng Qian Li +1 位作者 Guilong Li Heather Auld 《Atmospheric and Climate Sciences》 2012年第4期427-440,共14页
The paper forms the second part of an introduction to possible impacts of climate change on daily streamflow and extremes in the Province of Ontario, Canada. Daily streamflow simulation models developed in the compani... The paper forms the second part of an introduction to possible impacts of climate change on daily streamflow and extremes in the Province of Ontario, Canada. Daily streamflow simulation models developed in the companion paper (Part I) were used to project changes in frequency of future daily streamflow events. To achieve this goal, future climate information (including rainfall) at a local scale is needed. A regression-based downscaling method was employed to downscale eight global climate model (GCM) simulations (scenarios A2 and B1) to selected weather stations for various meteorological variables (except rainfall). Future daily rainfall quantities were projected using daily rainfall simulation models with downscaled future climate information. Following these projections, future daily streamflow volumes can be projected by applying daily streamflow simulation models. The frequency of future daily high-streamflow events in the warm season (May–November) was projected to increase by about 45%-55% late this century from the current condition, on average of eight-GCM A2 projections and four selected river basins. The corresponding increases for future daily low-streamflow events and future daily mean streamflow volume could be about 25%-90% and 10%-20%, respectively. In addition, the return values of annual one-day maximum streamflow volume for various return periods were projected to increase by 20%-40%, 20%-50%, and 30%-80%, respectively for the periods 2001-50, 2026-75, and 2051-2100. Inter-GCM and interscenario uncertainties of future streamflow projections were quantitatively assessed. On average, the projected percentage increases in frequency of future daily high-streamflow events are about 1.4-2.2 times greater than inter-GCM and interscenario uncertainties. 展开更多
关键词 Rainfall-Related Streamflow FUTURE PROJECTION DOWNSCALING Statistic Methods ontario CANADA
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Possible Impacts of Climate Change on Daily Streamflow and Extremes at Local Scale in Ontario, Canada. Part I: Historical Simulation 被引量:2
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作者 Chad Shouquan Cheng Qian Li +1 位作者 Guilong Li Heather Auld 《Atmospheric and Climate Sciences》 2012年第4期416-426,共11页
The paper forms the first part of an introduction to possible impacts of climate change on daily streamflow and extremes in the Province of Ontario, Canada. In this study, both conceptual and statistical streamflow si... The paper forms the first part of an introduction to possible impacts of climate change on daily streamflow and extremes in the Province of Ontario, Canada. In this study, both conceptual and statistical streamflow simulation modeling theories were collectively applied to simulate daily streamflow volumes. Based on conceptual rainfall-runoff modeling principle, the predictors were selected to take into account several physical factors that affect streamflow, such as (1) current and previous quantities of rainfall over the watershed, (2) an index of pre-storm moisture conditions, (3) an index of pre-storm evapotranspiration capacities, and (4) a seasonal factor representing seasonal variation of streamflow volume. These rainfall-runoff conceptual factors were applied to an autocorrelation correction regression procedure to develop a daily streamflow simulation model for each of the four selected river basins. The streamflow simulation models were validated using a leave-one-year-out cross-validation scheme. The simulation models identified that the explanatory predictors are consistent with the physical processes typically associated with high-streamflow events. Daily streamflow simulation models show that there are significant correlations between daily streamflow observations and model validations, with model R2s of 0.68-0.71, 0.61-0.62, 0.71-0.74, and 0.95 for Grand, Humber, Upper Thames, and Rideau River Basins, respectively. The major reason for the model performance varying across the basins might be that rainfall-runoff response time and physical characteristics differ significantly among the selected river basins. The results suggest that streamflow simulation models can be used to assess possible impacts of climate change on daily streamflow and extremes at a local scale, which is major objective of a companion paper (Part II). 展开更多
关键词 Rainfall-Related Streamflow Simualtion Statistic Methods ontario CANADA
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A Compilation of the Geo-Mechanical Properties of Rocks in Southern Ontario and the Neighbouring Regions 被引量:1
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作者 Hayder Mohammed Salim Al-Maamori Mohamed Hesham El Naggar Silvana Micic 《Open Journal of Geology》 2014年第5期210-227,共18页
The available measurements of the geo-mechanical properties of rocks in Southern Ontario and the neighbouring regions (New York, Ohio, Michigan, Indiana, Illinois, Wisconsin, and Minnesota) are summarized and presente... The available measurements of the geo-mechanical properties of rocks in Southern Ontario and the neighbouring regions (New York, Ohio, Michigan, Indiana, Illinois, Wisconsin, and Minnesota) are summarized and presented. These measurements were compiled from available published data in the relevant literature and also from data that were collected from major underground projects in these regions. The compiled data are presented in three categories: measured in-situ stresses in different rock formations;calculated strength, stiffness and deformation including time-dependent deformation properties;and the measured dynamic properties of intact rock specimens from different rock formations in Southern Ontario and the neighbouring regions. The data presented in this paper can be used as a resource for preliminary evaluation of the geomechanical properties of the rocks in these regions. The presented geo-mechanical properties were generally obtained from in-situ measurements and from laboratory tests that were conducted on intact rock specimens from freshly excavated rock samples. Moreover, the time-dependent deformation properties of rocks in these regions were obtained from laboratory tests that were performed on intact rock specimens submerged in water. However, the influence of drilling fluids such as bentonite slurry and synthetic polymers solution, on the geo-mechanical properties of rocks is not evident and needs to be investigated. 展开更多
关键词 Geo-Mechanical Properties ROCKS SOUTHERN ontario COMPILATION
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An investigation of roof runoff during rain events at the Royal Military College of Canada and potential discharge to Lake Ontario
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作者 David G. Kelly Ron D. Weir Steven D. White 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2011年第7期1072-1078,共7页
The Royal Military College of Canada, located on the north eastern shore of Lake Ontario, possesses an abundance of copper roofs and lacks surface water treatment prior to discharge into Lake Ontario. Rainwater, roof ... The Royal Military College of Canada, located on the north eastern shore of Lake Ontario, possesses an abundance of copper roofs and lacks surface water treatment prior to discharge into Lake Ontario. Rainwater, roof runoff and soil samples were collected and analyzed for copper and other parameters. Copper was consistently detected in runoff samples with average concentrations of 3200 ± 2100 μg/L. Multivariable linear regression analysis for a dependant copper runoff concentration yielded an adjusted R 2 value of 0.611, based on an independent variable model using minimum temperature, maximum temperature, total precipitation, and wind speed. Lake water samples taken in the vicinity of storm water outfalls draining areas with copper roofs ranged from 2.0 to 40 μg/L copper. Such data exceed the 2.0 μg/L Canadian Water Quality Guidelines for the Protection of Aquatic Life as outlined by the Canadian Council of Ministers of the Environment (CCME). Analysis of raw, filtered and digested forms suggested that the majority of copper present in runoff and lake water samples was in a dissolved form. The majority of soils taken in this study displayed copper concentrations below the 63 μg/g CCME residential/parkland land use limits. These findings suggested that ion exchange processes between runoff water and soil do not occur to a sufficient extent to elevate copper levels in soil. It may therefore be concluded that the eventual fate of copper, which is not discharged via storm water outfalls, is lost to the water table and Lake Ontario through the sub-soil. 展开更多
关键词 copper roof runoff Lake ontario Canadian water quality guidelines for the protection of aquatic life
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Substrate selection and seasonal variation in abundance and size composition of isopod Lirceus fontinalis in Ontario streams, Canada
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作者 ZHAO Xiaoxia Michael G FOX +2 位作者 David C. LASENBY Alexis C. ARMIT Dolly N. KOTHAWALA 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2007年第2期215-220,共6页
The abundance and size composition of stream isopods Lirceusfontinalis were investigated from April 2001 to August 2002 in 3 streams in southem Ontario, Canada. Effects of current speed was released from the analysis ... The abundance and size composition of stream isopods Lirceusfontinalis were investigated from April 2001 to August 2002 in 3 streams in southem Ontario, Canada. Effects of current speed was released from the analysis by choosing slow flowing water. The effects of substrate, season and water depth on the abundance, distribution and size composition of the isopods were analyzed. It was found that substrate and season influence isopods the most. The rocky substrate with attached filamentous macro-algae contains an isopod abundance 7.05 times that of bare rock substrate and 14.6 times that of free-sand and mud substrate. There was a large variation with respect to seasonali .ty in both abundance and size composition of the isopods, with the highest abundance occumng in summer and the lowest in winter and spring; individual isopods also tend to be larger in the winter and spring. In all substrates, shallow areas tend to support higher densities of isopods than deeper areas. 展开更多
关键词 ISOPODS Lirceusfontinalis size ABUNDANCE substrate seasonal variation ontario
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The reporting of the influenza pandemic, 1918-1920 in Hamilton, Ontario
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作者 John Rankin 《Health》 2012年第12期1317-1327,共11页
The paper evaluates the ways in which Hamilton, Ontario’s three daily newspapers covered the influenza epidemic, 1918-1920. In Hamilton, the central aspect of influenza coverage was Dr. Roberts’ decision to close al... The paper evaluates the ways in which Hamilton, Ontario’s three daily newspapers covered the influenza epidemic, 1918-1920. In Hamilton, the central aspect of influenza coverage was Dr. Roberts’ decision to close all public meeting places twice during 1918. No other story but those connected to a public meeting ban could sustain interest. Thus, the story for the press was to be the ban: whether to ban, what to ban, to lift or not, to reimpose. The story monopolized influenza coverage to such an extent that traditional threads, such as morbidity and mortality and personal interest stories, received little attention. The ban, because it restricted personal freedoms and involved local politics and commerce, received extensive coverage. In the absence of a ban, the influenza story could fade out of the press even during some of the most virulent periods of the epidemic. The paper finds that influenza was not transformative in Hamilton and in fact, demonstrated the viability of traditional charitable responses to disease. The actions carried out by Hamilton’s Board of Health cannot be considered “modern” as its methods were more akin to the nineteenth century than those of the later bacteriological age. 展开更多
关键词 INFLUENZA 1918 EPIDEMIC HAMILTON ontario Health MEDICINE
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Hydro-Geophysical Investigation of Contaminant Distribution at a Closed Landfill in Southwestern Ontario, Canada
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作者 Jianwen Yang Siddharth Dilip Joshi 《Journal of Geoscience and Environment Protection》 2014年第3期8-15,共8页
This paper presents a hydro-geophysical investigation into the landfill leachate distribution and subsurface geology at a closed site in southwestern Ontario, Canada, using geophysical mapping and hydrological modelin... This paper presents a hydro-geophysical investigation into the landfill leachate distribution and subsurface geology at a closed site in southwestern Ontario, Canada, using geophysical mapping and hydrological modeling approaches. Conductivity mapping was first conducted over the study site using a frequency-domain EM terrain conductivity meter, revealing an anomalous high-con- ductivity zone of about 200 m (S-N) × 80 m (W-E) at the western half of the site. The DC resistivity survey was then carried out at this anomalous zone with eight S-N profiles and three W-E profiles measuring 200m in length using a Wenner-α configuration. Our resistivity survey results indicate that the landfill leachate travels mainly south-east wards over the upper aquifer, with a minor vertical component into the upper weathered portion of the silt/sand aquitard at some locations. No contamination seems to exist in the lower sand aquifer. The geophysical results were later used to develop two conceptualized models for hydrological modeling. Our numerical results predict the leachate distribution at the study site in the future, confirming that the contaminant will occupy the entire upper aquifer and the most of the aquitard in a time of 1000 years, and that the barrier of the aquitard will protect the lower sand aquifer from the leachate pollution. These findings are critical in evaluating the current leachate conditions and the existing compliance monitoring plan for potential implementation at this study site and other sites in elsewhere. 展开更多
关键词 GEOPHYSICAL Mapping Hydrological Modeling LANDFILL LEACHATE SOUTHWESTERN ontario CANADA
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Biosecurity Practices and Geospatial Map of Ontario Backyard Poultry Flocks
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作者 Jean Marie Buregeya Scott McEwen +2 位作者 John Neil Tom Baker Gwen Kerry Zellen 《Journal of Environmental Science and Engineering(B)》 2013年第12期694-701,共8页
The CFO (Chicken Farmers of Ontario) has taken important steps to increase biosecurity practices within backyard poultry flocks in order to thwart infectious diseases. The present study originally intended to descri... The CFO (Chicken Farmers of Ontario) has taken important steps to increase biosecurity practices within backyard poultry flocks in order to thwart infectious diseases. The present study originally intended to describe biosecurity practices within this milieu, so as to determine their nearest neighbor and density, as well as the average distance between backyard and commercial broiler flocks. To that effect, paper questionnaire and survey interviews were used (May-July, 2011), while backyard and commercial broiler chicken flocks were geocoded. The response rates collected from the study produced these findings regarding: growers' health practices toward flocks, hygienic precautions relative to the production area, regularity of bird inspection and cleaning after each folk, protocol used to dispose of dead birds, mixing (or lack thereof) of flocks with other livestock, as well as the average distance between small flocks and commercial farms. The study concludes that education material should focus on improving the growers' understanding of issues examined in the study, focusing on areas of weakness in respect to biosecurity practices. 展开更多
关键词 Backyard flocks BIOSECURITY infectious diseases ontario poultry.
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Investigation of Long-Term Climate and Streamflow Patterns in Ontario
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作者 Amin Azarkhish Ramesh Rudra +4 位作者 Ramesh Rudra Prasad Daggupati Jaskaran Dhiman Trevor Dickinson Pradeep Goel 《American Journal of Climate Change》 2021年第4期467-489,共23页
To develop mitigation and adaptation strategies for undesired consequences of climate change, it is important to understand the changing hydrological and climatological trends in the past few decades. Although the cha... To develop mitigation and adaptation strategies for undesired consequences of climate change, it is important to understand the changing hydrological and climatological trends in the past few decades. Although the changing climate is a cause of concern for the entire planet, its effects can vary significantly on a regional scale. Canada has experienced a rapid rise in the annual mean surface air temperature in the past decades. The current study aims to investigate trends in monthly mean precipitation, rainfall, snowfall, maximum and minimum temperature, as well as baseflow, surface runoff, and total streamflow values for the province of Ontario, Canada. To the best of the author’s knowledge, a similar study involving rural and urban watersheds, that quantifies the impact of changing climate on temperature and other hydrological processes over a period ranging from 1968 to 2017, has not yet been conducted for Ontario. Man-Kendall trend test was used to analyze trends in the above mentioned climatic and hydrometric parameters for rural and urban watersheds situated in the northern and southern parts of Ontario. The results of this study indicate that the mean monthly minimum temperatures for rural watersheds situated in southern Ontario have increased significantly for the winter and summer months, which may have caused an increase in snowmelt and consequently the streamflow for the winter months in the region. Unlike the watersheds in southern Ontario, the northern watersheds witnessed relatively fewer instances of significant changes in mean monthly temperatures, and in some cases, declining rates have been noted. Similarly, only a few watersheds in the north saw a substantial drop in baseflow over the summer months. For nearly all the months, the average monthly minimum and maximum temperatures were found to increase for urban watersheds. The streamflow, baseflow, and surface runoff increased, likely due to rapid urbanization, resulting in a lower infiltration rate. These results will contribute towards the decision-making processes and development of alternate water management policies within the province, taking into account the regional variations in climate change’s impact on the hydrology of Ontario’s watersheds. 展开更多
关键词 Climate Change HYDROLOGY ontario Streamflow PRECIPITATION Temperature
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Mêmes origines,un récit national différent——La conscience historique des francophones en Ontario et au Quebec
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作者 让-菲利普•克罗托 《法语国家与地区研究(中法文)》 2020年第3期11-29,91,共20页
Pendant longtemps,les Canadiens francais,partout au pays,se sont définis comme une communauté de mémoire,d’histoire,de culture,voire meme de destin.Or,à partir des années 1960,d’importantes ... Pendant longtemps,les Canadiens francais,partout au pays,se sont définis comme une communauté de mémoire,d’histoire,de culture,voire meme de destin.Or,à partir des années 1960,d’importantes transformations socioéconomiques amènent les francophones à adopter davantage des identités provinciales.De nombreux sociologues et historiens en ont conclu à la disparition d’une mémoire commune à tous les Canadiens francais.Notre équipe de recherche a visité treize écoles de langue francaise dans les provinces du Québec et de l’Ontario en 2016 pour demander à plus de 600 étudiants de rédiger un texte sur l’histoire des francophones au pays afin de sonder leurs représentations du passé.Il ressort de cette étude que la plupart des étudiants partagent une vision commune de leur passé fondée sur l’attachement à leurs origines francaises,les luttes pour la survie du fait francais en Amérique,ainsi qu’un sens de fragilité et d’inachèvement à l’égard de l’avenir de leur culture. 展开更多
关键词 Québec ontario Conscience historique éducation Identité
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Effect of Temperature on Frost-Free Days and Length of Crop Growing Season across Southern Ontario
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作者 Ramesh Pall Rudra Rituraj Shukla +2 位作者 Trevor Dickinson Pradeep Kumar Goel Jaskaran Dhiman 《American Journal of Climate Change》 2023年第4期700-718,共19页
Climate change has an impact on various climatic variables. In this study our focus is mainly on temperature characteristics of climate parameter. In temperate and humid regions like southern Ontario, the effect of cl... Climate change has an impact on various climatic variables. In this study our focus is mainly on temperature characteristics of climate parameter. In temperate and humid regions like southern Ontario, the effect of climate change on Frost-free days in winter is distinctive. The average annual temperature is going upward but the extreme increase is in the winter temperature. Winter average temperature is going up by about 2˚C. However, extreme daily minimum temperature is going up by more than 3˚C. This climate effect has a great impact on the nature of precipitation and length of frost-free days. The snowfall over winter months is decreasing and the rainfall is increasing. However, the number of frost-free days during late fall months, early winter months, late winter months and early spring months are increasing. This result reveals an increase in length of the growing season. This research focuses on the effect of change in climatic variables on Frost-free days in Southern Ontario. Therefore, special attention should be given to the effect of change in climate Frost-free conditions on length of crop growing in winter season for potential investigation. 展开更多
关键词 Climate Change Minimum Temperature Frost-Free Days SNOWFALL Crop Growing Season Southern ontario
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加拿大Ontario省迎接满足粮食生产的水土资源可持续利用挑战
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作者 Peter Stonehouse 《中国水土保持》 北大核心 2002年第7期11-11,共1页
关键词 水土保持 加拿大 ontario 粮食生产 水土资源 可持续利用挑战
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The Prediction of Engel's Coefficient and Education Expenditure Based on the Linear Regression Model for Heilongjiang and Ontario
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作者 Jinjin Yang 《Proceedings of Business and Economic Studies》 2020年第3期41-52,共12页
It is meaningful to study trends in food and education expenditure as proportions of total household expenditure.In this study,based on year 2006 to 2017 data from Heilongjiang province in China and Ontario province i... It is meaningful to study trends in food and education expenditure as proportions of total household expenditure.In this study,based on year 2006 to 2017 data from Heilongjiang province in China and Ontario province in Canada,a linear regression model is used to forecast the Engel’s coefficients(proportion spent on food)and the education proportion from year 2018 to 2027 for those two regions.The results suggest that in both regions the Engel’s coefficients show a decreasing trend,while the education expenditure proportions show an increasing trend.The ratios of education expenditure to food expenditure in both places show an increasing trend. 展开更多
关键词 Engel’s coefficient Education expenditure Linear regression Heilongjiang ontario
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加拿大Ontario省木材采运劳动事故频率
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作者 林安 《林业劳动安全》 1994年第3期33-33,共1页
加拿大Ontario省木材采运劳动事故频率Ontario省是加拿大木材主要产区之一。根据有关部门对该省1988~1992年的木材采运劳动事故的统计分析表明,每年投入木材采运的劳动工时基本上呈减少趋势,劳动事故频率也呈... 加拿大Ontario省木材采运劳动事故频率Ontario省是加拿大木材主要产区之一。根据有关部门对该省1988~1992年的木材采运劳动事故的统计分析表明,每年投入木材采运的劳动工时基本上呈减少趋势,劳动事故频率也呈下降趋势。其中,1988年投入木材... 展开更多
关键词 事故频率 木材采运 ontario 统计分析
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跨学科教学的境脉、取向与实践——加拿大安大略省的经验及其启示
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作者 胡蓉 余靖宇 《外国教育研究》 北大核心 2025年第3期43-58,共16页
“跨学科教学”是一种蕴含高阶思维的教学范式,对推动育人方式变革意义重大。在21世纪强调知识整合的理念下,加拿大安大略省积极推动跨学科教学改革发展。其跨学科教学已成体系,改革经验值得借鉴。具体来说,安大略省的跨学科教学是在进... “跨学科教学”是一种蕴含高阶思维的教学范式,对推动育人方式变革意义重大。在21世纪强调知识整合的理念下,加拿大安大略省积极推动跨学科教学改革发展。其跨学科教学已成体系,改革经验值得借鉴。具体来说,安大略省的跨学科教学是在进步主义思潮的驱动下萌发、在徘徊中逐步走向整合与分科的平衡的,在价值层面体现出人本取向、能力取向、生活取向。在这些取向的指引下,安大略省形成了围绕“主题”的跨学科知识链、关注“探究”的多样化活动链和指向“学习”的多维度评价链的跨学科教学实践路径。这些探索为我国推进跨学科教学带来重要启示:以制度为先导,构建跨学科教学共生系统;以主题为引领,实施跨学科探究实践活动;以学生为中心,完善跨学科教学评价机制。 展开更多
关键词 跨学科 教学实践 加拿大安大略省
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Impact of preoperative factors on clinical outcomes after total hip arthroplasty
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作者 Toru Nishiwaki Hisatoshi Ishikura +2 位作者 Yuji Masuyama Sho Fujita Rei Hirose 《World Journal of Orthopedics》 2025年第4期30-35,共6页
BACKGROUND Although total hip arthroplasty(THA)is an established intervention for advanced hip disorders,not all patients achieve the anticipated functional improvements.AIM To investigate the impact of various preope... BACKGROUND Although total hip arthroplasty(THA)is an established intervention for advanced hip disorders,not all patients achieve the anticipated functional improvements.AIM To investigate the impact of various preoperative factors on clinical outcomes after THA.METHODS Data of 411 patients who underwent unilateral THA were retrospectively analyzed.The associations between preoperative factors,such as age,body mass index,pain severity,functional impairment,psychological status,neuropathic pain,and central sensitization,and clinical outcomes assessed six months postoperatively using the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)and modified Harris Hip Score were evaluated.RESULTS Our results indicated that age and the WOMAC,Center for Epidemiologic Studies Depression Scale,and Central Sensitization Index(CSI)scores significantly predicted the modified Harris Hip Score outcomes,whereas age and preoperative WOMAC,EuroQol 5 dimensions,Center for Epidemiologic Studies Depression Scale,CSI,and Pain Detect Questionnaire scores were significant predictors of WOMAC outcomes.Age,WOMAC,and CSI were consistently significant factors.There were no significant differences in the operative time or blood loss across the outcome categories.CONCLUSION Our findings highlight the importance of preoperative assessment of central sensitization and psychological parameters.Patient-specific preoperative characteristics may play a greater role than intraoperative factors in determining recovery outcomes after THA. 展开更多
关键词 Modified Harris Hip Score Western ontario and McMaster Universities Osteoarthritis Index Central sensitization Neuropathic pain Total hip arthroplasty
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中枢敏化与全膝关节置换术后西安大略和麦克马斯特大学骨关节炎指数的关系研究 被引量:1
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作者 吴浩东 郭一顺 +4 位作者 徐超 姚舒馨 包焕利 尚磊 马建兵 《实用骨科杂志》 2025年第2期126-131,共6页
目的探究中枢敏化(central sensitization,CS)与全膝关节置换术(total knee arthroplasty,TKA)术后西安大略和麦克马斯特大学(the Western Ontario and McMaster Universities,WOMAC)骨关节炎指数之间的关系。方法这项前瞻性研究纳入了2... 目的探究中枢敏化(central sensitization,CS)与全膝关节置换术(total knee arthroplasty,TKA)术后西安大略和麦克马斯特大学(the Western Ontario and McMaster Universities,WOMAC)骨关节炎指数之间的关系。方法这项前瞻性研究纳入了2022年2月至2023年2月在西安交通大学附属红会医院接受初次单侧TKA的180例患者,男53例,女127例;年龄50~79岁,平均(64.8±5.9)岁。使用中枢敏化量表(central sensitization inventory,CSI)的A部分来评估术前CS。评估术前CSI与术后1年WOMAC评分之间的相关性,以及术后WOMAC评分与术前CSI严重程度之间的关联。此外,还评估了不同CSI严重程度与WOMAC评分各维度之间的关系。结果29例患者(16.1%)在术前有CS,术前CSI与术后WOMAC评分呈正相关(r=0.607,P<0.001)。术前CSI严重程度为中度或更高的患者,术后WOMAC评分显著高于术前CSI严重程度为亚临床或轻度的患者(P<0.001)。与亚临床组相比,中度或更高CSI严重程度的WOMAC评分各个维度得分显著较高(P<0.001)。结论术前CSI与TKA术后1年WOMAC评分呈显著正相关,对术前CS患者进行干预有助于改善TKA后的临床效果。 展开更多
关键词 中枢敏化 西安大略和麦克马斯特大学骨关节炎指数 疼痛 全膝关节置换术
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龙砂开阖六气针法联合独活寄生汤治疗肝肾亏虚型膝骨关节炎临床观察 被引量:1
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作者 王君清 贾超轶 刘文琼 《山东中医杂志》 2025年第5期550-554,共5页
目的:观察龙砂开阖六气针法(以下简称六气针法)联合独活寄生汤治疗肝肾亏虚型膝骨关节炎的临床疗效。方法:选择肝肾亏虚型膝骨关节炎患者60例,按随机数字表法分为对照组和观察组各30例。对照组患者采用口服盐酸氨基葡萄糖胶囊治疗,观察... 目的:观察龙砂开阖六气针法(以下简称六气针法)联合独活寄生汤治疗肝肾亏虚型膝骨关节炎的临床疗效。方法:选择肝肾亏虚型膝骨关节炎患者60例,按随机数字表法分为对照组和观察组各30例。对照组患者采用口服盐酸氨基葡萄糖胶囊治疗,观察组患者采用六气针法联合独活寄生汤治疗,两组均连续治疗4周。比较两组疼痛视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、Lequesne指数评分、不良反应情况及临床疗效。结果:治疗后,两组VAS、WOMAC和Lequesne指数评分均低于治疗前(P<0.05),且观察组上述各项评分均低于对照组(P<0.05)。治疗过程中,对照组有1例患者出现轻微恶心、呕吐症状,其他患者均未见明显不良反应。治疗后,观察组总有效率(93.3%)高于对照组总有效率(63.3%),差异有统计学意义(P<0.05)。结论:六气针法配合独活寄生汤治疗肝肾亏虚型膝骨关节炎疗效确切,可明显减轻患者膝关节疼痛和炎症程度,并能改善患者膝关节活动能力,安全性高。 展开更多
关键词 龙砂开阖六气针法 独活寄生汤 膝骨关节炎 视觉模拟评分法 西安大略和麦克马斯特大学骨关节炎指数 Lequesne指数
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