RESUMO
Fifty-four patients with metastatic bone disease were followed prospectively to assess the risk of pathologic fracture during rehabilitation. Sixteen fractures were observed in 12 patients. Only one fracture occurred while the patient was undergoing rehabilitation, and this was a fourth lumbar vertebral compression that did not affect the clinical course of the patient. Patients in the fracture group were generally younger, female, and in a more advanced stage of disease with lytic metastases and a previous occurrence of pathologic fracture.
Assuntos
Neoplasias Ósseas/reabilitação , Fraturas Espontâneas/etiologia , Adulto , Idoso , Neoplasias Ósseas/complicações , Neoplasias Ósseas/secundário , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modalidades de Fisioterapia , Estudos Prospectivos , RiscoRESUMO
Calibrated terrestrial solar spectra are presented from measurements made with a new instrument under diverse atmospheric conditions. The atmospheric turbidity and the amount of cloud cover were recorded simultaneously with the spectra. The two main objectives of this paper are: to provide spectral data of high enough resolution and on a broad enough wavelength scale to make the data useful for studies where spectral position and bandwidth are critical factors; and to provide in one location sets of spectra that illustrate several atmospheric effects on the solar spectrum. Interpretation of the spectra is primarily left to the reader. Direct normal, diffuse, and global spectra are illustrated.