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  1. Article ; Online: Revision of Motec Total Wrist Replacement in the Second Metacarpal.

    Maher, Mark / Estfan, Rami / Storey, Philip / Packer, Greg

    The journal of hand surgery Asian-Pacific volume

    2023  Volume 28, Issue 5, Page(s) 596–599

    Abstract: Wrist arthroplasty is becoming more commonplace, with various implant choices available. The Motec (Swemac Orthopaedics AB, Linköping, Sweden) cementless ball-and-socket system is being increasingly utilised and is designed for the distal component to be ...

    Abstract Wrist arthroplasty is becoming more commonplace, with various implant choices available. The Motec (Swemac Orthopaedics AB, Linköping, Sweden) cementless ball-and-socket system is being increasingly utilised and is designed for the distal component to be implanted into the third metacarpal. However, distal component failure is a recognised complication. We outline our experience with the revision of this component into the second metacarpal. This technical note is presented through our experience of two patients who underwent revision arthroplasty for the management of peri-prosthetic fracture of the third metacarpal. This technique has demonstrated a safe and viable solution to this complication, achieving good anatomical centre of rotation, function, range of movement and patient satisfaction.
    MeSH term(s) Humans ; Joint Prosthesis ; Wrist/surgery ; Metacarpal Bones/surgery ; Arthroplasty, Replacement ; Wrist Joint/surgery
    Language English
    Publishing date 2023-10-25
    Publishing country Singapore
    Document type Journal Article
    ZDB-ID 2848651-1
    ISSN 2424-8363 ; 2424-8355
    ISSN (online) 2424-8363
    ISSN 2424-8355
    DOI 10.1142/S242483552371008X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Women's Awareness of Periconceptional Use of Folic Acid Before and After Their Antenatal Visits.

    Maher, Mark / Keriakos, Remon

    Clinical medicine insights. Women's health

    2014  Volume 7, Page(s) 9–15

    Abstract: Objective: The aim of this study is to assess women's awareness of the benefit and use of folic acid during pregnancy and to assess whether their knowledge has improved following hospital visits.: Method: This is a prospective survey conducted in a ... ...

    Abstract Objective: The aim of this study is to assess women's awareness of the benefit and use of folic acid during pregnancy and to assess whether their knowledge has improved following hospital visits.
    Method: This is a prospective survey conducted in a large teaching hospital in the UK. The survey questionnaire consisted of 28 questions about demographic variables, behavioral variables, and knowledge about folic acid and neural tube defects (NTDs).
    Result: A total of 603 women participated in this study. Some of them attended for the first time and others had more than one visit, either in their current or previous pregnancies. In about 25% of cases, the pregnancy was not planned. Between 14 and 19% of the women of First and Two+ Visit groups consulted their doctor or other healthcare professional before conception. Nearly 98% of the women stated that they had heard of folic acid, but only 42-52% knew the medical condition it protects against. The main sources of information for women who were aware of folic acid were midwives and general practitioners. Nearly 90% of women who attended their first antenatal visit were taking folic acid. However, only 40% of women knew that they should take it before pregnancy, and only between 36 and 46% knew the dietary sources of folic acid, although about 84% know the foods that should be avoided during pregnancy. This study found that attending antenatal clinic has not increased women's awareness about folic acid.
    Conclusion: There is still a high proportion of women who do not know that folic acid should be taken before pregnancy and continued for the first three months of pregnancy. School education, primary care team, and family planning service should take the lead in providing information to women about folic acid.
    Language English
    Publishing date 2014-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2619423-5
    ISSN 1179-562X
    ISSN 1179-562X
    DOI 10.4137/CMWH.S13535
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Management of Cervical Fibroid during the Reproductive Period.

    Keriakos, Remon / Maher, Mark

    Case reports in obstetrics and gynecology

    2013  Volume 2013, Page(s) 984030

    Abstract: This is a case report of a 29-year-old lady who presented with excessive vaginal discharge and sessile cervical fibroid arising from the vaginal portion of the cervix. She was not suitable for uterine artery embolization as she has never previously been ... ...

    Abstract This is a case report of a 29-year-old lady who presented with excessive vaginal discharge and sessile cervical fibroid arising from the vaginal portion of the cervix. She was not suitable for uterine artery embolization as she has never previously been pregnant before. She was encouraged to get pregnant and to avoid surgical excision which can lead to hysterectomy. Shortly after, she became pregnant. She had many admissions during pregnancy due to bleeding from the fibroid, and in one occasion she had blood transfusions. The fibroid increased in size to become larger than the head of the baby. An emergency caesarean section was performed at 37 weeks when she attended in labour before the date of her elective caesarean section. She was managed conservatively following delivery in the hope that the fibroid becomes smaller making surgery easier. The fibroid degenerated and reduced in size. Vaginal myomectomy was carried out. The patient is now pregnant for the second time and had a cervical suture at 20 weeks gestation. In this educational case report we discuss the different management options of cervical fibroids and review the literature of other similar cases and their outcome.
    Language English
    Publishing date 2013-09-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2627654-9
    ISSN 2090-6692 ; 2090-6684
    ISSN (online) 2090-6692
    ISSN 2090-6684
    DOI 10.1155/2013/984030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Assessment and management of adult spinal deformities.

    Afolayan, John O / Shafafy, Roozbeh / Maher, Mark / Moon, Kyung H / Panchmatia, Jaykar R

    British journal of hospital medicine (London, England : 2005)

    2018  Volume 79, Issue 2, Page(s) 79–85

    Abstract: Adult spinal deformity is a complex condition, increasing in prevalence, and occurring in a patient population in which it poses unique challenges. This review provides an overview of adult spinal deformity with a particular focus on its clinical ... ...

    Abstract Adult spinal deformity is a complex condition, increasing in prevalence, and occurring in a patient population in which it poses unique challenges. This review provides an overview of adult spinal deformity with a particular focus on its clinical evaluation, radiological assessment and classification, reviewing the current literature and amalgamating this with the authors' clinical experience.
    MeSH term(s) Humans ; Kyphosis/diagnosis ; Kyphosis/therapy ; Magnetic Resonance Imaging ; Multimodal Imaging/methods ; Pelvis ; Physical Examination/methods ; Postural Balance/physiology ; Radiography ; Scoliosis/diagnosis ; Scoliosis/therapy ; Spinal Diseases/classification ; Spinal Diseases/diagnosis ; Spinal Diseases/therapy ; Spine
    Language English
    Publishing date 2018-02-12
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2018.79.2.79
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Ethanol--the primary renewable liquid fuel

    Datta, Rathin / Maher, Mark A / Jones, Coleman / Brinker, Richard W

    Journal of chemical technology and biotechnology. 2011 Apr., v. 86, no. 4

    2011  

    Abstract: This perspective paper establishes that ethanol has a long history of very good performance as a renewable liquid fuel blended with gasoline and can be used in over 80% of the automobile and other light duty transportation vehicles. It fits very well ... ...

    Abstract This perspective paper establishes that ethanol has a long history of very good performance as a renewable liquid fuel blended with gasoline and can be used in over 80% of the automobile and other light duty transportation vehicles. It fits very well into the future of the combination of electricity and renewable liquid fuel for such transportation. It has also been established that renewable biomass feedstock is highly oxygenated and ethanol can be produced with high yields and efficiency with some conversion technologies--particularly the ‘Hybrid' of gasification with bioconversion--that have been developed to the commercial implementation stage. Recent major studies conducted by the USDA, DOE and major National Laboratories have projected that large and sustainable biomass feedstock supplies are available and are going to be available to efficiently produce this ethanol in very large quantities of around 340 billion liters per year in the USA. The experience gained over the past 70 years in the south-eastern USA has been summarized to further support the fact that efficient and sustainable biomass supply can be developed and maintained to support much increased usage. Copyright
    Keywords USDA ; automobiles ; bioethanol ; biomass ; biotransformation ; electricity ; ethanol ; feedstocks ; gasification ; gasoline ; United States
    Language English
    Size p. 473-480.
    Publishing place John Wiley & Sons, Ltd.
    Document type Article
    ZDB-ID 1479465-2
    ISSN 1097-4660 ; 0268-2575
    ISSN (online) 1097-4660
    ISSN 0268-2575
    DOI 10.1002/jctb.2580
    Database NAL-Catalogue (AGRICOLA)

    Full text online

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  6. Article ; Online: Recreational cycling and cardiorespiratory fitness in English youth.

    Maher, Mark S / Voss, Christine / Ogunleye, Ayodele A / Micklewright, Dominic / Sandercock, Gavin R H

    Medicine and science in sports and exercise

    2012  Volume 44, Issue 3, Page(s) 474–480

    Abstract: Purpose: Schoolchildren who cycle to school have higher cardiorespiratory fitness (CRF) than those who are driven or use public transport. The purpose of this study was to determine whether recreational cycling is similarly associated with CRF.: ... ...

    Abstract Purpose: Schoolchildren who cycle to school have higher cardiorespiratory fitness (CRF) than those who are driven or use public transport. The purpose of this study was to determine whether recreational cycling is similarly associated with CRF.
    Methods: Participants were 5578 (54% males) English schoolchildren (10.0-15.9 yr). All reported frequency of recreational cycling events via 7-d recall. Responses were categorized as follows: "noncyclists" = 0, "occasional cyclists" = 1-4, or "regular cyclists" = 5+ (times per week). CRF was assessed using the 20-m shuttle run test with performance classified as "fit" or "unfit" based on FITNESSGRAM standards.
    Results: Overall, 26% of males and 46% of females were noncyclists. Compared with noncyclists, the 40% of males and 42% of females classified as occasional cyclists were more likely to be fit (males: odds ratio (OR) = 1.30, 95% confidence interval (CI) = 1.07-1.59; females: OR = 1.41, 95% CI = 1.13-1.76). Regular cyclists (34% males and 12% females) had a greater likelihood still of being classified as fit (males: OR = 1.58, 95% CI = 1.29-1.95; females: OR = 1.55, 95% CI = 1.09-2.20). No odds remained significant after adjusting for physical activity. Removal of participants who cycled to school had little overall effect on the likelihood of being classified as being fit.
    Conclusions: Previous research has focused only on young people's commuter cycling habits, at the expense of the more common activity of recreational cycling. Recreational cycling may provide an alternative target for interventions to increase physical activity and improve CRF youth. Recreational cycling could potentially serve as a way to gain cycling confidence and establish habits that act as precursors to commuter cycling.
    MeSH term(s) Adolescent ; Analysis of Variance ; Anthropometry ; Bicycling/physiology ; Chi-Square Distribution ; Child ; England ; Exercise Test ; Female ; Humans ; Logistic Models ; Male ; Physical Fitness/physiology ; Schools ; Surveys and Questionnaires
    Language English
    Publishing date 2012-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603994-7
    ISSN 1530-0315 ; 0195-9131 ; 0025-7990
    ISSN (online) 1530-0315
    ISSN 0195-9131 ; 0025-7990
    DOI 10.1249/MSS.0b013e318235158a
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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