Kim Hughes Wilhelm

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INTRODUCTION AND METHODS Epiphora, which leads to blurry vision, is the leading symptom for intra- and/or postsaccal lacrimal duct stenosis. Due to the anatomy of the tear duct system, which lies between the fields of ophthalmology and otorhinolaryngology, and due to newly available techniques in interventional radiology to diagnose and treat patients with(More)
An assessment model that combines portfolio decision-making with criterion-ref-erenced grading is described as applied in an EAP (English for Academic Purposes) pre-university ESL writing program. In this modet portfolio decision-making is combined with criterion-referenced assessment. The portfolio concept is valuable in that learners are encouraged to(More)
Thirty seven patients with a necrotic lunate or a partially necrotic scaphoid bone underwent surgery. The necrotic bone was replaced with autologous tendons. The late follow-up examination showed good stability within the carpal skeleton and no progression of the osteoarthritis. The patients reported marked relief of symptoms and improved function of the(More)
The ophthalmologist is the primary consultant for patients with disorders of the lacrimal duct. The basic examination includes inspection and slit-lamp microscopy of the ocular surface and its adnexa as well as irrigation of the lacrimal pathway. For further treatment, interdisciplinary examination methods offer precise diagnostic findings. Good cooperation(More)
Several experimental rupture tests of the extensor pollicis longus tendon proved that a rupture of a tendon caused by experiments is located in a region in which the rupture is mainly found clinically as well. By using a newly developed Silicon impression system it can be proved that in the course of a tendon there is always a certain place which has the(More)
Injuries of the ligaments and capsule of the MCP joints are frequently seen in the hand surgical service. A great part of these injuries are caused by trauma during competitive athletic games. Capsule and ligamental injuries of the 3rd and 4th digit can be treated conservatively by fixation to the next digits. Ruptures of the collateral ligaments of the(More)