| 1. |
- Ayeni, O. R., et al.
(författare)
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Clinical and Radiographic Criteria Define "Acceptable" Surgical Correction of Hip Femoroacetabular Impingement Syndrome as Well as Postoperative Complications: An International Modified Delphi Study
- 2023
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Ingår i: Arthroscopy-the Journal of Arthroscopic and Related Surgery. - : Elsevier BV. - 0749-8063. ; 39:5, s. 1198-1210
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To develop recommendations for clinical and radiographic criteria to help define the "acceptable" surgical correction of femoroacetabular impingement syndrome (FAIS) and identify/define complications postoperatively. Methods: A 3-phase modified Delphi study was conducted involving a case-based survey; a Likert/multiple choice-based survey concerning radiographic and physical examination characteristics to help define FAIS correction, as well as the prevalence and definition of potential postoperative complications; and 2 consensus meetings. Results: Of the 75 experts invited, 54 completed the Phase I survey, 50 completed the Phase II survey (72% and 67% response rate), and 50 participated in the Phase III consensus meetings. For both typical and atypical (complex) cases, there was consensus that fluoroscopy with multiple views and dynamic hip assessment should be used intraoperatively (96% and 100%, respectively). For typical FAIS cases, the Expert Panel agreed that Dunn lateral and anteroposterior radiographs were the most important radiographs to evaluate the hip postoperatively (88%, consensus). When asked about evaluating the correction of cam impingement postoperatively, 87% voted that they use subjective evaluation of the "sphericity" of the femoral head. In the case of focal and global pincer-type FAIS, there was consensus that the reduction or elimination of the crossover sign (84%) and lateral center-edge angle (91%) were important to inform the extent of the FAIS correction. There was consensus for recommending further investigation at 6 months postoperatively if hip pain had increased/plateaued (92% agreed); that additional investigation and treatment should occur between 6 and 12 months (90% agreed); and that a reoperation may be recommended at 12 months or later following this investigation period (89% agreed). Conclusions: This consensus project identified the importance of using fluoroscopy and dynamic hip assessment intraoperatively; Dunn lateral and anteroposterior view radiographs postoperatively; evaluating the "sphericity" of the femoral head for cam-type correction and the use of dynamic hip assessment; reducing/eliminating the crossover sign for focal pincertype FAIS; evaluating the lateral center-edge angle for global pincer-type FAIS; and avoiding overcorrection of pincer-type FAIS. In cases in which postoperative hip pain increased/plateaued, further investigation and treatment is warranted between 6 and 12 months, and a reoperation may be recommended at a minimum of 12 months depending on the cause of the hip pain. Clinical Relevance: Hip arthroscopy surgeons have yet to reach a firm agreement on what constitutes an "acceptable" or "good" surgery radiographically and how they can achieve desired clinical outcomes. Although this was a comprehensive effort, more study is needed to determine therapeutic thresholds that can be universally applied.
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| 4. |
- Claesson, PM, et al.
(författare)
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Protein interactions at solid surfaces
- 1995
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Ingår i: Advances in Colloid and Interface Science. - 0001-8686 .- 1873-3727. ; 57, s. 161-227
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Tidskriftsartikel (refereegranskat)abstract
- In this review article we discuss a large number of the studies of interactions between protein-coated surfaces that has been presented in the literature. We also demonstrate how to relate surface force data to results from other techniques in order to provide a more full picture of protein behaviour at interfaces. One aim of the article is to discuss the experimental procedure and the difficulties with surface force measurements in protein systems. It is particularly important to point out how the sensitivity of this technique differs from that of other techniques, e.g. in determining structural changes in adsorbed proteins and in detecting proteins adsorbed on top of an inner firmly bound layer. It is also important to realize which surface force data that cannot be easily compared with findings from other techniques (one example is the kinetics of adsorption and desorption). We have tried to group proteins into different classes depending on their size and structure, and to try to find results that are common within these classes. It was found that some observations for unordered proteins with amphiphilic character, and for the small compact proteins, appear consistently within the respective class. Hence, for these types of protein common features/principles of the interfacial behaviour are identified. The very large and flexible glycoproteins behave in a similar way to synthetic polymers, but we found it hard to draw any firm conclusions based on the surface force studies presented so far. Perhaps, the most complicated surface behaviour is observed for soft globular proteins that undergo large scale conformational changes upon adsorption and when the layers are held under a high compressive force.
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| 6. |
- Kragelund, C., et al.
(författare)
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Scandinavian fellowship for oral pathology and oral medicine : guidelines for oral pathology and oral medicine in the dental curriculum
- 2012
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Ingår i: European journal of dental education. - Hoboken : Wiley-Blackwell. - 1396-5883 .- 1600-0579. ; 16:4, s. 246-253
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Tidskriftsartikel (refereegranskat)abstract
- In Scandinavia, as in many European countries, most patients consult their general dentist once a year or more. This gives the dentist a unique opportunity and an obligation to make an early diagnosis of oral diseases, which is beneficial for both the patient and the society. Thus, the dentist must have knowledge of clinical symptoms, local and systemic signs and clinical differential diagnoses to make an accurate diagnosis. The dentist must be competent in selecting appropriate diagnostic tests, for example, tissue biopsy and microbiological samples, and conducting them correctly, as well as in interpreting test results and taking appropriate action accordingly. Furthermore, the dentist must be aware of diseases demanding multidisciplinary cooperation and be able to recognise his/her professional limitation, and to refer to other specialists when required. The dental curriculum changes over time as new approaches, treatments and diagnostic possibilities develop. Likewise, the role of the dentist in the community changes and may vary in different countries. As members of the Scandinavian Fellowship for Oral Pathology and Oral Medicine and subject representatives of oral pathology and oral medicine, we feel obliged to contribute to the discussion of how the guidelines of the dental curriculum support the highest possible standards of dental education. This article is meant to delineate a reasonable standard of oral pathology and oral medicine in the European dental curriculum and to guide subject representatives in curriculum development and planning. We have created an advisory topic list in oral pathology and oral medicine.
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| 7. |
- Kragelund, C, et al.
(författare)
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Scandinavian fellowship for oral pathology and oral medicine : statement on oral pathology and oral medicine in the European dental curriculum
- 2010
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Ingår i: Journal of Oral Pathology & Medicine. - : Wiley. - 0904-2512 .- 1600-0714. ; 39:10, s. 800-801
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: For many years, dentists have migrated between the Scandinavian countries without an intentionally harmonized dental education. The free movement of the workforce in the European Union has clarified that a certain degree of standardization or harmonization of the European higher education acts, including the dental education, is required. As a result of the Bologna process, the Association for Dental Education in Europe and the thematic network DentEd have generated guidelines in the document 'Profile and Competences for the European Dentist' (PCD). This document is meant to act as the leading source in revisions of dental curricula throughout Europe converging towards a European Dental Curriculum. In order to render the best conditions for future curriculum revisions providing the best quality dentist we feel obliged to analyse and comment the outlines of oral pathology and oral medicine in the PCD.METHODS: The representatives agreed upon definitions of oral pathology and oral medicine, and competences in oral pathology and oral medicine that a contemporary European dentist should master. The competences directly related to oral pathology and oral medicine were identified, within the PCD.RESULTS: The subject representatives suggested eighteen additions and two rewordings of the PCD, which all were substantiated by thorough argumentation.PERSPECTIVES: Hopefully, this contribution will find support in future revisions of the PCD in order to secure the best quality dental education.
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| 8. |
- Kull, T, et al.
(författare)
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Effect of surface properties and added electrolyte on the structure of β-casein layers adsorbed at the solid/aqueous interface
- 1997
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Ingår i: Langmuir. - 0743-7463 .- 1520-5827. ; 13, s. 5141-5147
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Tidskriftsartikel (refereegranskat)abstract
- The adsorption of -casein at hydrophobic and hydrophilic silica surfaces has been studied by time-resolved ellipsometry. Marked differences in, e.g., adsorption kinetics and plateau adsorption coverage, were observed on the two types of surfaces. The miscellaneous adsorption mechanisms at the two surfaces resulted in different structures of the adsorbed layers as evident from the thicknesses and protein densities measured on the two substrates as well as the effect on the adsorbed layer properties of a subsequently added specific proteolytic enzyme, endoproteinase Asp-N. At the hydrophobic surface, the adsorption is fast and the surface is saturated within a relatively short period. The addition of endoproteinase Asp-N reduces the surface excess and the thickness by 24 and 45%, respectively. This corresponds to cleavage at amino acid residues 43 and/or 47 in the hydrophilic portion of the protein. Adsorption from solutions containing added electrolyte leads to significant increase of the surface excess. However, no significant change was observed in the ellipsometric layer thickness. At constant ionic strength, the surface excess increased in the order NaCl < MgCl2 < CaCl2. From the experimental evidence, it was concluded that the adsorbed layer structure at the hydrophobic surface can be described as a monolayer with an inner dense region comprising the relatively large hydrophobic portions of the protein molecules and an outer region of the highly charged N-terminal portions protruding into the aqueous phase. The adsorption kinetics at the hydrophilic silica surface, although initially the same as on the hydrophobic surface, was found to be much slower and plateau surface excess values were not reached even after 2 h of adsorption. This suggests that substantial rearrangements of the protein molecules take place within the adsorbed layer during the adsorption process. Although the maximum surface excess at the hydrophilic surface of 4.3 mg m-2 is higher than the value of 2.8 mg m-2 measured at the hydrophobic surface, the thickness is slightly smaller, i.e., 60 Å and 66 Å, respectively. Hence, the protein adopt a more compact structure at the hydrophilic surface, at least in the inner part of the adsorbed layer. The different structure at the hydrophilic surface was confirmed by the larger reduction of the surface excess and layer thickness associated with the addition of endoproteinase Asp-N, leaving a very thin compact layer at the surface.
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| 9. |
- Rippner Blomqvist, B., et al.
(författare)
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Ellipsometric characterization of ethylene oxide-butylene oxide diblock copolymer adsorption at the air-water interface
- 2005
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Ingår i: Langmuir. - 0743-7463 .- 1520-5827. ; 21, s. 5061-5068
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Tidskriftsartikel (refereegranskat)abstract
- Ellipsometry was used to determine the adsorbed layer thickness (d) and the surface excess (adsorbed amount, ¡) of a nonionic diblock copolymer, E106B16, of poly(ethylene oxide) (E) and poly(butylene oxide) (B) at the air-water interface. The results were obtained (i) by the conventional ellipsometric evaluation procedure using the change of both ellipsometric angles and ¢ and (ii) by using the change of ¢ only and assuming values of the layer thickness. It was demonstrated that the calculated surface excesses from the different methods were in close agreement, independent of the evaluation procedure, with a plateau adsorption of about 2.5 mg/m2 (400 Å2/molecule). Furthermore, the amount of E106B16 adsorbed at the air-water interface was found to be almost identical to that adsorbed from aqueous solution onto a hydrophobic solid surface. In addition, the possibility to use combined measurements with H2O or D2O as substrates to calculate values of d and ¡ was investigated and discussed. We also briefly discuss within which limits the Gibbs equation can be used to determine the surface excess of polydisperse block copolymers
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