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OBJECTIVE: The feet of professional dancers are exposed to high work-related stresses. To date, data from the professional dance sector concerning this matter are lacking. The aim of this exploratory project was to analyze and evaluate skin health in the foot area with regard to the prevalence of dermatoses, their locations, as well as gender-specific and load-specific differences. METHODS: Professional classical and neo-classical ballet dancers were examined at two time points: in a phase with increased stress (T0: daily training sessions, rehearsals, and high performance frequency) (n=51, 35 females, 16 males) and after a 24-day rest phase (T1: n=35, 28 females, 7 males). In addition, gender-specific and load-specific (T0 and T1) differences were evaluated. RESULTS: All professional dancers were affected by skin lesions of the feet at T0. Hyperkeratosis (96.1%), onychomycosis (27.5%), and subungual hematoma (11.8%) were the most frequent dermatoses of the feet of professional dancers. Onychomycosis affected the nails of the big toes in particular (right 15.7%; left 13.7%), and subungual hematomas were found exclusively on the nails of the first toe (right 7.8%; left 7.8%). Women tended to be more frequently affected by hyperkeratosis, men more frequently by onychomycosis. There were no load-specific differences between the stress and rest phases. CONCLUSION: The prevalence of work-related dermatoses is equally high among female and male dancers. The results can be used for further research and serve as a basis for specific measures of behavioral and environmental prevention in dance.
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Baile , Onicomicosis , Humanos , Femenino , Masculino , Proyectos Piloto , Pie , Extremidad InferiorRESUMEN
In order to classify and analyze the parameters of upper body posture in clinical or physiotherapeutic settings, a baseline in the form of standard values with special regard to age, sex and BMI is required. Thus, subjectively healthy men and women aged 21-60 years were measured in this project. The postural parameters of 800 symptom-free male (n = 397) and female (n = 407) volunteers aged 21-60 years (Øâ: 39.7 ± 11.6, Ø â: 40.7 ± 11.5 y) were studied. The mean height of the men was 1.8 ± 0.07 m, with a mean body weight of 84.8 ± 13.1 kg and an average BMI of 26.0 ± 3.534 kg/m2. In contrast, the mean height of the women was 1.67 ± 0.06 m, with a mean body weight of 66.5 ± 12.7 kg and an average BMI of 23.9 ± 4.6 kg/m2. By means of video rasterstereography, a 3-dimensional scan of the upper back surface was measured when in a habitual standing position. The means or medians, confidence intervals, tolerance ranges, the minimum, 2.5, 25, 50, 75, 97.5 percentiles and the maximum, plus the kurtosis and skewness of the distribution, were calculated for all parameters. Additionally, ANOVA and a factor analyses (sex, BMI, age) were conducted. In both sexes across all age groups, balanced, symmetrical upper body statics were evident. Most strikingly, the females showed greater thoracic kyphosis and lumbar lordosis angles (kyphosis: Ø â 56°, Øâ 51°; lordosis: Ø â 49°, Øâ 32°) and lumbar bending angles (Ø â 14°, Øâ 11°) than the males. The distance between the scapulae was more pronounced in men. These parameters also show an increase with age and BMI, respectively. Pelvic parameters were independent of age and sex. The upper body postures of women and men between the ages of 21 and 60 years were found to be almost symmetrical and axis-conforming with a positive correlation for BMI or age. Consequently, the present body posture parameters allow for comparisons with other studies, as well as for the evaluation of clinical (interim) diagnostics and applications.
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Cifosis , Lordosis , Humanos , Masculino , Adulto , Femenino , Adulto Joven , Persona de Mediana Edad , Lordosis/diagnóstico por imagen , Índice de Masa Corporal , Cifosis/diagnóstico por imagen , Postura , Región Lumbosacra , Peso CorporalRESUMEN
Musculoskeletal disorders of the trunk and neck are common among cleaners. Vacuum cleaning is a demanding activity. The aim of this study was to present the movement profile of the trunk and neck during habitual vacuuming. The data were collected from 31 subjects (21f./10 m) using a 3D motion analysis system (Xsens). 10 cycles were analysed in vacuuming PVC and carpet floors with 8 vacuum cleaners. The joint angles and velocities were represented statistically descriptive. When vacuuming, the trunk is held in a forwardly inclined position by a flexion in the hip and rotated from this position. In the joint angles and velocities of the spine, the rotation proved to be dominant. A relatively large amount of movement took place in the cervical spine and also in the lumbar spine. The shown movement profile is rather a comfort area of vacuuming which may serve as a reference for ergonomics in vacuuming.
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Pisos y Cubiertas de Piso , Tareas del Hogar , Movimiento/fisiología , Cuello/fisiología , Torso/fisiología , Ergonomía , Femenino , Humanos , Masculino , VacioRESUMEN
BACKGROUND: Musculoskeletal disorders (MSD) are a common health problem among dentists. Dental treatment is mainly performed in a sitting position. The aim of the study was to quantify the effect of different ergonomic chairs on the sitting position. In addition, it was tested if the sitting position of experienced workers is different from a non-dental group. METHODS: A total of 59 (28 m/31f) subjects, divided into two dentist groups according to their work experience (students and dentists (9 m/11f) < 10 years, dentists (9 m/10f) ≥ 10 years) and a control group (10 m/10f) were measured. A three-dimensional back scanner captured the bare back of all subjects sitting on six dentist's chairs of different design. Initially, inter-group comparisons per chair, firstly in the habitual and secondly in the working postures, were carried out. Furthermore, inter-chair comparison was conducted for the habitual as well as for the working postures of all subjects and for each group. Finally, a comparison between the habitual sitting posture and the working posture for each respective chair (intra-chair comparison) was conducted (for all subjects and for each group). In addition, a subjective assessment of each chair was made. For the statistical analysis, non-parametric tests were conducted and the level of significance was set at 5%. RESULTS: When comparing the three subject groups, all chairs caused a more pronounced spinal kyphosis in experienced dentists. In both conditions (habitual and working postures), a symmetrical sitting position was assumed on each chair. The inter-chair comparisons showed no differences regarding the ergonomic design of the chairs. The significances found in the inter-chair comparisons were all within the measurementerror and could, therefore, be classified as clinically irrelevant. The intra-chair comparison (habitual sitting position vs. working sitting position) illustrated position-related changes in the sagittal, but not in the transverse, plane. These changes were only position-related (forward leaned working posture) and were not influenced by the ergonomic sitting design of the respective chair. There are no differences between the groups in the subjective assessment of each chair. CONCLUSIONS: Regardless of the group or the dental experience, the ergonomic design of the dentist's chair had only a marginal influence on the upper body posture in both the habitual and working sitting postures. Consequently, the focus of the dentist's chair, in order to minimize MSD, should concentrate on adopting a symmetrical sitting posture rather than on its ergonomic design.
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Ergonomía , Postura , Odontólogos , Humanos , Sedestación , Columna VertebralRESUMEN
OBJECTIVES: Symmetrical dental occlusion blocking is used in dentistry as a quick diagnostic tool to test for potential influences of the craniomandibular system on body sway and weight distribution. This study presents the changes of body sway and pressure distribution in healthy subjects, free of a temporomandibular dysfunction (TMD). Immediate effects between occlusal blocking and rest position on body sway and body weight distribution in general, as well as for both genders and for four age decades will be evaluated. MATERIALS AND METHODS: 725 (396f/329 m) subjects (neither subjective signs of TMD nor acute/chronic complaints in the musculoskeletal system) volunteered (21 to 60 years) while both genders were divided into four age groups according to decades. A pressure measuring platform was used. Body sway and weight distribution were recorded in two dental occlusion conditions (a) in rest position and (b) symmetrical blocking (bicuspid region) by cotton rolls. RESULTS: Both, the frontal sway and the sagittal sway reduced by 0.67 mm (t(724) = - 3.9 (p < 0.001)) and by 0.33 mm (t(724) = - 3.4 (p < 0.001)). The relative pressure under the left forefoot increased by 0.33% (t(724) = 2.88 (p < 0.001)) and the relative pressure overall under the forefoot increased by 0.67% (t(724) = - 3.4 (p < 0.001)). Gender-specific, age-specific and BMI-specific reactions could not be identified. CONCLUSIONS: Subjects, free of any TMD and with no complaints of the musculoskeletal system, show small changes of the body sway and weight distribution when biting symmetrically on a cotton roll. These changes are independent of age, gender or body mass index (BMI). Due to the relative large sample size, the presented results can also be seen as norm values when body sway is used as an additional assessment of a TMD.
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The aim of this study was to investigate gender-specific influences of different symmetric and asymmetric occlusion conditions on postural control during standing and walking. The study involved 59 healthy adult volunteers (41 f/19 m) aged between 22 and 53 years (30.2 ± 6.3 years). Postural control measurements were carried out using a pressure plate by measuring plantar pressure distribution during standing and walking test conditions. Seven different occlusion conditions were tested. Prior to a MANOVA model analysis, the relationship between the two test conditions were checked using a factor analysis with a varying number of factors (between 2 and 10). The plantar pressure distributions during walking and standing are independent test conditions. The coefficient of variance across all variables between the conditions and genders was not significant: t(46) = 1.51 (p = 0.13). No statement can be made whether, or not, the influence of gender is greater than the influence of the conditions. Healthy male and female test subjects did not show any difference between seven occlusion conditions on the plantar pressure distribution while standing or walking. No differences between the genders were found for any of the investigated variables. In contrast to custom-made occlusion splints, simple cotton rolls appear not to influence the neuromuscular system in a systematic manner.
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Oclusión Dental , Caminata , Adulto , Femenino , Pie , Humanos , Masculino , Persona de Mediana Edad , Equilibrio Postural , Presión , Adulto JovenRESUMEN
BACKGROUND: It is unclear whether and under which conditions stretch training programs lead to gains in flexibility when applied in work health promotion for office workers in order to reduce musculoskeletal disorders (MSD). OBJECTIVE: The aim of this study was to analyze whether the stretch training "five-Business" leads to gains in range of motion (ROM). Furthermore, the influence of baseline flexibility and socio-demographic factors (sex, age, weight, height and body mass index (BMI)) on trainability was assessed. METHODS: 161 office workers (nâ=â45 female; nâ=â116 male) without major MSD were recruited. Over three months, a standardized static stretch training ("five-Business") was executed on a device, supervised twice per week for 10âmin. ROM was assessed using a digital inclinometer (shoulder, hip and trunk extension) and a tape measure (fingertip-to-floor and lateral inclination). RESULTS: ROM gains (p≤0.001) were present in all tests, except for the hip extension. ROM changes correlated moderately (0.24-0.62) with the baseline flexibility (p≤0.001). Subjects with limited flexibility reached the largest gains (1.41-25.33%). Regarding the socio-demographic factors only one low correlation occurred (weight - retroflexion; -0.177). CONCLUSION: The "five-Business" stretch training effectively increases ROM in office workers, especially when baseline flexibility is limited.
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Enfermedades Musculoesqueléticas , Hombro , Femenino , Humanos , Masculino , Rango del Movimiento Articular , TorsoRESUMEN
In the application of range of motion (ROM) tests there is little agreement on the number of repetitions to be measured and the number of preceding warm-up protocols. In stretch training a plateau in ROM gains can be seen after four to five repetitions. With increasing number of repetitions, the gain in ROM is reduced. This study examines the question of whether such an effect occurs in common ROM tests. Twenty-two healthy sport students (10 m/12 f.) with an average age of 25.3 ± 1.94 years (average height 174.1 ± 9.8 cm; weight 66.6 ± 11.3 kg and BMI 21.9 ± 2.0 kg/cm2) volunteered in this study. Each subject performed five ROM tests in a randomized order-measured either via a tape measure or a digital inclinometer: Tape measure was used to evaluate the Fingertip-to-Floor test (FtF) and the Lateral Inclination test (LI). Retroflexion of the trunk modified after Janda (RF), Thomas test (TT) and a Shoulder test modified after Janda (ST) were evaluated with a digital inclinometer. In order to show general acute effects within 20 repetitions we performed ANOVA/Friedman-test with multiple comparisons. A non-linear regression was then performed to identify a plateau formation. Significance level was set at 5%. In seven out of eight ROM tests (five tests in total with three tests measured both left and right sides) significant flexibility gains were observed (FtF: p < 0.001; LI-left/right: p < 0.001/0.001; RF: p = 0.009; ST-left/right: p < 0.001/p = 0.003; TT-left: p < 0.001). A non-linear regression with random effects was successfully applied on FtF, RF, LI-left/right, ST-left and TT-left and thus, indicate a gradual decline in the amount of gained ROM. An acute effect was observed in most ROM tests, which is characterized by a gradual decline of ROM gain. For those tests, we can state that the acute effect described in the stretching literature also applies to the performance of typical ROM tests. Since a non-linear behavior was shown, it is the decision of the practitioner to weigh up between measurement accuracy and expenditure. Researchers and practitioners should consider this when applying ROM assessments to healthy young adults.
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Prueba de Esfuerzo/métodos , Voluntarios Sanos , Ejercicios de Estiramiento Muscular/fisiología , Acondicionamiento Físico Humano/fisiología , Rango del Movimiento Articular/fisiología , Adulto , Femenino , Humanos , Masculino , Estudios Prospectivos , Hombro/fisiología , Torso/fisiología , Adulto JovenRESUMEN
BACKGROUND: The aim of this study was to collect standard reference values of the weight and the maximum pressure distribution in healthy adults aged 18-65 years and to investigate the influence of constitutional parameters on it. METHODS: A total of 416 healthy subjects (208 male / 208 female) aged between 18 and 65 years (Ø 38.3 ± 14.1 years) participated in this study, conducted 2015-2019 in Heidelberg. The age-specific evaluation is based on 4 age groups (G1, 18-30 years; G2, 31-40 years; G3, 41-50 years; G4, 51-65 years). A pressure measuring plate FDM-S (Zebris/Isny/Germany) was used to collect body weight distribution and maximum pressure distribution of the right and left foot and left and right forefoot/rearfoot, respectively. RESULTS: Body weight distribution of the left (50.07%) and right (50.12%) foot was balanced. There was higher load on the rearfoot (left 54.14%; right 55.09%) than on the forefoot (left 45.49%; right 44.26%). The pressure in the rearfoot was higher than in the forefoot (rearfoot left 9.60 N/cm2, rearfoot right 9.51 N/cm2/forefoot left 8.23 N/cm2, forefoot right 8.59 N/cm2). With increasing age, the load in the left foot shifted from the rearfoot to the forefoot as well as the maximum pressure (p ≤ 0.02 and 0.03; poor effect size). With increasing BMI, the body weight shifted to the left and right rearfoot (p ≤ 0.001, poor effect size). As BMI increased, so did the maximum pressure in all areas (p ≤ 0.001 and 0.03, weak to moderate effect size). There were significant differences in weight and maximum pressure distribution in the forefoot and rearfoot in the different age groups, especially between younger (18-40 years) and older (41-65 years) subjects. DISCUSSION: Healthy individuals aged from 18 to 65 years were found to have a balanced weight distribution in an aspect ratio, with a 20% greater load of the rearfoot. Age and BMI were found to be influencing factors of the weight and maximum pressure distribution, especially between younger and elder subjects. The collected standard reference values allow comparisons with other studies and can serve as a guideline in clinical practice and scientific studies.
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Fenómenos Biomecánicos/fisiología , Peso Corporal/fisiología , Adolescente , Adulto , Anciano , Femenino , Pie/fisiología , Alemania , Humanos , Masculino , Persona de Mediana Edad , Postura/fisiología , Presión , Valores de Referencia , Adulto JovenRESUMEN
BACKGROUND: Temporary occlusal changes and their influence on the upper body statics are still controversially discussed. Furthermore, concrete statements on whether age- or gender-specific differences in neurophysiological reactions exist are missing. Therefore, it is the aim of this study to evaluate the immediate effects of a symmetrical occlusion blocking on the upper body posture. These effects shall be investigated for both genders and for a larger age range. METHODS: In this study, 800 (407f/393 m) subjects volunteered aged from 21 to 60 years. Both genders were divided into four age groups according to decades. The three-dimensional upper body posture was measured by using the rasterstereography (ABW-Bodymapper). The habitual static posture was measured in two dental occlusion conditions (a) in rest position and (b) symmetrical blocking in the bicuspid region by cotton rolls. RESULTS: A significant reduction of the trunk length (0.72 mm; p < 0.001), an increase of the lumbar (0.30°; p < 0.001) and the thoracic bending angle (0.14°; p = 0.001), a reduction of the spinal forward decline (0.16°; p < 0.001) and a reduction of the scapular distance (0.36 mm; p = 0.001) was found. Gender-specific reactions can only be recorded in scapular distance, in that regard men reduce this distance while over all age groups women did not show a significant change. DISCUSSION: Slight gender- and age-independent reactions due to a symmetric occlusion blockade are shown: A gender independent reaction of the spinal related variables in the sagittal plane (thoracic and lumbar flexion angle, trunk length, spinal forward decline). In addition, a gender specific change of the shoulder blade distance could be observed, where men reduced the distance while female did not show a change. However, since these reactions are of a minimum amount, it can be concluded that neurophysiological compensation mechanisms work equally well regardless of age and sex, and the upper body posture of healthy people changes only very slightly due to a temporarily symmetrical altered bite position.
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Postura , Columna Vertebral , Adulto , Femenino , Humanos , Región Lumbosacra , Masculino , Persona de Mediana Edad , Rango del Movimiento Articular , Escápula , Adulto JovenRESUMEN
BACKGROUND: Well defined constitutional parameters support the physical fatigue resistance in handball to maintain the performance level for the majority of actions. Ideal constitutional conditions are necessary to achieve these physiological advantages in handball. But limited knowledge exists about the upper body posture or the postural control in correlation to the Body Mass Index (BMI), playing years, playing position and throwing arm in professional male handball. METHODS: Ninety-one male handball players participate (24.1 ± 5.9 years; playing experience 16.6 ± 5.7 years). A three-dimensional back scanner and a pressure measuring plate were used. RESULTS: Correlations between BMI and upper body posture and postural control were not significant. Same counts for the comparison between the left and right throwing arm according to upper body posture and postural control (p ≥ 0.05). Correlations between the years of playing can be found at pelvis height (p ≤ 0.04) and for the length of the Center of Pressure (CoP) (p ≤ 0.01). Wing players are 6.5-8.5 cm smaller. The playing position is independently of BMI, age or upper body posture (p ≥ 0.05). Backcourt players have a higher load of the left and a lower load of the right foot compared to wing players (p ≤ 0.001). Left-right comparison (p ≤ 0.001/ 0.01) can be seen in pivot player (covered area), backcourt player (weight distribution left/right [rear] foot), wing player (weight and force distribution left/right foot, covered area). CONCLUSION: Goalkeeper, Backcourt and pivot players are taller and heavier than wing players. These physiological demands are not detectable in the upper body posture and slightly in postural control. Wing players have the most asymmetric load distribution and the longest length of CoP. Since goalkeepers do not differ from pivot or backcourt players, this can be lead back to the same training.
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BACKGROUND: Knee pain can influence postural control in addition to changes in the anatomical structure of the knee joints. OBJECTIVE: Because the influence of imbalances in the craniomandibular system has been proven multiple times, it is the aim of the present work to investigate the influence of various knee diagnoses on postural control excluding occlusal information by means of symmetrical packing using cotton rolls. MATERIALS AND METHODS: One hundred and fifteen patients (74 male/41 female) aged 18-75 years with an average BMI of 25.13⯱ 3.66â¯kg/m2 took part in the study, among them 34 patients (26 male/8 female) with cruciate ligament injury, 26 (16 male/10 female) with meniscal lesions, 24 (13 male/11 female) with arthrosis, 21 (11 male/10 female) with patellar pain, and 10 (8 male/2 female) with other painful knee complaints. Postural control was increased using a force platform, the degree of severity of the disorder was recorded using the "Knee Injury and Osteoarthritis Outcome" questionnaire, and the occlusion packed on both sides with cotton rolls in the premolar area. RESULTS: With increasing age, patients with knee arthrosis are more likely to stand on the hindfoot. In those with patellar disorder, increased weight-bearing on the forefoot correlates with increasing BMI. An increase in weight-bearing on the forefoot on the side of the uninjured knee in people with patellar disorder results not only in a reduction in quality of life but also level of daily activity. DISCUSSION: The percentage weight-bearing on the zones of the feet differs in unilateral knee injuries (in particular, comparison of the side with the knee injury and the uninjured side). Age, BMI or gender are influencing factors. Because various correlations and/or effects in the subgroups of knee injuries are generated, an injury-specific analysis should be carried out. These effects are also identifiable in the subjective assessment of quality of life.
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Lesiones del Ligamento Cruzado Anterior/cirugía , Ligamento Cruzado Anterior/cirugía , Procedimientos Ortopédicos/métodos , Osteoartritis de la Rodilla/complicaciones , Equilibrio Postural , Soporte de Peso , Adolescente , Adulto , Anciano , Ligamento Cruzado Anterior/diagnóstico por imagen , Lesiones del Ligamento Cruzado Anterior/diagnóstico por imagen , Femenino , Humanos , Traumatismos de la Rodilla , Articulación de la Rodilla , Masculino , Persona de Mediana Edad , Dolor , Calidad de Vida , Adulto JovenRESUMEN
The aim of this study was to determine association between constitutional, medical history and axiographic parameters with postural control parameters. Overall, 106 healthy female subjects aged between 21 and 30 years were measured. Data collection was carried out by completing a questionnaire on constitutional parameters, illnesses, accidents and medical/orthodontic therapies, as well as by axio- and posturographic measurements. Data were analyzed using correlations, pair comparisons and group comparisons. The significance level was set at p ≤ 0.05. The statistical evaluation showed significant correlations between sporting exercise and body sway in the sagittal direction (p ≤ 0.03), the BMI and the load on the forefoot/rear foot (p ≤ 0.01), the mouth opening and the load on the forefoot/rearfoot (p ≤ 0.01) and the presence of a deviation with the load on the left/right foot (p ≤ 0.01). The physical condition as well as the temporo-mandibular system are associated with the postural control in young women. Therefore, a holistic diagnosis and therapy will be supported by the present outcomes.
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Anamnesis , Equilibrio Postural , Adulto , Femenino , Humanos , Registro de la Relación Maxilomandibular , Adulto JovenRESUMEN
PURPOSE: The aim of this study is to conduct a kinematic analysis of occupational posture in orthodontists. METHODS: A representative sample of 21 (13 female/8 male) residents in orthodontics and orthodontists was studied. The CUELA system collects kinematic data of the occupational posture. Alongside the kinematic analysis, the tasks performed on-site were also subject to a detailed computerized analysis. Data analysis comprised the evaluation and comparison of joint angle distribution in accordance with ergonomic standards categorized as neutral, moderate or awkward posture. RESULTS: The most common activities were executed in a seated position. During "treatment" (28% of total time) participants most often worked with a straight back (84.7%), whereas a "bent or twisted" torso posture was observed 23.4% of the time. For head and cervical spine, the 75th and 95th percentiles presented worse (higher) values during treatment as compared to non-orthodontic activities. The seated position next to the patient during treatment showed a stronger inclination of the thoracic spine to the right and an inclination of the lumber spine to the left. CONCLUSIONS: Orthodontists do take characteristic postures during treatment activities with highest angle values. The postures differ in the area of head and cervical spine with regard to the various activities carried out in the 3 categories.
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Fenómenos Biomecánicos/fisiología , Ortodoncistas , Postura/fisiología , Adulto , Ergonomía , Femenino , Humanos , Masculino , Enfermedades Musculoesqueléticas , Enfermedades Profesionales , Ortodoncia , Programas Informáticos , Columna Vertebral/fisiologíaRESUMEN
Aims and Scope: Diabetic retinopathy (DR) is of major scientific and socioeconomic interest in most of the industrialized countries due to increasing prevalence. This interest is reflected by a marked increase in the number of publications since the 1990 s. It is therefore difficult for a single author to obtain an overview of the topic. Material and Methods: The total number of published items on DR was determined in the Web of Science database. All bibliometric data were collected for the period 1900 to 2008 (search term:"diabet* retinopath*" and "diabet* macul*"). A number of different scientometric methods were applied in accordance with the NewQIS protocol, e.g. state of the art visualisation techniques such as density equalising maps and network diagrams. Results: A total of 15,624 publications were identified. The U.âS.âA. leads in the overall number of publications (4,689). The most productive and the most prolific institutions, authors and publications are all in the U.âS.âA. The University of Wisconsin (i.e. Ronald Klein and his wife Barbara Eden Kobrin Klein) have established an international network with a large number of institutions publishing important work. Nevertheless, many other important institutions can be identified, e.g. the Joslin Diabetes Center, which has published many articles on VEGF. Conclusion: The results reveal that the scientific interest on the topic DR is continuously increasing. International collaboration is of growing importance in this field.
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Investigación Biomédica/estadística & datos numéricos , Retinopatía Diabética/diagnóstico , Retinopatía Diabética/terapia , Salud Global/estadística & datos numéricos , Factor de Impacto de la Revista , Publicaciones Periódicas como Asunto/estadística & datos numéricos , Bibliometría , Investigación Biomédica/tendencias , Retinopatía Diabética/epidemiología , Salud Global/tendencias , Humanos , Internacionalidad , Publicaciones Periódicas como Asunto/tendenciasRESUMEN
OBJECTIVES: To conduct a kinematic comparison of occupational posture in orthodontists and dentists in their workplace. DESIGN: Observational study. SETTING: Dentist surgeries and departments of orthodontics at university medical centres in Germany. PARTICIPANTS: A representative sample of 21 (10 female, 11 male) dentists (group G1) and 21 (13 female, 8 male) orthodontists (G2) with one male dropout in G2. OUTCOME MEASURES: The CUELA (computer-assisted acquisition and long-term analysis of musculoskeletal loads) system was used to analyse occupational posture. Parallel to the recording through the CUELA system, a software-supported analysis of the activities performed (I: treatment; II: office; III: other activities) was carried out. In line with ergonomic standards the measured body angles are categorised into neutral, moderate and awkward postures. Activities between the aforementioned groups are compared using the stratified van Elteren U test and the Wilcoxon-Mann-Whitney U test. All p values are subject to the Bonferroni-Holm correction. The level of significance is set at 5%. RESULTS: The percentage of time spent on activities in categories I-II-III was as follows: dentists 41%-23%-36% and orthodontists 28%-37%-35%. The posture analysis of both groups showed, for all percentiles (P5-95), angle values primarily in the neutral or moderate range. However, depending on the activity performed, between 5% and 25% of working hours were spent in unfavourable postures, especially in the head-and-neck area. Orthodontists have a greater tendency than dentists to perform treatment activities with the head and torso in unfavourable positions. The statistically significant differences between the two groups with regard to the duration and the relevance of the activities performed confirm this assumption for all three categories (p<0.01, p<0.05). CONCLUSIONS: Generally, both groups perform treatment activities in postures that are in the neutral or medium range; however, dentists had slightly more unfavourable postures during treatment for a greater share of their work day.
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Odontólogos , Actividad Motora , Exposición Profesional , Ortodoncistas , Postura , Adulto , Fenómenos Biomecánicos , Ergonomía , Femenino , Alemania , Humanos , Masculino , Persona de Mediana EdadRESUMEN
AIMS AND SCOPE: Sarcoidosis continues to be an underestimated disease that can cause severe morbidity and mortality in individuals. There has, however, been an increasing awareness of this disease as shown by the increasing number of publications since the 1990â s. The large number of available publications makes it challenging for a single scientist to provide an overview of the topic. To quantify the global research activity in this field, a scientometric investigation was conducted. MATERIAL AND METHODS: The total number of publications on sarcoidosis was determined in the Web of Science to obtain their bibliometric data for the period 1900-2008. According to the NewQIS-protocol, different visualisation techniques and scientometric methods were applied. RESULTS: A total of 14,190 published items were evaluated. The U.S. takes a leading position in terms of the overall number of publications and collaborations. Prolific institutions and authors are of U.S.âorigin. Only a relatively small number of international co-operations were identified. The most intensive network is between the "University of Colorado" and the "National Jewish Medical Research Center". "Semenzato, G" has the highest citation rate of all authors. The most productive co-operative author is "du Bois, RM". CONCLUSION: The scientific interest in the topic sarcoidosis is growing steadily. The influence of international co-operation on scientific progress in this area is of increasing importance.
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Investigación Biomédica/estadística & datos numéricos , Internacionalidad , Publicaciones Periódicas como Asunto/estadística & datos numéricos , Sarcoidosis/diagnóstico , Sarcoidosis/terapia , Investigación Biomédica/tendencias , Medicina Basada en la Evidencia , Humanos , Relaciones Interinstitucionales , Manuscritos como Asunto , Neumología/estadística & datos numéricos , Neumología/tendenciasRESUMEN
BACKGROUND: Despite the great medical importance, there is still no comprehensive scientometric analysis regarding the results of magnetic resonance imaging (MRI) and the development of the importance for the healthcare system. AIMS: This paper evaluated and analyzed the entire research publication results on the topic of MRI for the period 1981-2007 based on scientometric methods and parameters. MATERIAL AND METHODS: A scientometric analysis (database: ISI Web of Science 1981-2007, search terms MRI and magnetic resonance imaging) was performed. The following parameters were analyzed: number of publications, countries of publication, number of citations, citation rate and collaborations, using various analytical and display techniques, including density equalizing map projections. RESULTS: Most of the 49,122 publications on MRI could be attributed to the USA (32.5 %), which also has the most cooperative collaborations. Within Europe, Germany (10.3 %) is the country with the highest number of publications followed by the UK (9.3 %). The western industrialized nations dominate over the rest of the world in terms of scientific developments of MRI. The thematic focus of the publications lies in the fields of radiology and neuroscience. In addition to the journal Neurology most scientific articles were published in Magnetic Resonance in Medicine and Circulation. DISCUSSION: The results show that the current trend is continuing and the scientific interest in MRI is continuously increasing.
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Investigación Biomédica/estadística & datos numéricos , Factor de Impacto de la Revista , Imagen por Resonancia Magnética/estadística & datos numéricos , Neurociencias/estadística & datos numéricos , Publicaciones Periódicas como Asunto/estadística & datos numéricos , Radiología/estadística & datos numéricos , Europa (Continente) , Internacionalidad , Estados UnidosRESUMEN
Obesity is a chronic disease whose origin is determined by genetic factors as well as environmental influences. The prevalence has rapidly increased worldwide in the recent decades. This paper evaluated the research on obesity in the period of 1900â-â2009 in the ISI "Web of Science" by Thomson Reuters. For this purpose scientometric methods were used and the results were graphically illustrated by "Density Equalizing Map Projections". From 1900 till 2009 94.987 published items are the basis for the present qualitative and quantitative data analysis. The publication rates show an exponential growth indicating a pronounced research activity. Concerning the country comparison the United States has the highest number of publications and citations, the highest modified h-index and most academic institutions. This manuscript shows the first comprehensive scientometric data on obesity. In this research area, the United States is a leader and is located at the center of global collaborations.