Movement Disorders (revue)

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor

Identifieur interne : 007F79 ( Main/Merge ); précédent : 007F78; suivant : 007F80

Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor

Auteurs : Gun-Marie Hariz [Suède] ; A. Tommy Bergenheim [Suède] ; Marwan I. Hariz [Suède] ; Margareta Lindberg [Suède]

Source :

RBID : ISTEX:A03DE0261007CCBB975D974EEAE820EACD1EFDE4

English descriptors

Abstract

Chronic thalamic stimulation (CTS) has a documented good effect on tremor in patients with Parkinson's disease (PD) and essential tremor (ET). This study evaluates whether the alleviation of impairment, i.e., tremor, translates into improvement of the patient's ability in performing instrumental activities of daily living (IADL). Thirteen patients were assessed with an occupational therapy tool called Assessment of Motor and Process Skills (AMPS). This observation‐based scale rates the patient's motor and process skills needed to perform a given task. The evaluations were done at a mean of 13 months after surgery in the patient's home, and included assessments of IADL with the CTS activated and switched off, respectively. The results showed that most patients improved to variable degrees in their IADL ability when the thalamic stimulation was on. The improvement was more marked in patients operated on for tremor of their dominant hand. The improvement concerned mainly the skill items related to the patients' abilities of coordination, calibration, calibration, endurance, and accommodation during IADL task performance. The authors concluded that for some patients with tremor, CTS can improve independence in domestic activities of daily living.

Url:
DOI: 10.1002/mds.870130117

Links toward previous steps (curation, corpus...)


Links to Exploration step

ISTEX:A03DE0261007CCBB975D974EEAE820EACD1EFDE4

Le document en format XML

<record>
<TEI wicri:istexFullTextTei="biblStruct">
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor</title>
<author>
<name sortKey="Hariz, Gun Arie" sort="Hariz, Gun Arie" uniqKey="Hariz G" first="Gun-Marie" last="Hariz">Gun-Marie Hariz</name>
</author>
<author>
<name sortKey="Bergenheim, A Tommy" sort="Bergenheim, A Tommy" uniqKey="Bergenheim A" first="A. Tommy" last="Bergenheim">A. Tommy Bergenheim</name>
</author>
<author>
<name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name>
</author>
<author>
<name sortKey="Lindberg, Margareta" sort="Lindberg, Margareta" uniqKey="Lindberg M" first="Margareta" last="Lindberg">Margareta Lindberg</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:A03DE0261007CCBB975D974EEAE820EACD1EFDE4</idno>
<date when="1998" year="1998">1998</date>
<idno type="doi">10.1002/mds.870130117</idno>
<idno type="url">https://api.istex.fr/document/A03DE0261007CCBB975D974EEAE820EACD1EFDE4/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">001825</idno>
<idno type="wicri:Area/Istex/Curation">001825</idno>
<idno type="wicri:Area/Istex/Checkpoint">003802</idno>
<idno type="wicri:doubleKey">0885-3185:1998:Hariz G:assessment:of:ability</idno>
<idno type="wicri:source">PubMed</idno>
<idno type="RBID">pubmed:9452330</idno>
<idno type="wicri:Area/PubMed/Corpus">004513</idno>
<idno type="wicri:Area/PubMed/Curation">004513</idno>
<idno type="wicri:Area/PubMed/Checkpoint">004498</idno>
<idno type="wicri:Area/Ncbi/Merge">004E72</idno>
<idno type="wicri:Area/Ncbi/Curation">004E72</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">004E72</idno>
<idno type="wicri:doubleKey">0885-3185:1998:Hariz G:assessment:of:ability</idno>
<idno type="wicri:Area/Main/Merge">007F79</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title level="a" type="main" xml:lang="en">Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor</title>
<author>
<name sortKey="Hariz, Gun Arie" sort="Hariz, Gun Arie" uniqKey="Hariz G" first="Gun-Marie" last="Hariz">Gun-Marie Hariz</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Section of Occupational Therapy, College of Health and Caring Sciences, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bergenheim, A Tommy" sort="Bergenheim, A Tommy" uniqKey="Bergenheim A" first="A. Tommy" last="Bergenheim">A. Tommy Bergenheim</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Neurosurgery, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Neurosurgery, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lindberg, Margareta" sort="Lindberg, Margareta" uniqKey="Lindberg M" first="Margareta" last="Lindberg">Margareta Lindberg</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Physical Medicine and Rehabilitation, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series>
<title level="j">Movement Disorders</title>
<title level="j" type="sub">Official Journal of the Movement Disorder Society</title>
<title level="j" type="abbrev">Mov. Disord.</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint>
<publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
<date type="published" when="1998-01">1998-01</date>
<biblScope unit="vol">13</biblScope>
<biblScope unit="issue">1</biblScope>
<biblScope unit="page" from="78">78</biblScope>
<biblScope unit="page" to="83">83</biblScope>
</imprint>
<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">A03DE0261007CCBB975D974EEAE820EACD1EFDE4</idno>
<idno type="DOI">10.1002/mds.870130117</idno>
<idno type="ArticleID">MDS870130117</idno>
</biblStruct>
</sourceDesc>
<seriesStmt>
<idno type="ISSN">0885-3185</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Activities of daily living</term>
<term>Adult</term>
<term>Aged</term>
<term>Assessment of Motor and Process Skills</term>
<term>Chronic thalamic stimulation</term>
<term>Disability Evaluation</term>
<term>Electric Stimulation Therapy</term>
<term>Essential tremor</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Matched-Pair Analysis</term>
<term>Middle Aged</term>
<term>Motor Skills (physiology)</term>
<term>Occupational Therapy (methods)</term>
<term>Occupational therapy</term>
<term>Parkinson Disease (rehabilitation)</term>
<term>Parkinson's disease</term>
<term>Regression Analysis</term>
<term>Severity of Illness Index</term>
<term>Thalamus</term>
<term>Treatment Outcome</term>
<term>Tremor (rehabilitation)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Occupational Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Motor Skills</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Parkinson Disease</term>
<term>Tremor</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Adult</term>
<term>Aged</term>
<term>Disability Evaluation</term>
<term>Electric Stimulation Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Matched-Pair Analysis</term>
<term>Middle Aged</term>
<term>Regression Analysis</term>
<term>Severity of Illness Index</term>
<term>Thalamus</term>
<term>Treatment Outcome</term>
</keywords>
</textClass>
<langUsage>
<language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Chronic thalamic stimulation (CTS) has a documented good effect on tremor in patients with Parkinson's disease (PD) and essential tremor (ET). This study evaluates whether the alleviation of impairment, i.e., tremor, translates into improvement of the patient's ability in performing instrumental activities of daily living (IADL). Thirteen patients were assessed with an occupational therapy tool called Assessment of Motor and Process Skills (AMPS). This observation‐based scale rates the patient's motor and process skills needed to perform a given task. The evaluations were done at a mean of 13 months after surgery in the patient's home, and included assessments of IADL with the CTS activated and switched off, respectively. The results showed that most patients improved to variable degrees in their IADL ability when the thalamic stimulation was on. The improvement was more marked in patients operated on for tremor of their dominant hand. The improvement concerned mainly the skill items related to the patients' abilities of coordination, calibration, calibration, endurance, and accommodation during IADL task performance. The authors concluded that for some patients with tremor, CTS can improve independence in domestic activities of daily living.</div>
</front>
</TEI>
<double doi="10.1002/mds.870130117">
<ISTEX>
<TEI wicri:istexFullTextTei="biblStruct">
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor</title>
<author>
<name sortKey="Hariz, Gun Arie" sort="Hariz, Gun Arie" uniqKey="Hariz G" first="Gun-Marie" last="Hariz">Gun-Marie Hariz</name>
</author>
<author>
<name sortKey="Bergenheim, A Tommy" sort="Bergenheim, A Tommy" uniqKey="Bergenheim A" first="A. Tommy" last="Bergenheim">A. Tommy Bergenheim</name>
</author>
<author>
<name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name>
</author>
<author>
<name sortKey="Lindberg, Margareta" sort="Lindberg, Margareta" uniqKey="Lindberg M" first="Margareta" last="Lindberg">Margareta Lindberg</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:A03DE0261007CCBB975D974EEAE820EACD1EFDE4</idno>
<date when="1998" year="1998">1998</date>
<idno type="doi">10.1002/mds.870130117</idno>
<idno type="url">https://api.istex.fr/document/A03DE0261007CCBB975D974EEAE820EACD1EFDE4/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">001825</idno>
<idno type="wicri:Area/Istex/Curation">001825</idno>
<idno type="wicri:Area/Istex/Checkpoint">003802</idno>
<idno type="wicri:doubleKey">0885-3185:1998:Hariz G:assessment:of:ability</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title level="a" type="main" xml:lang="en">Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor</title>
<author>
<name sortKey="Hariz, Gun Arie" sort="Hariz, Gun Arie" uniqKey="Hariz G" first="Gun-Marie" last="Hariz">Gun-Marie Hariz</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Section of Occupational Therapy, College of Health and Caring Sciences, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bergenheim, A Tommy" sort="Bergenheim, A Tommy" uniqKey="Bergenheim A" first="A. Tommy" last="Bergenheim">A. Tommy Bergenheim</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Neurosurgery, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Neurosurgery, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lindberg, Margareta" sort="Lindberg, Margareta" uniqKey="Lindberg M" first="Margareta" last="Lindberg">Margareta Lindberg</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Physical Medicine and Rehabilitation, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series>
<title level="j">Movement Disorders</title>
<title level="j" type="sub">Official Journal of the Movement Disorder Society</title>
<title level="j" type="abbrev">Mov. Disord.</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint>
<publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
<date type="published" when="1998-01">1998-01</date>
<biblScope unit="vol">13</biblScope>
<biblScope unit="issue">1</biblScope>
<biblScope unit="page" from="78">78</biblScope>
<biblScope unit="page" to="83">83</biblScope>
</imprint>
<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">A03DE0261007CCBB975D974EEAE820EACD1EFDE4</idno>
<idno type="DOI">10.1002/mds.870130117</idno>
<idno type="ArticleID">MDS870130117</idno>
</biblStruct>
</sourceDesc>
<seriesStmt>
<idno type="ISSN">0885-3185</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Activities of daily living</term>
<term>Assessment of Motor and Process Skills</term>
<term>Chronic thalamic stimulation</term>
<term>Essential tremor</term>
<term>Occupational therapy</term>
<term>Parkinson's disease</term>
</keywords>
</textClass>
<langUsage>
<language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Chronic thalamic stimulation (CTS) has a documented good effect on tremor in patients with Parkinson's disease (PD) and essential tremor (ET). This study evaluates whether the alleviation of impairment, i.e., tremor, translates into improvement of the patient's ability in performing instrumental activities of daily living (IADL). Thirteen patients were assessed with an occupational therapy tool called Assessment of Motor and Process Skills (AMPS). This observation‐based scale rates the patient's motor and process skills needed to perform a given task. The evaluations were done at a mean of 13 months after surgery in the patient's home, and included assessments of IADL with the CTS activated and switched off, respectively. The results showed that most patients improved to variable degrees in their IADL ability when the thalamic stimulation was on. The improvement was more marked in patients operated on for tremor of their dominant hand. The improvement concerned mainly the skill items related to the patients' abilities of coordination, calibration, calibration, endurance, and accommodation during IADL task performance. The authors concluded that for some patients with tremor, CTS can improve independence in domestic activities of daily living.</div>
</front>
</TEI>
</ISTEX>
<PubMed>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor.</title>
<author>
<name sortKey="Hariz, G M" sort="Hariz, G M" uniqKey="Hariz G" first="G M" last="Hariz">G M Hariz</name>
<affiliation wicri:level="1">
<nlm:affiliation>Section of Occupational Therapy, College of Health and Caring Sciences, Umeå University, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Section of Occupational Therapy, College of Health and Caring Sciences, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bergenheim, A T" sort="Bergenheim, A T" uniqKey="Bergenheim A" first="A T" last="Bergenheim">A T Bergenheim</name>
</author>
<author>
<name sortKey="Hariz, M I" sort="Hariz, M I" uniqKey="Hariz M" first="M I" last="Hariz">M I Hariz</name>
</author>
<author>
<name sortKey="Lindberg, M" sort="Lindberg, M" uniqKey="Lindberg M" first="M" last="Lindberg">M. Lindberg</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PubMed</idno>
<date when="1998">1998</date>
<idno type="RBID">pubmed:9452330</idno>
<idno type="pmid">9452330</idno>
<idno type="doi">10.1002/mds.870130117</idno>
<idno type="wicri:Area/PubMed/Corpus">004513</idno>
<idno type="wicri:Area/PubMed/Curation">004513</idno>
<idno type="wicri:Area/PubMed/Checkpoint">004498</idno>
<idno type="wicri:Area/Ncbi/Merge">004E72</idno>
<idno type="wicri:Area/Ncbi/Curation">004E72</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">004E72</idno>
<idno type="wicri:doubleKey">0885-3185:1998:Hariz G:assessment:of:ability</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en">Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor.</title>
<author>
<name sortKey="Hariz, G M" sort="Hariz, G M" uniqKey="Hariz G" first="G M" last="Hariz">G M Hariz</name>
<affiliation wicri:level="1">
<nlm:affiliation>Section of Occupational Therapy, College of Health and Caring Sciences, Umeå University, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Section of Occupational Therapy, College of Health and Caring Sciences, Umeå University</wicri:regionArea>
<wicri:noRegion>Umeå University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bergenheim, A T" sort="Bergenheim, A T" uniqKey="Bergenheim A" first="A T" last="Bergenheim">A T Bergenheim</name>
</author>
<author>
<name sortKey="Hariz, M I" sort="Hariz, M I" uniqKey="Hariz M" first="M I" last="Hariz">M I Hariz</name>
</author>
<author>
<name sortKey="Lindberg, M" sort="Lindberg, M" uniqKey="Lindberg M" first="M" last="Lindberg">M. Lindberg</name>
</author>
</analytic>
<series>
<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<imprint>
<date when="1998" type="published">1998</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Adult</term>
<term>Aged</term>
<term>Disability Evaluation</term>
<term>Electric Stimulation Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Matched-Pair Analysis</term>
<term>Middle Aged</term>
<term>Motor Skills (physiology)</term>
<term>Occupational Therapy (methods)</term>
<term>Parkinson Disease (rehabilitation)</term>
<term>Regression Analysis</term>
<term>Severity of Illness Index</term>
<term>Thalamus</term>
<term>Treatment Outcome</term>
<term>Tremor (rehabilitation)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Occupational Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Motor Skills</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Parkinson Disease</term>
<term>Tremor</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Adult</term>
<term>Aged</term>
<term>Disability Evaluation</term>
<term>Electric Stimulation Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Matched-Pair Analysis</term>
<term>Middle Aged</term>
<term>Regression Analysis</term>
<term>Severity of Illness Index</term>
<term>Thalamus</term>
<term>Treatment Outcome</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Chronic thalamic stimulation (CTS) has a documented good effect on tremor in patients with Parkinson's disease (PD) and essential tremor (ET). This study evaluates whether the alleviation of impairment, i.e., tremor, translates into improvement of the patient's ability in performing instrumental activities of daily living (IADL). Thirteen patients were assessed with an occupational therapy tool called Assessment of Motor and Process Skills (AMPS). This observation-based scale rates the patient's motor and process skills needed to perform a given task. The evaluations were done at a mean of 13 months after surgery in the patient's home, and included assessments of IADL with the CTS activated and switched off, respectively. The results showed that most patients improved to variable degrees in their IADL ability when the thalamic stimulation was on. The improvement was more marked in patients operated on for tremor of their dominant hand. The improvement concerned mainly the skill items related to the patients' abilities of coordination, calibration, endurance, and accommodation during IADL task performance. The authors concluded that for some patients with tremor, CTS can improve independence in domestic activities of daily living.</div>
</front>
</TEI>
</PubMed>
</double>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 007F79 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 007F79 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Santé
   |area=    MovDisordV3
   |flux=    Main
   |étape=   Merge
   |type=    RBID
   |clé=     ISTEX:A03DE0261007CCBB975D974EEAE820EACD1EFDE4
   |texte=   Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor
}}

Wicri

This area was generated with Dilib version V0.6.23.
Data generation: Sun Jul 3 12:29:32 2016. Site generation: Wed Feb 14 10:52:30 2024