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Biomedical subjects

F Wille

Publications and source records attributed to F Wille.

8 recordsLinked to original sources

Effect of chronic nonmalignant pain on highway driving performance.

Most pain patients are treated in an outpatient setting and are engaged in daily activities including driving. Since several studies showed that cognitive functioning may be impaired in chronic nonmalignant pain, the question arises whether or not chronic nonmalignant pain affects driving performance. Therefore, the objective of the present study was to determine the effects of chronic nonmalignant pain on actual highway driving performance during normal traffic. Fourteen patients with chronic nonmalignant pain and 14 healthy controls, matched on age, educational level, and driving experience, participated in the study. Participants performed a standardized on-the-road driving test during normal traffic, on a primary highway. The primary parameter of the driving test is the Standard Deviation of Lateral Position (SDLP). In addition, driving-related skills (tracking, divided attention, and memory) were examined in the laboratory. Subjective assessments, such as pain intensity, and subjective driving quality, were rated on visual analogue scales. The results demonstrated that a subset of chronic nonmalignant pain patients had SDLPs that were higher than the matched healthy controls, indicating worse highway driving performance. Overall, there was a statistically significant difference in highway driving performance between the groups. Further, chronic nonmalignant pain patients rated their subjective driving quality to be normal, although their ratings were significantly lower than those of the healthy controls. No significant effects were found on the laboratory tests.

Adult↗

Stroking parameters in top level swimmers with a disability.

PURPOSE: The purposes of this study were to analyze velocity (V), stroke length (SL), and stroke rate (SR) values during the 100-m freestyle competitive events in top level male and female swimmers with a disability (DS) according to the international Functional Classification System (FCS) and to compare the results obtained with those of able-bodied swimmers (ABS). METHODS: DS (N = 119) and ABS (N = 32) were tested in real competitive conditions during European and French swimming championships in the A finals of the 100-m freestyle. RESULTS: V and SL increased significantly (P < 0.01) according to the level of ability from class S3 up to S10. SL values were significantly different (P < 0.01) between males and females in each class group. On the contrary, SR was not significantly different between genders, between each class group of FCS, and also with ABS. The major result of this study was that stroke length was related to velocity whereas stroke rate was not. The differences in weekly training time between each class of DS were not significantly different and showed that performances seemed to be more related to the various locomotor disabilities than to the training status. CONCLUSIONS: These findings, which are discussed, showed that stroke index (SI = V.SL) could be used as a sensitive criterion to assess the swimmer with a disability in relationship to his classification level.

Persons with Disabilities↗

Swimming performances and stroking parameters in non skilled grammar school pupils: relation with age, gender and some anthropometric characteristics.

OBJECTIVE: It was hypothesized that swimming velocity (V) and stroking parameters such as stroke length (SL), stroke rate (SR) and stroke index (SI) are influenced by age, gender, and some anthropometric characteristics. EXPERIMENTAL DESIGN: Cross-sectional study. SETTING: Grammar school pupils from French schools. PARTICIPANTS: One thousand and ninety-seven males and 961 females non skilled swimmers aged from 11 to 17. INTERVENTIONS: Usual swimming sessions (6 +/- 2 h.year-1) during a physical education program at school. MEASURES: V, SL, SF and SI (SI = V.SL) were measured or calculated from a 50-m crawl sprint and height, arm span and body mass were measured for all subjects. RESULTS: The results showed that V, SL and SI increased regularly (p < 0.01) in relation to age in both genders. SL was never significantly different between males and females. SF remained unchanged according to age and was significantly higher in males than in females. V, SL and SI were influenced by age and arm span but not SF. CONCLUSIONS: As males and females were submitted to the same swimming teaching program at school, a higher increase in muscle power and anaerobic capacity in males could explain the gender differences. These results observed in non skilled swimmers showed that the differences in stroking parameters between genders were the reverse of those of top level swimmers and that they can be used by swimming teachers in order to build some assessment tools and to better understand the improvements in swimming in relation to growth and gender.

Adolescent↗

Surgical treatment of liver injury with an absorbable mesh: an experimental study.

Uncontrollable bleeding remains a life-threatening problem in severe liver injury. The application of an absorbable mesh has been reported in a small number of patients. To evaluate an absorbable mesh wrap in standardized conditions, we performed an experimental study in 14 female pigs. A standard liver laceration imitating a blunt injury grade IV (Liver Injury Scale of the American Association for the Surgery of Trauma) was made in all animals. Heparin was administered to mimic coagulopathy. After randomization, seven animals received a polyglycolic acid (Vicryl) mesh wrap to control bleeding. Seven animals served as controls. Six of seven animals with a mesh wrap survived. Six of seven animals in the control group died (p = 0.02, Fisher's exact test). Intrahepatic pressures in the treated group varied from 3 to 55 mm Hg. Liver function tests in surviving animals were temporarily elevated. Necropsy at 2 weeks demonstrated adhesions to the wrapped lobe, but no hematoma, free bile, or abscess. Histologic examination showed a foreign-body reaction to the mesh and necrotic parts in the liver. It is concluded that an absorbable mesh wrap can effectively control bleeding from severe liver injury and improve survival in an animal model, although it may cause some damage to liver tissue.

Animals↗