ABSTRACT
Objetivos: el cuestionario de Boston incluye referidas al dolor, molestias, pérdida de sensibilidad, debilidad, hormigueo y funcionalidad de la mano y muñeca que debe responder el paciente. El objetivo del trabajo es evaluar el cuestionario de Boston como técnica de screening para síndrome del túnel carpiano laboral. Material y métodos: estudio de casos y controles. La población del estudio pertenecen al sector de distribución Se han utilizado las siguientes técnicas estadísticas: Chi cuadrado, T de Student, curvas ROC y regresión logística. Resultados: muestran diferencias significativas en todos sus ítems entre casos y controles, siendo la diferencia global de puntuación entre ambos grupos de 11 puntos. El riesgo de padecer STC es seis veces superior si se puntúa entre 15 y 25 y treinta y siete veces superior si se puntúa por encima de 25 que si se puntúa por debajo de 15. Conclusiones: el Cuestionario de Boston se constituye como una herramienta muy útil en el screening de STC (AU)
Objectives: Boston questionnaire includes referring to pain, discomfort, numbness, weakness, tingling and functionality of the hand and wrist that the patient should respond. The aim of the study is to evaluate the Boston questionnaire as a screening technique for labour carpal tunnel syndrome. Material and methods: a case-control study in workers of distribution sector. We used the following statistical techniques: Chi square, T-test, ROC curves and logistic regression. Results: it showssignificant differences in all items between cases and controls, the overall difference between the two groups scoring 11 points. The risk 2016of STC is six times higher if rate between 15 and 25 and thirty-seven times if you scored above 25 if it is scored below 15. Conclusions: the questionnaire Boston is established as a very useful tool in the screening of STC (AU)
Subject(s)
Humans , Female , Male , Adult , Carpal Tunnel Syndrome/diagnosis , Occupational Diseases/diagnosis , Mass Screening/instrumentation , Retrospective Studies , Diagnostic Self EvaluationABSTRACT
El Síndrome del Túnel Carpiano (STC) está incluido en la lista de la Unión Europea de enfermedades profesionales, pese a ello, se ha pretendido estudiar tanto los factores de riesgo laborales como los no laborales que influyen en su desarrollo, as. como describir las características demográficas y clínicas, mediante un estudio de casos y controles en 545 trabajadores del sector distribución, analizándose 61 variables. Los resultados evidencian que la edad y sexo femenino son factores de riesgo, as. como también la comorbilidad, número de hijos, coexistencia de varios factores, tipo de trabajo y determinados movimientos y posturas. De entre los factores de riesgo laborales, solamente se han evidenciado los movimientos de hiperflexión e hiperextensión de la muñeca. La prevalencia de STC en la población trabajadora del sector distribución es similar a la de la población general, evidenciándose factores laborales y no laborales como de riesgo para el desarrollo del síndrome (AU)
The Carpal Tunnel Syndrome (CTS) is included in the list of the European Union occupational diseases, nevertheless, it has tried to study both occupational risk factors as no occupational that influence their development and describe the characteristics demographic and clinical characteristics, using a case-control study of 545 workers in the distribution sector, analyzing 61 variables. The results show that age and female sex are risk factors, as well as comorbidity, number of children, coexistence of various factors, type of work and certain movements and postures. Among the occupational risk factors, only hyperflexion and hyperextension movements of the wrist have been shown. The prevalence of STC in the working population distribution sector is similar to that of the general population, showing labour and non labour as risk for developing the syndrome factors (AU)
Subject(s)
Humans , Carpal Tunnel Syndrome/epidemiology , Occupational Diseases/epidemiology , Risk Factors , Age and Sex Distribution , Cumulative Trauma Disorders/epidemiology , Multivariate Analysis , ElectromyographyABSTRACT
The in vivo evaluation, in New Zealand rabbits, of a SiO(2)-P(2)O(5)-CaO sol-gel glass and a SiO(2)-P(2)O(5)-CaO-MgO glass-ceramic, both bioactive in Kokubo's simulated body fluid (SBF), is presented. Bone defects, performed in the lateral aspect of distal right femoral epiphysis, 5mm in diameter and 4mm in depth, were filled with (i) sol-gel glass disks, (ii) glass-ceramic disks, or (iii) no material (control group). Each group included 8 mature and 8 immature rabbits. A 4-month radiographic study showed good implant stability without axial deviation of extremities in immature animals and periosteal growth and remodelling around and over the bone defect. After sacrifice, the macroscopic study showed healing of bone defects, with bone coating over the implants. The morphometric study showed a more generous bone formation in animals receiving sol-gel glass or glass-ceramic disks than in control group. Histomorphometric study showed an intimate union of the new-formed bone to the implants. This study allows considering both materials as eligible for bone substitution or repair. Their indications could include cavities filling and the coating of implant surfaces. The minimum degradation of glass-ceramic disks suggests its application in locations of load or transmission forces. As specific indication in growth plate surgery, both materials could be used as material of interposition after bony bridges resection.
