RESUMO
BACKGROUND: We developed and validated a five-item self-report questionnaire for assessing disability as defined by the International Classification of Functioning, Disability, and Health conceptual model in patients with hip osteoarthritis (OA). MATERIAL AND METHODS: The psychometric properties of the new score (Schulthess hip score, SHS) were examined in 105 consecutive patients (mean age 63 years; 48 women) undergoing total hip arthroplasty (THA). RESULTS: The completion rate (97%) and reproducibility (intraclass correlation coefficient 0.90) of the SHS were excellent. Exploratory factor analysis indicated that all items that loaded on one factor only that accounted for 69.4% of the total variance. Cronbach's alpha was 0.88. Evidence of validity was provided by moderate to high correlations (r=-0.37-0.78) with the scores of traditionally used self-reported outcome measures. The SHS was very responsive, with an effect size of 2.15 and a standardized response mean of 1.74 for changes recorded 6 months after THA. CONCLUSION: These results provide evidence to support use of the SHS for assessing disability in patients with hip OA.
Assuntos
Artroplastia de Quadril/estatística & dados numéricos , Avaliação da Deficiência , Osteoartrite do Quadril/classificação , Osteoartrite do Quadril/cirurgia , Perfil de Impacto da Doença , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Necrose da Cabeça do Fêmur/classificação , Necrose da Cabeça do Fêmur/cirurgia , Alemanha , Luxação Congênita de Quadril/classificação , Luxação Congênita de Quadril/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Inquéritos e QuestionáriosRESUMO
A cat with chronic diarrhea was diagnosed as having duodenal lymphosarcoma on two separate sets of endoscopic biopsies. Prednisolone failed to effect any clinical improvement. However, feeding the cat with a hypoallergenic diet resulted in long-term (i.e., six months) resolution of clinical signs. Most clinicians are familiar with the possibility of mistakenly diagnosing inflammatory bowel disease when the patient has lymphosarcoma; however, this case had the opposite problem: lymphosarcoma was diagnosed histologically on two separate occasions when inflammatory bowel disease was the problem.
Assuntos
Doenças do Gato/diagnóstico , Neoplasias Duodenais/veterinária , Hipersensibilidade Alimentar/veterinária , Doenças Inflamatórias Intestinais/veterinária , Linfoma não Hodgkin/veterinária , Animais , Biópsia/veterinária , Doenças do Gato/patologia , Gatos , Doença Crônica , Diagnóstico Diferencial , Diarreia/etiologia , Diarreia/veterinária , Neoplasias Duodenais/diagnóstico , Neoplasias Duodenais/patologia , Duodeno/patologia , Hipersensibilidade Alimentar/diagnóstico , Hipersensibilidade Alimentar/etiologia , Doenças Inflamatórias Intestinais/complicações , Doenças Inflamatórias Intestinais/diagnóstico , Linfoma não Hodgkin/diagnóstico , Linfoma não Hodgkin/patologia , MasculinoRESUMO
AMong 149 old ophthalmological patients over 70 years old, 29 patients did not undergo a general anaesthesia. The other 120 patients underwent 148 operations under general anaesthesia. The anaesthetic techniques came from neuroleptanalgesia. The results are quite good from a surgical view/point so that now we don't to refuse old people for an ophthalmological surgery under general anaesthesia any longer.
