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Статті в журналах з теми "Foot Wounds and injuries Australia"

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GRIGOROPOULOU (Β. ΓΡΗΓΟΡΟΠΟΥΛΟΥ), V., N. N. PRASSINOS (Ν.Ν. ΠΡΑΣΙΝΟΣ), and L. G. PAPAZOGLOU (Λ.Γ. ΠΑΠΑΖΟΓΛΟΥ). "Foot injuries in dogs and cats." Journal of the Hellenic Veterinary Medical Society 58, no. 2 (November 24, 2017): 145. http://dx.doi.org/10.12681/jhvms.14981.

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Paws are very important for weight-bearing and ambulation in small animals. These abilities are highly preserved due to the presence of foot pads on the palmar and plantar surface of the paws. The incidence of distal limb skin injuries is relatively high and these wounds require immediate and meticulous management, especially if there is skin loss. In the later cases, the use of specialized reconstructive surgical techniques makes foot salvage possible, thus avoiding limb amputation, which was the only solution in the past.
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Pennycook, A., R. Makower, and A.-M. O'Donnell. "Puncture Wounds of the Foot: Can Infective Complications Be Avoided?" Journal of the Royal Society of Medicine 87, no. 10 (October 1994): 581–83. http://dx.doi.org/10.1177/014107689408701004.

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The bacteriological flora of the foot and shoe was studied concurrently in 200 volunteers without foot injuries, and 80 patients with puncture wounds of the foot. Seven of 28 child patients developed clinical infections, three with Pseudomonas aeruginosa. Eleven of 52 adult patients also developed infections. No patients developed infection if oral antibiotics were given within the first 24 h after injury ( P>0.05). Oral antibiotic prophylaxis is recommended for puncture wounds of the foot.
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Hong, Rebecca, Monica Perkins, Belinda J. Gabbe, and Lincoln M. Tracy. "Comparing Peak Burn Injury Times and Characteristics in Australia and New Zealand." International Journal of Environmental Research and Public Health 19, no. 15 (August 4, 2022): 9578. http://dx.doi.org/10.3390/ijerph19159578.

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Burns are a leading cause of morbidity and mortality worldwide. Understanding when and how burns occur, as well as the differences between countries, would aid prevention efforts. A review of burn injuries occurring between July 2009 and June 2021 was undertaken using data from the Burns Registry of Australia and New Zealand. Peak injury times were identified on a country-by-country basis. Variations in demographic and injury event profiles between countries were compared using descriptive statistics. There were 26,925 admissions recorded across the two countries (23,323 for Australia; 3602 for New Zealand). The greatest number of injuries occurred between 6 PM to 7 PM in Australia (1871, 8.0%) and between 5 PM to 6 PM in New Zealand (280, 7.8%). In both countries, scalds accounted for the greatest proportion of injuries during peak times (988, 45.8%), but a greater proportion of young children (under three years) sustained burns during New Zealand’s peak times. The number of burn injuries associated with the preparation and/or consumption of food offers an opportunity for a targeted prevention program that may yield benefits across the two countries. Age- and mechanism-related differences in the profile of burn-injured patients need to be considered when developing and implementing such a program.
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Scartozzi, G., and L. Hoffman. "Chronic high velocity projectile injury to the foot." Journal of the American Podiatric Medical Association 79, no. 5 (May 1, 1989): 236–41. http://dx.doi.org/10.7547/87507315-79-5-236.

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Acute projectile injuries to the foot can present a challenge for the podiatric physician, especially in terms of their chronic effects. The case of a shrapnel wound to the right foot and ankle that resulted in recurrent episodes of soft tissue infection and disability is presented. Treatment consisted of excision of the shrapnel fragment, debridement, and primary closure of the sinus tract created by the projectile. The authors discuss the acute and chronic effects of projectile injuries, factors responsible for determining the severity of these wounds, and various methods of treatment.
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Ziv, I., R. Mosheiff, A. Zeligowski, M. Liebergal, J. Lowe, and D. Segal. "Crush Injuries of the Foot with Compartment Syndrome: Immediate One-Stage Management." Foot & Ankle 9, no. 4 (February 1989): 185–89. http://dx.doi.org/10.1177/107110078900900407.

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Severe crush injuries with compartment syndrome were treated in five patients by an immediate one-stage procedure. This procedure included the assessment of skin flap viability with accurate debridement of devascularized tissues. It was performed according to the split-thickness skin excision technique. Compartment pressures were measured and the fasciotomies were performed through open wounds or separate medial and lateral incisions. The medial incision was extended to release the tarsal tunnel. Fractures were reduced and internally fixed and exposed bones were covered with locally transposed muscles. Skin grafts, taken earlier for the skin viability assessment, were meshed and applied to replace skin loss. All wounds and fractures healed uneventfully with no major functional loss. In multiple trauma, the physician should maintain a high index of suspicion for early diagnosis and treatment of severe foot injuries. Early treatment leads to more desirable results, shorter hospitalization, and faster rehabilitation.
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Hanim, Risyda Zakiyah, and Tuti Herawati. "Mobile Health untuk Mencegah Luka Diabetes: A Systematic Review." Jurnal Penelitian Kesehatan "SUARA FORIKES" (Journal of Health Research "Forikes Voice") 12, no. 3 (February 6, 2021): 225. http://dx.doi.org/10.33846/sf12301.

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Ulcus diabeticum is the most common complication that results in death. Diabetic foot currently reach 40 to 60 million people in patients diagnosed with diabetes mellitus. This article was a mobile-health systematic review in preventing diabetic foot injuries. The search sources were Scopus, Science Direct, PubMed, ProQuest, Ebscohost and Sage published from 2015 to 2020 with the search keywords of "diabetes mellitus", "ulcus diabetic", "foot ulcer", "diabetic wound", "prevention", "mhealth", "telehealth ", " telemedicine", and "telenursing". The results show that there were four components in preventing diabetes wounds, namely monitoring foot temperature, foot images, directed guidance and virtual consultation. Mhealth has a positive impact on the prevention of diabetes mellitus wounds so that mHealth can be applied to prevent the incidence of diabetic wounds. Keywords: m-health; prevention; diabetic wounds ABSTRAK Ulkus diabeticum merupakan komplikasi yang paling banyak mengakibatkan kematian. Kaki diabetik saat ini mencapai 40 hingga 60 juta jiwa pada pasien yang terdiagnosa diabetes mellitus. Artikel ini merupakan systematic review mobile-health dalam mencegah luka kaki diabetik. Sumber pencarian adalah Scopus, Science Direct, PubMed, ProQuest, Ebscohost dan Sage yang diterbitkan dari 2015 hingga 2020 dengan kata kunci pencarian "diabetes mellitus", "ulcus diabetic", "foot ulcer", "diabetic wound" "prevention", "mhealth", "telehealth", "telemedicine", dan "telenursing". Hasil menunjukkan terdapat empat komponen dalam pencegahan luka diabetes yakni monitoring suhu kaki, gambar kaki, panduan terarah dan konsultasi virtual. mhealth berdampak positif pada pencegahan luka diabetes mellitus sehingga mHealth dapat memungkinkan untuk diterapkan untuk mencegah kejadian luka diabetes. Kata kunci: mhealth; pencegahan; luka diabetes
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Herawati, Leli. "TINGKAT PENGETAHUAN PASIEN TENTANG PERAWATAN LUKA DIABETES MELITUS DI RUMAH SAKIT PTPN II BANGKATAN BINJAI TAHUN 2016." Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan 1, no. 2 (December 1, 2016): 110. http://dx.doi.org/10.34008/jurhesti.v1i2.71.

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Diabetic wounds are injuries that occur in patients with diabetics involving disorders of the peripheral and autonomic nerves. Every year more than one million people with diabetes lose one of their legs as one of the complications of diabetes, this means that every 30 seconds one leg is lost due to diabetes somewhere in the world. The purpose of this study was to determine the level of knowledge of patients in the treatment of diabetes mellitus wounds in PTPN II Hospital Binjai Departure in 2016. The method of this study was descriptive observational. The population in this study were all patients treated at the Women's Room at PTPN II Bangkat Binjai Hospital, totaling 20 people. The sample in this study amounted to 10 people with accidental sampling techniques. The results of this study indicate that the Knowledge Level of Patients About Diabetes Wound Care in the Women's Room of PTPN II Hospital Binjai Departure in 2016 which is interpreted is good knowledge as many as 6 people (60%), enough as many as 2 people (20%) and less than 2 people (20%). 3. It is expected that patients will be able to prevent Diabetes Injuries by controlling blood glucose, using footwear, treating toenails, foot care and foot exercises. If Complications with Diabetes Injuries have occurred, the patient is expected to be able to treat diabetic wounds properly.Keywords: Patient Knowledge, Diabetes Melitus Wound Care
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MIRZA, TAHIR IQBAL, and FAKHAR ILYAS MALIK. "BICYCLE PASSENGER INJURIES IN CHILDREN." Professional Medical Journal 16, no. 01 (March 10, 2009): 34–37. http://dx.doi.org/10.29309/tpmj/2009.16.01.2969.

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O b j e c t i v e ; To find out types of traumatic injuries in bicycle passenger children. S e t t i n g : At PAC hospital Kamra. P e r i o d :From October 2005 to October 2007. Patients & M e t h o d s : The children between the ages of 03 to 10 years were included in this study.They were divided into two groups. First group(Gp-l) sustained injuries due to ankle or foot entrapment in rear running wheel while thesecond group(Gp-ll) sustained injuries due to fall of bicycle, while child sitting alone either at front bar or rear luggage carrier unattended.R e s u l t s : Gp-I sustained mostly frictional injuries ranging from simple abrasion to deep lacerated wounds of lower leg, ankle and foot. Whilein Gp-ll severe injuries like fractures of upper and lower limbs, visceral abdominal injuries and head injuries were observed. C o n c l u s i o n :Bicycle passenger injuries are common injuries of the children in less developed countries. These injuries range from simple "road rash' toserious head injuries.
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Jacobs, Margaret D. "Seeing Like a Settler Colonial State." Modern American History 1, no. 2 (March 16, 2018): 257–70. http://dx.doi.org/10.1017/mah.2018.5.

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In 1998, the Canadian historian and politician Michael Ignatieff wrote: “All nations depend on forgetting: on forging myths of unity and identity that allow a society to forget its founding crimes, its hidden injuries and divisions, its unhealed wounds.” Ironically, Ignatieff's home country has belied his assertion. Canada has engaged in collective remembering of one of its hidden injuries—the Indian residential schools—through a Truth and Reconciliation Commission (TRC) from 2009 to 2015. Australia, too, has reckoned since the 1990s with its own unhealed wounds—the separation of Aboriginal and Torres Strait Islander children from their families, or, in common parlance, the “Stolen Generations.”
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Chylińska-Wrzos, Patrycja, Marta Lis-Sochocka, and Barbara Jodłowska-Jędrych. "Use of propolis in difficult to heal diabetic wounds. Short review." Polish Journal of Public Health 127, no. 4 (December 1, 2017): 173–75. http://dx.doi.org/10.1515/pjph-2017-0037.

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Abstract According to WHO, about 347 million of people worldwide suffer from diabetes. Diabetes has complex etiology, and the consequences of this illness are seen in the morphological changes of many tissues and organs i.e. neuropathy leading to the risk of diabetic foot. Due to the diabetic condition, injuries to blood vessels in diabetic foot can be classified as chronic. This is because such wounds remain unresponsive to treatment for months or even years. There are many therapeutic methods employed in treating such injuries. These involve the use of silver, iodine or multi-antibiotic preparations, but treatment is expensive and cumbersome for patients. In the natural environment, however, there are many anti-inflammatory preparations, among them propolis which was the subject of our focus. Due to its anti-inflammatory, antimicrobial, and antioxidant properties, propolis is widely used in the treatment of colds, caries, rheumatic diseases, heart diseases and treatment of burns, wounds and frostbites. Numerous studies also indicate the beneficial effects of propolis on the difficult to heal diabetic wounds in which the use of propolis can significantly accelerate the healing process. The treatment utilizing propolis is easy, inexpensive and does not seem to cause any side effects, therefore costs can be reduced to minimum. The few studies conducted in diabetic patients confirm the results obtained in laboratory animals.
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Дисертації з теми "Foot Wounds and injuries Australia"

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Cogger, Naomi. "Epidemiology of musculoskeletal injuries in two- and three-year-old Australian Thoroughbred racehorses." University of Sydney, 2006. http://hdl.handle.net/2123/1611.

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Doctor of Philosophy
The aim of this research was to describe the epidemiology of musculoskeletal (MS) injuries in two- and three-year-old Thoroughbred racehorses. A 27 month longitudinal study commencing in May 2000 was conducted. The study convenience sampled 14 trainers with facilities at metropolitan and provincial racetracks in New South Wales, Australia. In the 2000/01 and 2001/02 racing season, 323 and 128 two-year-olds, respectively, were enrolled in the study. The 451 Thoroughbred horses contributed, 1, 272 preparations and 78, 154 training days to the study. Of the 323 horses enrolled in the 2000/01 racing season, 219 contributed three-year-old data to the study. During the study period 8%, of training days had missing training data and 3% of the 1, 986 starts in the races or barrier trials were incorrectly recorded. The rate of incorrect entries varied with both study month and trainer. Similarly, the rate of training days with missing data varied between trainers and with study month. Four hundred and twenty-eight MS injuries were recorded in association with 395 preparations in 248 two- and three-year-old Thoroughbred racehorses. The IR for all categories of MS injuries, except for tendon and ligament injuries, were higher in twoyear- olds than three-year-olds, although the differences were only significant for shin soreness. Seventy-eight percent of horses enrolled in the study started, in a barrier trial or race, within one year on entering the study. After accounting for other confounders, horses that had sustained a MS injury were 0.50 times less likely to start, in a race or trial, race than those that did not sustain an injury. Seventy percent of horses returned to training after their first MS injury, and the cumulative percentage of these horses that had recovered within six months of the initial MS injury was 55%. After adjusting for clustering at the level of the trainer, the analysis showed that horses that exercised at a gallop pace ≥ 890 m/minute (but had not started in a race) prior to the onset of MS injury, were 2.14 times more likely to recover than horses whose maximum speed, prior to the onset of the first MS injury, was less than 890 m/minute. Similarly, horses that had started in a race or barrier trial were 4.01 times more likely to recover than horses whose maximum speed was less than 890 m/minute. 8 Training days were grouped into units referred to as preparations. A preparation began on the day that the horse was enrolled in the study, or when a horse returned to training after an absence of more than seven days from the stable. The preparation continued until the horse was lost to follow-up or left the stable for a period of more than seven consecutive days. Univariable and multivariable analytical methods were used to examine the association between a range of independent variables and four preparationlevel measures of performance: (i) the duration of preparations, (ii) length of time from the beginning of the preparation until the first start in a race or barrier trial, (iii) length of time from the first start until the end of the preparation and (iv) rate of starts in races or barrier trials. After adjusting for confounders, younger horses tended to have shorter preparations, took longer to start in a race or barrier trial, had a shorter interval from the first start to the end of the preparation and fewer starts per 100 training days. MS injury was not conditionally associated with any of the outcomes considered in this chapter. Multivariate statistical models were used to explore risk factors for MS injuries. The results suggest that MS injuries involving structures in the lower forelimb (carpus to fetlock inclusive) could be reduced by limiting exposure to high-speed exercise. This supports the proposition that training injuries are caused by the accumulation of micro damage. The results suggest there are a number of other factors that vary at the trainer level that may be risk factors for injuries, in particular joint injuries. These include unmeasured variables such as the rate of increase in distance galloped at high-speed, conformation of the horse, skill of the riders and farrier and veterinary involvement.
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Greenberg, Susan B. "Control of subtalar motion with the use of ski-boot footbeds." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28746.

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Research shows that up to 80% of recreational skiers have lower limb alignments which can impede their ability to turn their skis properly (Subotnick,1982). The most difficult of these alignment problems to control within a ski-boot is the varus alignment of the subtalar joint (Macintyre and Matheson, 1988). The use of custom molded footbeds made specifically for use inside of ski boots has been suggested as one method of compensating for a varus aligned foot. This study compared the effectiveness of one brand of custom molded ski boot footbed with that of a noncustom insole in controlling the motions of the lower limb associated with subtalar varus. Specifically these motions were those of the rearfoot and the navicular tubercle, along with the alignment of the tibial tuberosity with respect to the mid-line of the ski boot. In addition, subjects were given the opportunity to assess their subjective feelings of edge control, pain, and fatigue while skiing with both the custom molded footbeds and non-custom insoles. The subject group for this study consisted of 13 advanced level adult skiers who demonstrated more than three degrees of subtalar varus when non-weight bearing. Each subject received a pair of custom molded ski boot footbeds at the beginning of the study. Ski boots that had been cut away at the rear and the medial side were used in the laboratory in order to observe the motions of the navicular tubercle and the rearfoot as the subject transferred their weight in a simulated skiing motion. The right and left navicular tubercle, tibial tubercle, and the insertion of the Achilles at the calcaneus of each subject were located by palpation and marked. After sufficient practice of the weight transfer motion, two trials of each landmark were photographed using 35mm slide film. The subjects were first photographed while using the non-custom insoles and again using the custom molded footbeds. The slides were digitized and comparisons were made between the two types of insoles for both the start and end locations of the landmarks as well as for the ranges of motion through which the landmarks traveled. Statistical analyses of the group results indicated that there was significantly less (p=0.000) navicular motion during the shift from the start to the end positions with the use of the custom molded footbeds as compared to the non-custom insoles. The rearfoot angle was significantly less at both the start (p=0.000) and end (p=0.000) positions with the use of the custom footbeds as compared to the noncustom insoles. There was no statistical difference between the amount of rearfoot motion allowed by either type of insole. The tibial tubercle was positioned significantly (p=0.000) closer to the mid-line of the ski boot when using the custom footbeds than with the use of the non-custom insoles. These results indicate that the custom footbeds domaintain the subtalar joint in a more neutral position than do non-custom insoles. During the skiing section of the study the subjects rated the custom footbeds as providing better edge control (p=0.000) and resulting in less fatigue (p=0.000) than noncustom insoles. There was no statistical significance when comparing the ratings given by the group for the level of pain experienced with the use of either type of insole. There was a statistically significant improvement (p=0.000) in race times for the group when using the custom footbeds as compared to the non-custom insoles. The results of this study indicate that custom molded ski boot footbeds are able to control subtalar motion more effectively than a non-custom insole. It appears that this control of subtalar motion enhances the skiing experience by increasing edge control and reducing the amount of fatigue experienced.
Education, Faculty of
Curriculum and Pedagogy (EDCP), Department of
Graduate
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Cross, Hugh. "The effectiveness of foot orthoses as a treatment for plantar ulceration in leprosy : a study of the efficacy, acceptability, appropriateness and implantation of a podiatric regimen." Thesis, Open University, 1996. http://oro.open.ac.uk/57618/.

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This was a holistic study. Four themes were investigated to demonstrate the effectiveness of orthotic intervention for plantar ulceration affecting leprosy impaired subjects in India. 1. Efficacy Efficacy was demonstrated, primarily, through analysis of data pertaining to a controlled trial. Thirty-seven subjects, presenting with leprosy impairments including anaesthesia and plantar ulceration, were fitted with orthoses and allocated to an experimental group. Thirty-four similar subjects, were not offered orthoses and were allocated to a control group. After 8 months 52% of the ulcers presented by Experimental group and 12% of the ulcers presented by the Control group had healed. The rationale supporting the prescription of orthoses was investigated using the EMED system. It was demonstrated that intervention with orthoses resulted in significantly lower sub pedal peak pressures than intervention with leprosy sandals. 2. Implementation and Sustain ability Ulcer assessment data from March 1994 to January 1995 were used to compare the effects of orthoses supplied by the investigator with orthoses supplied by an Indian technician. The service, evaluated on the strength of these findings, was considered to have been successfully implemented. The analysis of data, collected from January 1995 to December 1995, was used to explain why the service was not sustained at an acceptable level. 3. Acceptability Interview data were analysed to describe the attitudes of the subjects to the intervention (n = 46). Indications from the analysis were that neither ulcer status (healed or unresolved) nor group allocation (Experimental or Control) affected attitudes towards the intervention. A general indication was that the intervention was favourably endorsed. 4. Appropriateness Using the Delphi technique (n = 10), a consensus on indicators of "appropriate" impairment control measures was sought. Differences of opinion were not resolved, but group priorities were ranked and a polled response was recorded. The results of the study were similar to the criteria suggested by the Delphi contributors.
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Eades, Anne. "Factors that influence participation in self-management of wound care in three indigenous communities in Western Australia : clients' perspectives /." Murdoch University Digital Theses Program, 2008. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090702.111437.

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Atkinson, Judy. "Lifting the blankets: The transgenerational effects of trauma in Indigenous Australia." Thesis, Queensland University of Technology, 2001. https://eprints.qut.edu.au/35841/1/35841_Digitised%20Thesis.pdf.

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The two specific aims of the fieldwork were to understand: (a) the phenomena of violence in the lives of a group of Aboriginal and non-Aboriginal people (the later by invitation of the Aboriginal people), living within a central coastal region of Queensland; and (b) cultural and individual processes of recovery or healing from violence related trauma. More specifically the questions that guided the field studies were: * What is the experience of violence? * How do experiences of violence contribute to experiences/behaviours that influence situations of inter-and transgenerational trauma? * What assists change or healing in such behaviours? * What is healing and how do people heal? * What cultural tools promote change or healing, and how can these be supported to promote individual, family and community well-being? Through the literature review the thesis considers cultural processes Aboriginal peoples previously used to deal with the trauma of natural disaster or man induced conflict. The literature review is then used to consider the impacts of trauma on the lives of people general. Finally the literature make links to locate the violence of contemporary Aboriginal communal environment to levels of trauma transmitted across generations from colonising processes. The thesis is based on evolving Indigenous research methodological approaches, as it uses an Aboriginal listening/learning process called *dadirri* which is described as a cyclic process of listening and observing, reflecting and learning, acting and evaluating, re-listening and re-learning, and acting with insight and responsibility both in the field and with integrity and fidelity within the dissertation. The thesis demonstrates *dadirri* in Chapter Four as it allows the voices of six participants to tell their stories of trauma and of healing in meaningful painful conversation with each other. These six participants represent some of the six hundred people who participated in the fieldwork over the years of the study. It is from this conversation that the data for the explication of the trauma experience and the healing processes has been drawn. Chapter Five of the thesis is the explication of the trauma experience. In this chapter links are made between the violence experience, thoughts and feelings and resulting behaviour; feelings of inadequacy as a result of childhood experiences; victim perpetrator survivor roles in family and community violence; the relationships between alcohol and drugs to trauma; suicidal behaviours as a result of trauma; the fractured self, and finally the trans generational effects of trauma. Chapter Six is the explication of the healing processes as they were narrated by the participants. Healing was defined by participants as educating them selves about who they are. The themes on healing that emerged in chapter Four are: healing as an awakening to inner (unmet) needs; healing as an experience of safety; healing as community support; rebuilding a sense of family and community in healing; healing as an ever-deepening self-knowledge; the use of ceremony in healing; strengthening cultural and spiritual identity in healing; healing as transformation, and transcendence and integration in healing. Chapter Seven presents a synthesis and integration of the material and a model proposed for understanding trauma and healing from an Aboriginal perspective. The thesis is an exploratory study. The findings and conclusions will be of use in the development and delivery of programs for community action in primary prevention and critical intervention in family violence, alcohol and drug programs, social and emotional well-being programs and crime prevention strategies. The thesis could be used as a foundation for future studies into violence and into healing within Aboriginal situations within Australia.
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Gonçalves, José Pedro Pinto. "Lesões no futebol : Os Desequilíbrios musculares no aparecimento de lesões." Master's thesis, Instituições portuguesas -- UP-Universidade do Porto -- -Faculdade de Ciências do Desporto e de Educação Física, 2000. http://dited.bn.pt:80/29227.

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Dissertação de Mestrado em Ciência do Desporto, área de especialização em Treino de Alto Rendimento Desportivo, apresentada à Faculdade de Ciências do Desporto e de Educação Física da Universidade do Porto
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Gonçalves, José Pedro Pinto. "Lesões no futebol : Os Desequilíbrios musculares no aparecimento de lesões." Master's thesis, Universidade do Porto. Reitoria, 2000. http://hdl.handle.net/10216/9946.

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Анотація:
Dissertação de Mestrado em Ciência do Desporto, área de especialização em Treino de Alto Rendimento Desportivo, apresentada à Faculdade de Ciências do Desporto e de Educação Física da Universidade do Porto
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Köster, Joel Eduardo Matschinske. "Escâner tridimensional para medição de volume de feridas." Universidade Tecnológica Federal do Paraná, 2012. http://repositorio.utfpr.edu.br/jspui/handle/1/892.

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Анотація:
CNPq
O tratamento e cuidados com úlceras de pé diabético é uma questão de saúde pública. As técnicas atuais utilizadas para o acompanhamento do processo de cicatrização de úlceras abertas são baseadas principalmente em medidas aproximadas da área da ferida e envolvem contato direto, o que representa riscos de contaminação para o paciente. Neste trabalho é proposto o uso de técnicas de visão computacional para medir não apenas a área, mas o volume de úlceras abertas, fornecendo informação objetiva sobre o processo de cicatrização para os médicos, evitando contato direto com a ferida durante o procedimento de medição. A técnica proposta envolve a aquisição de uma sequência de imagens da ferida com iluminação estruturada usando um laser de baixa potência em linha, seguida de reconstrução da profundidade a partir da geometria do dispositivo de aquisição. É identificada a região da ferida de forma semiautomática e construída uma superfície fictícia do que seria a pele natural para servir de base para o cálculo do volume, que corresponde à quantidade de tecido faltante. Experimentos controlados ex-vivo utilizando um modelo de borracha de um Pé Diabético e um joelho de porco com uma ferida artificial representando a pele humana demonstram a viabilidade da técnica proposta.
Treatment and follow-up of Diabetic Foot ulcers is a major public health issue. Current techniques used for following up the healing process of open ulcers are mostly based on approximate area measurements of the wound and involve direct contact, which poses risks of contamination for the patient. This work proposes the use of computer vision techniques to measure not just the area, but the volume of open ulcers, providing additional objective information about the healing process to physicians while avoiding direct contact with the wound during the measurement procedure. The proposed technique involves acquiring a sequence of images of the wound with structured illumination using a low-power laser beam line, followed by depth reconstruction from the geometry of the acquisition device. The wound region is identified in a semi-automatic way and a fictitious surface of what would be the normal skin surface is then used to compute the volume, which corresponds to the missing amount of tissue. Controlled ex-vivo experiments using a rubber model of a Diabetic Foot and a knuckle of pork with an artificial wound representing the human skin demonstrate the viability of the proposed technique.
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9

Wearing, Scott C. "A biomechanical analysis of plantar fasciitis using digital fluoroscopy." Thesis, Queensland University of Technology, 2003. https://eprints.qut.edu.au/36791/1/36791_Digitised%20Thesis.pdf.

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Plantar fasciitis is the most common disorder of the foot and is characterised by pain involving the inferomedial aspect of the heel that is exacerbated by activity after periods of non-weightbearing. Despite an abundance of anecdotal evidence indicating that aberrant function of the foot is an aetiological factor in the development of plantar heel pain, there is little scientific evidence linking abnormal arch mechanics with plantar fasciitis. The primary purpose of this thesis was to investigate the biomechanics of plantar fasciitis by evaluating the sagittal plane kinematics and kinetics of the medial longitudinal arch during gait. Specifically, a low-dose motion X-ray technique, known as digital fluoroscopy, was used to evaluate the sagittal plane kinematics of the arch and a capacitance-based pressure plate was used to determine regional vertical ground reaction forces acting on the sole of the foot during gait. Since digital fluoroscopy has not been widely used in gait analysis, the methodological phase of this study concentrated on identifying and quantifying the inherent limitations and potential errors in employing fluoroscopy as a gait analysis technique. In particular, the methodological phase evaluated the potential impact of the physical restrictions of the equipment on gait and the acquisition of gait data, as well as the magnitude of the distortion errors inherent in fluoroscopic images of the medial longitudinal arch. The findings indicate that digital fluoroscopy may be effectively used as a two-dimensional motion analysis technique for the evaluation of movement of the medial longitudinal arch during walking. The methodological studies demonstrate that the structural limitations of modem fluoroscopic systems are unlikely to substantially influence the acquisition of gait data. However, out-ofplane motion of osseous segments of the foot and the temporal response of the imaging system represent the major shortcomings of employing fluoroscopy as a gait analysis tool. Tests conducted on foot models and in vivo indicated that the application of published dist01iion correction procedures provided a method that is highly repeatable, with fluoroscopic image enors constituting less than 5 percent of the movement range. In the experimental phase of this thesis, a digital fluoroscope and a pressure platform were used to evaluate the kinematics and kinetics of the medial longitudinal arch in people with and without plantar fasciitis. While pressure analysis demonstrated that patients with plantar fasciitis make gait adjustments that reduce the level of force beneath the rearfoot and forefoot of the symptomatic foot, fluoroscopy indicated that neither the dynamic shape nor the motion of the medial longitudinal arch differed between subjects with and without heel pain. Consequently, abnonnal arch shape and motion are not associated with the progression of plantar fasciitis. The peak arch angle was, however, positively correlated to the increased fascial thickness that was prototypic of plantar fasciitis. Thus, arch mechanics may play an important secondary role in plantar fasciitis by modifying the severity of heel pain, once present. In addition, increased loading and flexion of the digits was observed in patients with heel pain, suggesting that digital function plays an important, and previously unidentified, protective role in plantar fasciitis by bracing the medial longitudinal arch and thereby reducing the loading in the plantar fascia. The findings also suggest that plantar fasciitis may represent a bilateral process and raise questions regarding the rationale behind current treatments aimed at modifying the mechanics of the medial longitudinal arch in heel pain.
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10

McGarry, Sarah. "Pediatric medical traumatic stress : the impact on children, parents and staff." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2013. https://ro.ecu.edu.au/theses/605.

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Burns are one of the most painful and traumatising injuries an individual can sustain and constitute a serious global health threat to children. Despite the magnitude of this public health problem, little research has examined the psychological burden of these injuries. This study used a mixed-methods approach to investigate the effect of paediatric medical trauma on children who have sustained a burn, their parents and the healthcare professionals caring for these patients. The paediatric medical traumatic stress model provided a theoretical framework for this study. Firstly, this study aimed to gain an understanding of the lived experience of children who sustain a burn. Using phenomenology as a methodology, the first paper in this thesis provided an in-depth understanding of children’s perceptions, thoughts and feelings about the lived experience of sustaining a burn. The findings identified two phases of trauma that are central to the burn experience. The paper found that children experience ongoing trauma in addition to the initial trauma of sustaining the burn, resulting in a cumulative trauma experience. Six themes were identified in the data describing the child’s experience: ongoing recurrent trauma; return to normal activities; behavioural changes; scarring-the permanent reminder; family functioning and adaptation. The methodology of this research provided a voice for the child’s perspective of the burn experience and the findings can be used to inform clinical care at all stages of the burn journey. The second paper, a cross-sectional study, aimed to investigate the impact of exposure to paediatric trauma on parents of children with a burn and to identify risk factors and relationships between psychological distress and resilience. The results indicated that parents experienced significantly more symptoms of post-traumatic stress disorder than a comparative population. Factors including having a daughter, witnessing the event, feeling helpless or having past traumatic experiences significantly influenced symptoms of psychological distress and resilience. Findings from this study highlight that health professionals should screen parents to identify those at greatest risk and provide effective evidence-based interventions aimed at improving resilience and reducing stress, as part of standard, routine care. The aim of the third paper was to gain an understanding of the lived experience of parents of a child with a burn injury. Using a phenomenological, qualitative methodology allowed aspects of the parents’ experience not collected in standardised outcome measures to be identified, enabling triangulation with the quantitative results found in the second study. The findings demonstrated that the experience of parents reflected a journey that was represented by three phases: the event, the inpatient phase and the return to the community. Within the three phases, themes of external stressors, emotional and behavioural responses and coping strategies were identified. These findings can be used for the development of protocols to underpin a comprehensive information and social support management plan for families. This would complement the surgical and medical treatment plan, providing direction for comprehensive service delivery. Children, parents and health professionals are interconnected in a professional relationship. The aim of the fourth paper was to investigate the effect of exposure to paediatric medical trauma on multidisciplinary teams and the relationships between psychological distress, resilience and coping skills. Health professionals experienced significantly more symptoms of psychological distress and less resilience than comparative groups. Non-productive coping was associated with adverse psychological outcomes and younger health professionals were more vulnerable to psychological distress than those aged 25 years and above. Findings from this study may assist in developing organisational systems to facilitate optimal mental health and coping strategies in health professionals, with the aim of the maintenance of a healthy workforce. Overall findings from this research provide evidence for health professionals to optimise a holistic clinical service at all stages of the burn journey. These findings provide previously unknown knowledge about the impact of paediatric medical trauma on children, parents and health professionals within a paediatric hospital.
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Книги з теми "Foot Wounds and injuries Australia"

1

J, Shephard Roy, and Taunton Jack E, eds. Foot and ankle in sport and exercise. Basel: Karger, 1987.

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2

S, Adelaar Robert, ed. Complex foot and ankle trauma. Philadelphia: Lippincott-Raven, 1999.

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3

Bradley, Clare. Descriptive epidemiology of traumatic fractures in Australia. Canberra: Australian Institute of Health and Welfare, 2004.

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4

Logan, Alfred L. The foot and ankle: Clinical applications. Gaithersburg, Md: Aspen Publication, 1995.

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5

1943-, Henderson Joe, ed. Running injury-free: How to prevent, treat, and recover from dozens of painful problems. Emmaus, Pa: Rodale Press, 1994.

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6

The layman's guide to foot and heel print: A guide to the unbreakable laws of curing foot and heel, Les Bailey. [Place of publication not identified]: Avenue Books, 2005.

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7

Helps, Yvonne. Hospital separations due to injury and poisoning, Australia 1999-00. Canberra: Australian Institute of Health and Welfare, 2002.

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8

Norton, Lynda. Spinal cord injury, Australia, 2007-08. Canberra: Australian Institute of Health and Welfare, 2010.

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9

O'Connor, Peter J. Spinal cord injury, Australia: 2000-01. Canberra: Australian Institute of Health and Welfare, 2003.

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10

Kreisfeld, Renate. Injury deaths, Australia 2002. Canberra: Australian Institute of Health and Welfare, 2004.

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Частини книг з теми "Foot Wounds and injuries Australia"

1

Grocott, Patricia. "Managing Wounds." In Adult Nursing Practice. Oxford University Press, 2012. http://dx.doi.org/10.1093/oso/9780199697410.003.0039.

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This chapter addresses the vital area of wound care, including the impact that wounds can have upon patients and their families, and the nursing management challenges that they present. As a registered nurse caring for patients with wounds, you will be responsible for making a clinical assessment of the patient with a wound, making clinical decisions based on the most appropriate evidence-based, nurse-led interventions, and, crucially, measuring patient outcomes. The latter involves continuous monitoring of how both the patient and his or her wound is responding, or not, to the treatment and care that you give. This chapter presents a generic approach to wound management, and this should help you to deliver high-quality, safe wound care for patients with wounds of differing aetiologies. This includes core components of interventions for acute, chronic, and palliative wound care. Importantly, the chapter has been designed to help you to make the links between assessment, clinical decision-making, nursing interventions, and patient care. Nurses play a key role in the multidisciplinary team in the delivery of wound care, and frequently act as the ‘point of contact’ for the manufacturers and suppliers of wound care products. The approach advocated in this chapter will equip you to make informed assessments and clinical decisions. Wounds are injuries to the body, the skin in particular, causing a breach of the layers of skin (see Chapter 12 Understanding Skin Conditions) and the body boundary. The term ‘wound’ also defines the act of injuring a person’s skin. This may be deliberate, e.g. during a surgical procedure, or deliberate to cause harm, e.g. during warfare, terrorist attacks, or domestic and street violence. Wounding can also occur with accidents (a cut from a kitchen knife), natural disasters (earthquake), and exposure to environmental stresses such as extreme heat (burns, skin cancers), extreme cold (frostbite), excessive pressure, and excessive exposure to water and moisture (trench foot). Wounds also develop because of diseases and conditions such as diabetes, which disrupt the structures of the skin and the normal metabolic processes that maintain skin health (see Chapter 9 Understanding Diabetes Mellitus).
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2

Reid, Peter H. "Trial Day Ten." In Every Hill a Burial Place, 190–93. University Press of Kentucky, 2020. http://dx.doi.org/10.5810/kentucky/9780813179988.003.0031.

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“Injuries Bear Out Kinsey’s Evidence of Fall—Doctor.” Dr. Dockeray continues his testimony. reviewing his postmortem report, describing the wounds (e.g., two parallel cuts on the top of the head, bruises on the arms, separation of the cranial sutures, and so on) and the likely cause of the injuries. In his view, the injuries were more consistent with a fall from a 20-foot height than from a beating. The state attorney is unable to diminish the power of Dockeray’s testimony and is left complaining that the doctor has failed to get a proper certificate to act in Tanzania. Dr. McHugh begins his testimony with a portrayal of his relationship with the Kinseys and a description of his visit to Impala Hill.
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3

Wyatt, Jonathan P., Robert G. Taylor, Kerstin de Wit, Emily J. Hotton, Robin J. Illingworth, and Colin E. Robertson. "Paediatric emergencies." In Oxford Handbook of Emergency Medicine, 646–763. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198784197.003.0015.

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This chapter in the Oxford Handbook of Emergency Medicine investigates paediatric emergencies in the emergency department (ED). It reviews acute bronchiolitis, whooping cough, tuberculosis, cystic fibrosis, and pneumonia, and explores fits in children, status epilepticus, febrile convulsions, and funny turns. It describes diabetic ketoacidosis, urinary tract infection (UTI), haematuria, acute kidney injury, poisoning, gastroenteritis, abdominal pain in children, inguinal and scrotal swellings, foreskin problems, and zip entrapment. It discusses limping, painful hips, osteochondritis, and paediatric trauma and injury prevention, and reviews resuscitation of the injured child, head injury, spinal injury, trauma, wounds, fractures and dislocations, limb injuries, and normal X-rays. It discusses fracture and injury of the shoulder, humeral shaft, supracondylar humeral fracture, elbow, forearm, wrist, hip, and femoral fracture, knee and tibial fracture, and ankle and foot injuries. It investigates child abuse, including bruising, fractures, head injuries, burns, neglect, emotional abuse, and sexual abuse, and how to manage suspected child abuse.
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