| 1. |
- Havelin, LI, et al.
(författare)
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A scandinavian experience of register collaboration:The Nordic Arthoplasty Register Association (NARA).
- 2011
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Ingår i: The Journal of Bone & Joint Surgery. - 1535-1386. ; 93(suppl) E, s. 13-19
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Nordic (Scandinavian) countries have had working arthroplasty registers for several years. However, the small numbers of inhabitants and the conformity within each country with respect to preferred prosthesis brands and techniques have limited register research. Methods: A collaboration called NARA (Nordic Arthroplasty Register Association) was started in 2007, resulting in a common database for Denmark, Norway, and Sweden with regard to hip replacements in 2008 and primary knee replacements in 2009. Finland joined the project in 2010. A code set was defined for the parameters that all registers had in common, and data were re-coded, within each national register, according to the common definitions. After de-identification of the patients, the anonymous data were merged into a common database. The first study based on this common database included 280,201 hip arthroplasties and the second, 151,814 knee arthroplasties. Kaplan-Meier and Cox multiple regression analyses, with adjustment for age, sex, and diagnosis, were used to calculate prosthesis survival, with any revision as the end point. In later studies, specific reasons for revision were also used as end points. Results: We found differences among the countries concerning patient demographics, preferred surgical approaches, fixation methods, and prosthesis brands. Prosthesis survival was best in Sweden, where cement implant fixation was used more commonly than it was in the other countries. Conclusions: As the comparison of national results was one of the main initial aims of this collaboration, only parameters and data that all three registers could deliver were included in the database. Compared with each separate register, this combined register resulted in reduced numbers of parameters and details. In future collaborations of registers with a focus on comparing the performances of prostheses and articulations, we should probably include only the data needed specifically for the predetermined purposes, from registers that can deliver these data, rather than compiling all data from all registers that are willing to participate.
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| 2. |
- Satkunas, J, et al.
(författare)
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Upper Pleistocene stratigraphy at the Medininkai site, eastern Lithuania: a continuous record of the Eemian-Weichselian sequence
- 2003
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Ingår i: Boreas. - : Wiley. - 1502-3885 .- 0300-9483. ; 32:4, s. 627-641
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Tidskriftsartikel (refereegranskat)abstract
- Eemian-Weichselian sequences, located outside the maximum limit of the Late Weichselian ice sheet, provide excellent opportunities for the discovery of continuous sedimentary records encompassing the whole Last Interglacial/Glacial cycle. Such a sequence is recorded in a borehole (117P) through the succession in a small kettlehole lake located at Medininkai, eastern Lithuania. The succession consists of peat, gyttja and silt deposited on top of a Saalian till. Pollen and plant macrofossil analysis, lithological analysis, U/Th dating and mineral magnetic measurements on the sediments have allowed 19 lithostratigraphic units and 16 local pollen assemblage zones (LPAZ) to be identified. The palaeocarpological record reveals a clear transition from the Saalian Glacial to the Weichselian stadial and interstadial phases. The mineral magnetic parameters suggest a good correlation between the concentration of magnetic minerals and stadial and interstadial periods. The Merkine (Eemian) Interglacial and two Early Weichselian Interstadials, Jonionys 1 (Brorup) and Jonionys 2 (Odderade), separated by cryomers, are identified. Intervals interpreted as analogous to the Middle Weichselian Denekamp and Hengelo interstadials are also recognized on the basis of pollen assemblages. The results show alternating periglacial and interstadial palaeoenvironments in Lithuania during the Early and Middle Weichselian and are of importance for Late Pleistocene palaeoenvironmental reconstruction of the Baltic area as a whole.
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