Six Cases of Philips Ingenuity CT Maintenance / 中国医疗器械杂志

The article describes the failure phenomenon, analysis and processing process of the high-voltage generator module, FRC unit, rack tilt circuit and slip ring system in the daily use of Philips Ingenuity CT, so as to sum up the experience, discuss with the medical staff, and further Deepen the understanding of Philips Ingenuity CT's structure and working principle, and jointly improve the maintenance skills of CT and other large equipments.

Tracing the origin of wrist-ankle acupuncture based on / 中国针灸

The origin and basis of wrist-ankle acupuncture were discussed based on the theory of

Discussion on the body conception of the medical scholars at the early eras based on the description of meridians in bamboo slip and silk medical books / 中国针灸

In the paper, the basic situation and description of meridians are introduced on

Effect of the Psychophysical Approach in Slipping Incident Among Workers at The Commercial Kitchen Activity

@#Introduction: The occurrence of slips can be disruptive in workers’ life, causing various types of injuries. Working with prolonged standing and walking postures in a commercial kitchen contributes to worker fatigue. A psychophysical approach can be used in identifying the extent to which workers’ fatigue contributes to the occurrence of slipping. Method: Electromyography (EMG) was used to record and analyze the data of three values of muscle activity obtained from the study. Twelve participants aged 23 to 60 years old with a Body Mass Index (BMI) mean of 27.82 ± 4.01 kg/m2. The participants were selected based on the experience of at least three years and above in commercial kitchen activity. The testing procedures were explained in detail upon agreement. They had to walk with four different types of walking speeds with water and oil as the contaminants on the floors. Results: The slip occurred high frequency for obese participants compared to overweight participants when increasing their speeds of walking on oily floor surfaces. Female participants experience slips more than male participants. The muscle Soleus and Tibialis frequently produce higher muscle activity during slip occurrence compared to muscle Peroneus. Conclusion: The results of the study show that the psychophysical approach is significant in the occurrence of slipping during work activities in commercial kitchens when the muscle of Soleus and Tibialis produces higher muscle activity during slip occurrence. There was no significant factor of age during the slip occurrence.

Ankle Angle Contribute to Slip During Commercial Kitchen Activity

@#Introduction: Working in a Commercial kitchen environment poses a potential hazard for a slip accident. Prolonged standing working posture reflects human balance issues. Therefore, this study investigated the ankle angle during Commercial kitchen activity to justify the potential of slip during the activity and correlate between the walking step and slip incident. Method: Vicon motion capture was used to record movements and Vicon Nexus software was used to analyze data. Six male and six female healthy adults with a minimum of three years of Commercial kitchen activity experience participated in this study. Participants have to walk at four different speeds and carry the load at the upper limb and flooring with water and oil as a contaminant. Results: The slip occurred frequently on the oily surfaces compared to water surfaces especially among overweight and obese participants. Ankle angle during slip occurrence was from 97.2 ± 6.7° for male participants and 112.5 ± 12.7° for female participants. Conclusion: The results presented that overweight and obese participants' significant slip occurred when walking on oily surfaces. There was no correlation between carrying load and Body Mass Index (BMI). The walking speed also significant with slip occurrence.

Técnica CAD/CAM comparado con técnica convencional en pacientes con indicación de restauración indirecta unitaria posterior / CAD/CAM versus conventional techniques for unitary posterior indirect restoration

RESUMEN: Introducción: La confección de restauraciones indirectas ha sido tradicionalmente realizada mediante técnicas convencionales de laboratorio, la cual involucra la realización de una serie de pasos y la necesidad de que el paciente asista a varias sesiones clínicas. En las últimas décadas ha sido incorporada la técnica CAD/CAM, la cual ha simplificado la confección de restauraciones indirectas. Es necesario comparar el desempeño clínico de ambas técnicas. Métodos: Realizamos una búsqueda en Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante el cribado de múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, analizamos los datos de los estudios primarios, realizamos un metaanálisis y preparamos una tabla de resumen de los resultados utilizando el método GRADE. Resultados y conclusiones: Identificamos tres revisiones sistemáticas que en conjunto incluyeron ocho estudios primarios, de los cuales, cinco corresponden a ensayos aleatorizados. Concluimos que la técnica CAD/CAM probablemente aumenta la falla de la restauración y la pérdida de retención. Por otra parte, podría disminuir levemente la pérdida de vitalidad y tener nula o poca diferencia en el riesgo de extracción dentaria, riesgo de caries secundaria y cambio de color superficial, pero la certeza de la evidencia es baja.

ABSTRACT: Introduction: Conventional laboratory techniques for indirect restoration involve multiple stages and several clinical sessions for patients. In the last decades, the CAD/CAM technique has been incorporated in clinical practice, simplifying the fabrication process of indirect restorations. A comparative assessment of the clinical performance of both techniques is required. Methods: We searched in Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We extracted data from the systematic reviews, reanalyzed data of primary studies, conducted a meta-analysis and generated a summary of findings table using the GRADE approach. Results and conclusions: We identified three systematic reviews including eight studies overall, of which five were randomized trials. We conclude that CAD/CAM technique probably increase the risk of restoration failure and loss of retention. On the other hand, CAD/CAM technique may slightly reduce the risk of loss of vitality and may make little or no difference to the risk of tooth extraction, risk of secondary caries and superficial color change, but the certainty of the evidence is low.

Muscle force response characteristics of the slipping leg after an unexpected slip / 中国组织工程研究

BACKGROUND: Surface electromyogram signal is often used for qualitative analysis of muscles in the process of autonomic balance recovery after unexpected slips, but there is little research on the response characteristics of muscle force. OBJECTIVE: By the combination of gait analysis and simulation technology to study the muscle force response characteristics of the slipping leg when an unexpected slip of the heel occurs during walking straightly. METHODS: Five healthy subjects were recruited, wearing shoes uniformly, and asked to walk normally on two different straight footpaths (dry oil-free and oil-coated paths). The Vicon motion system and AMTI force measuring platform were used to collect the motion data. Based on the AnyBody Modeling System, a human musculoskeletal model matching with the subjects was established. The model was driven by the motion data, and the data of muscle force were collected and analyzed. RESULTS AND CONCLUSION: The recovery time after an unexpected slip was 15%-45% of a gait cycle and the single support phase was shortened. In the course of autonomic recovery, the muscle strength of the semitendinosus was increased by 25.6% (P < 0.05), and the muscle strength of the short head of biceps femoris increased by 14%. The maximum muscle strength of the medial gastrocnemius increased from 8.4 N/kg to 13.6 N/kg, and that of the lateral gastrocnemius increased by 17.4%. These findings indicate that: in the process of recovering the balance after unexpected slips, the semitendinosus, biceps femoris, gastrocnemius and gastrocnemius produce great muscle force, and meanwhile, the time of single support phase is shortened, so as to quickly transfer the gravity of human body from the sliding leg to the dragging leg and keep the body balance. After the balance recovery from the slip, the human body will make a prediction in the later period of the swing phase to prevent the slip again.

Study Of Brachialis Muscle: Additional Slip And Its Clinical Significance

Background: Brachialis is a muscle of anterior compartment of arm. It has two heads. Superficial head insertinginto ulnar tuberosity innervated by musculocutaneous nerve, the deep head inserts into coronoid process ofulna and supplied by radial nerve. Neuromuscular compression due to presence of additional slip of brachialisforms the basis of this study.Materials and methods: Study was done in 60 adult human cadaveric upper limbs of both the sides irrespectiveof sex in the Department of Anatomy, Kempegowda institute of medical sciences (KIMS), Bangalore and othermedical colleges nearby. Presence of additional slips of brachialis with important and interesting relations wasfound which were comparable with previous studies. As qualitative method was done, Descriptive statisticswere utilized.Results: Additional slips were present in 21.6%. It was found mainly in the left upper limbs in 69.2% and rest30.7% are present in right side limbs. Among 13 specimens, additional slips originated mainly from theanteromedial aspect in 84.6% and in 15.3% it originated from the anterolateral aspect of main brachialis.Additional slips were innervated mostly by the musculocutaneous nerve in 69.2%, median nerve in 15.3% andradial nerve in 7.6%. No innervation was observed in one specimen.Conclusion: Knowledge of additional slips and its origin and course is very important for identifying the causefor neurovascular symptoms due to compression of neurovascular structures

Sujeito e Subjetividade: aspectos silenciosos e silenciados na constituição dos sentidos / Subject and Subjectivity: silent and silenced aspects in the constitution of the senses / Sujeto y Subjetividad: aspectos silenciosos y silenciados en la constitución de los sentidos

Este trabalho propõe investigar as noções de subjetividade e sujeito para compreender aspectos constituintes do sentido. Pela Análise do Discurso (AD), investiga-se a subjetividade através da relação entre inter e intradiscurso, posição-sujeito e entrelaçamentos das formações discursivas. Pela Psicanálise, retomamos a constituição do sujeito descrita por Lacan que se conjectura na máxima: "O significante é o que representa o sujeito para outro significante". Nessas perspectivas, pretendemos apresentar possíveis respostas para as questões: Onde se encontra o sujeito lacaniano e qual a sua relação com a subjetividade? Assim, utilizaremos a noção de silêncio enquanto operador lógico, como propõe Tfouni (1998). O silêncio é considerado como agente, ora limitador, ora limitado pela palavra; ora alienado, ora separado do sentido. Na constituição da subjetividade, ele permite a ilusão de coesão, demarcando, em determinada materialidade, uma posição-sujeito. Desse modo, observa-se que o silêncio age tanto via repetição quanto via atos falhos, possibilitando a emergência de um sentido singular àquela subjetividade. O silêncio na lógica significante permite que ele seja tomado como articulador do sentido que engaja a escuta analítica pela mobilização do interdito. Para elucidar esses aspectos teóricos ressaltaremos dois casos reconhecidos na literatura analítica: o caso Aimée e o Esquecimento de Nomes Próprios.(AU)

The aim of this article is to investigate the notions of subject and subjectivity in order to gasp constitutive aspects of meaning. In the Discourse Analysis, subjectivity is examined in its relationship with inter and intradiscourse, as well as in the interrelationship between discursive formations, a theoretical field which includes both the materiality of history and the equivocity of the language. In Psychoanalysis, we undertake the constitution of the subject as it is described by Lacan through the maxim "The signifier is what constitutes the subject to another signifier". The notion of silence will be used as a logical operator, not as a phenomenon. Silence is here considered an agent, sometimes limiting and sometimes being limited by the words. In the constitution of subjectivity, it is what permits the illusion of coherence and cohesion of identity, in order to mark a specific subject position. The inclusion of silence into the logic of signification permits it to be taken as the articulator of meaning, which involves analytical hearing through manipulation of the banned. In order to elucidate these aspects, we will take two classical cases of the psychoanalytical literature: Lacan´s Aimée, and Freud´s Proper Names Oblivion.(AU)

Este trabajo propone investigar las nociones de subjetividad y sujeto, con el fin de comprender aspectos constituyentes del sentido. En el Análisis del Discurso (AD), la subjetividad es investigada por la relación entre inter e intradiscurso y entrelazamientos de las formaciones discursivas, campo teórico que incluye la materialidad histórica, y la equivocidad de la lengua. Por el psicoanálisis, retomamos la constitución del sujeto tal como descrita por Lacan, en la máxima "lo significante es lo que representa un sujeto para otro significante". Utilizaremos la noción de silencio, resaltándolo como operador lógico, como propone F.E.V. Tfouni, y no como fenómeno. El silencio es considerado como un agente a veces limitador y otras veces limitado por la palabra. En la constitución de la cadena significante, es el significado de la función fálica: lo que da límite y dirige la cadena. En la constitución de la subjetividad, es lo que permite la ilusión de cohesión y coherencia de identidad, con el fin de demarcar, en determinada materialidad, una posición-sujeto específica. La inserción del silencio en la lógica significante posibilita que sea tomado como articulador del sentido, lo que compromete la escucha analítica por la movilización de lo entredicho. Para dilucidar estos aspectos, tomaremos dos casos reconocidos en la literatura analítica: el caso Aimée, de Lacan, y El olvido de los nombres propios, de Freud.(AU)

Quantitative Assessment of Hand Dysfunction in Patients with Early Parkinson's Disease and Focal Hand Dystonia

OBJECTIVE: Motor impairments related to hand function are common symptoms in patients with movement disorders, such as Parkinson’s disease (PD) and focal hand dystonia (FHD). However, hand dysfunction has not been quantitatively assessed as a clinical tool for screening patient groups from healthy controls (HCs). The aim of our study was 1) to quantitatively assess hand dysfunction in patients with PD and FHD and its usefulness as a screening tool 2) to grade disease severity in PD and FHD based on hand dysfunction. METHODS: The current case-control study included HCs (n = 50) and patients with known history of PD (n = 25) or FHD (n = 16). Hand function was assessed by a precision grip task while participants lifted objects of 1.3 N and 1.7 N under dry skin conditions, followed by very wet skin conditions (VWSCs). Receiver operating characteristic and summative scoring analyses were performed. RESULTS: In PD, the combination of loading phase duration and lifting phase duration at quantitative cutoffs of 0.36 and 0.74 seconds identified 21/25 patients as diseased and 49/50 subjects as HCs with 1.7 N under VWSCs. In PD, 5/21 was graded as “mild” and 16/21 as “moderate cases.” In FHD, slip force at a cutoff of 1.2 N identified 13/16 patients as diseased and 41/50 subjects as HC with 1.7 N under VWSCs, but disease severity could not be graded. CONCLUSION: Our results demonstrate the use of precision grip task as an important clinical tool in assessment of hand dysfunction in movement disorder patients. Use of quantitative cutoffs may improve diagnostic accuracy and serve as a valuable adjunct to existing clinical assessment methods.

A Study of Cognitive Slips According to Contaminants on the Floor

BACKGROUND: This research investigates the degrees of slipperiness felt by the participants who walk on contaminants applied to a floor surface to decide degrees of slipperiness for various contaminants. METHODS: For the experiment, 30 participants walked on a floor to which six contaminants were applied. All participants took the analytic hierarchy process (AHP)–based slipperiness questionnaire survey for the six kinds of contaminants, and the results were compared with the coefficient of friction. RESULTS: The results of slip risk from the AHP indicate that grease is the most slippery of the six contaminants, followed by diesel engine oil, hydraulic oil, cooking oil, water-soluble cutting oil, and water in a decreasing order of slipperiness. When the results of slip risk from the AHP are compared with the static coefficient of friction for each contaminant, the order of slip risk follows the same trend. Although the results of slip risk from the AHP coincide with the static coefficient of friction, further study would be needed to investigate this relationship. CONCLUSION: This study will contribute as reference material for future research on preventing industrial accidents that result in falls from high places due to slipping.

Left Gastric Vein Visualization with Hepatopetal Flow Information in Healthy Subjects Using Non-Contrast-Enhanced Magnetic Resonance Angiography with Balanced Steady-State Free-Precession Sequence and Time-Spatial Labeling Inversion Pulse

OBJECTIVE: To selectively visualize the left gastric vein (LGV) with hepatopetal flow information by non-contrast-enhanced magnetic resonance angiography under a hypothesis that change in the LGV flow direction can predict the development of esophageal varices; and to optimize the acquisition protocol in healthy subjects. MATERIALS AND METHODS: Respiratory-gated three-dimensional balanced steady-state free-precession scans were conducted on 31 healthy subjects using two methods (A and B) for visualizing the LGV with hepatopetal flow. In method A, two time-spatial labeling inversion pulses (Time-SLIP) were placed on the whole abdomen and the area from the gastric fornix to the upper body, excluding the LGV area. In method B, nonselective inversion recovery pulse was used and one Time-SLIP was placed on the esophagogastric junction. The detectability and consistency of LGV were evaluated using the two methods and ultrasonography (US). RESULTS: Left gastric veins by method A, B, and US were detected in 30 (97%), 24 (77%), and 23 (74%) subjects, respectively. LGV flow by US was hepatopetal in 22 subjects and stagnant in one subject. All hepatopetal LGVs by US coincided with the visualized vessels in both methods. One subject with non-visualized LGV in method A showed stagnant LGV by US. CONCLUSION: Hepatopetal LGV could be selectively visualized by method A in healthy subjects.

Investigation of Floor Surface Finishes for Optimal Slip Resistance Performance

BACKGROUND: Increasing the slip resistance of floor surfaces would be desirable, but there is a lack of evidence on whether traction properties are linearly correlated with the topographic features of the floor surfaces or what scales of surface roughness are required to effectively control the slipperiness of floors. OBJECTIVE: This study expands on earlier findings on the effects of floor surface finishes against slip resistance performance and determines the operative ranges of floor surface roughness for optimal slip resistance controls under different risk levels of walking environments. METHODS: Dynamic friction tests were conducted among three shoes and nine floor specimens under wet and oily environments and compared with a soapy environment. RESULTS: The test results showed the significant effects of floor surface roughness on slip resistance performance against all the lubricated environments. Compared with the floor-type effect, the shoe-type effect on slip resistance performance was insignificant against the highly polluted environments. The study outcomes also indicated that the oily environment required rougher surface finishes than the wet and soapy ones in their lower boundary ranges of floor surface roughness. CONCLUSION: The results of this study with previous findings confirm that floor surface finishes require different levels of surface coarseness for different types of environmental conditions to effectively manage slippery walking environments. Collected data on operative ranges of floor surface roughness seem to be a valuable tool to develop practical design information and standards for floor surface finishes to efficiently prevent pedestrian fall incidents.

The Tendinous Slip of the Flexor Digitorum Longus for the Great Toe: An Anatomic Variation / 체질인류학회지

This report describes a variation of the tendinous slip of the flexor digitorum longus (FDL) for the great toe. In addition, compositions of the long flexor tendons for all five toes were examined. The tendons of the FDL in the foot were investigated in 66 specimens of embalmed Korean adult cadavers. The tendons of the flexor hallucis longus (FHL) and the FDL with the lumbrical muscles were cut at the calcaneus and the metatarsophalangeal joints and were removed en bloc specifically to observe the FDL and the FHL tendons of the great toe. The tendinous slip of the FDL for the great toe was found bilaterally in the foot of a 52-year-old male. Its prevalence was two of 66 specimens (3.0%). The tendinous slip of the FDL for the great toe passed forward the great toe, and it constituted the superficial portion of the long flexor tendon for the great toe. The tendon of the FHL passed forward to constitute the deep portion of the long flexor tendon for the great toe. Thus, both the tendinous slip of the FDL and the tendon of the FHL composed the long flexor tendon for the great toe. The tendinous slip of the FDL and the tendon of the FHL for the great toe were similar in thickness; thus, each tendinous slip of the FDL and the tendon of the FHL were approximately one-half of the long flexor tendon for the great toe in thickness. The present study demonstrated an anatomical variation of the interconnection between the FHL and the FDL tendons, which will be useful for various surgeries and biomechanical research.

Tactile and Slip Sensory Functions for Electromyogram Controlled Bionic Prosthetic Hand and Realization / 中国康复理论与实践

Objective To realize the tactile and slip sensory functions for electromyogram controlled prosthetic hand. Methods The piezoelectric membrane polyvinylidence floride (PVDF) was used to construct a transducer for the tactile and slip sensory feedback. The fea-ture and piezoelectric response of PVDF and its mechanism of signal production were studied. The feedback control system was designed and a prototype for testing the tactile and slip sensor function was constructed and tested. Results and Conclusion The signal response of PVDF sensor is obviously, and the PVDF sensor can be used in practice.

Bilateral Morphological Variation of Abductor Pollicis Longus and Extensor Pollicis Brevis Tendons: A Cadaveric Case Report with Clinical Perspective

Concurrent morphological variations of abductor pollicis longus (APL) and extensor pollicis brevis (EPB) are seldom reported in literature. Extra slips of APL and EPB are clinically significant as they are used to reconstruct the ruptured tendons in the hand. Herein, we report bilateral morphological variations of APB and EPB in a male cadaver. On each side of forearm, APL was divided into two tendinous slips within the first compartment of extensor retinaculum. One of these slips inserted on to the radial side of base of first metacarpal bone close to the insertion of EPB, and the other slip inserted on to both abductor pollicis brevis and opponens pollicis. EPB divided into two tendons slips deep to the extensor retinaculum. These slips were found to be inserted on to the dorsal surface of the base of proximal phalanx while the other inserted on to the radial aspect of the base of first metacarpal bone, close to the insertion of APL tendon. These additional slips are frequently associated with first carpo-metacarpal subluxation and de Quervain’s syndrome and may be responsible for the clinical manifestations of these diseases. In addition, knowledge of the morphological variations of APL and EPB can aid orthopaedic and plastic surgeons in performing successful tendon transplants.

Can Unilateral Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF) Result in Sufficient Reduction in Spondylolisthesis?: A Comparison with Open TLIF and Bilateral MIS TLIF

STUDY DESIGN: Retrospective study. OBJECTIVES: To compare the radiologic results of unilateral or bilateral minimal invasive transforaminal lumbar interbody fusion (MIS TLIF) and conventional open lumbar interbody fusion. SUMMARY OF LITERATURE REVIEW: Only a few studies have compared the slip reduction and fusion rate between unilateral or bilateral MIS TLIF and conventional open TLIF. MATERIALS AND METHODS: Between March 2007 and May 2015, 80 patients with single-level low-grade spondylolisthesis underwent unilateral MIS TLIF (26 patients), bilateral MIS TLIF (10 patients), or open TLIF (44 patients) by a single surgeon. Radiologic studies were performed preoperatively, 2 weeks postoperatively, and 12 months postoperatively. Slip reduction, the lumbar lordortic angle, and the fusion rate were analyzed. RESULTS: The 3 groups exhibited significantly improved slip after operation. Significant differences were found among the 3 groups (p=0.015) and between the MIS TLIF group (31.76%±14.42%) and the open TLIF group (41.66%±15.98%) (p=0.01) in the slip reduction rate at 2 weeks after the operation. However, no significant difference was found between unilateral MIS TLIF and bilateral MIS TLIF (37.61%±15.0% vs. 29.5%±13.82%, p=0.148). In the lumbar lordotic angle, no significant difference was found among the 3 groups. There were no significant differences among the 3 groups in slip reduction or the fusion rate at 12 months after the operation. CONCLUSIONS: Our study suggests that unilateral MIS TLIF showed a similar slip reduction and fusion rate to bilateral MIS TLIF, but that conventional open TLIF showed better slip reduction than MIS TLIF, although it had a similar fusion rate.

A família no cuidado ao idoso após o acidente por quedas / La familia en el cuidado a personas mayores tras accidente por caídas / The family in the care process of an elderly after a fall accident

It aims at knowing elderly family care after fall accidents. Method: qualitative approach and ecologic insertion method, based on Ecologic Theory of Systems. Results: it has been identified that the family plays an important role in the recovery of impaired elderly, once it offers affective support, necessary for the development of this group. The vicissitudes suffered by the elderly - in this case fall accidents - bring the families together, promoting a restructuration of family bounds and of the activities developed by each member of this core. Conclusion: getting to know family care devoted to elderly after fall accidents elucidates tools helping health professionals to orientate their attention beyond these individuals, trying to understand family functioning as an essential component for service planning towards therapeutic success...

Conhecer o cuidado familiar dedicado ao idoso após o acidente por quedas. Método: abordagem qualitativa e o método utilizado foi inserção ecológica, fundamentada na Teoria dos Sistemas Ecológicos. Resultados: identificou-se que a família executa um importante papel para recuperação do idoso fragilizado, sendo que ela oferece suporte afetivo necessário para o desenvolvimento desse grupo. As intercorrências que acometem os idosos - nesse caso o acidente por quedas - fazem com que as famílias se aproximem, promovendo, assim, uma reestruturação do vínculo familiar e das atividades desenvolvidas por cada membro constituinte desse núcleo. Conclusão: conclui-se que conhecer o cuidado familiar dedicado ao idoso após acidente por queda instrumentaliza e auxilia os profissionais de saúde a direcionarem seu olhar para além dos indivíduos, buscando compreender a funcionalidade familiar como um componente essencial do planejamento assistencial para o alcance do sucesso terapêutico...

Conocer el cuidado familiar dedicado al mayor tras el accidente por caídas. Método: enfoque cualitativo y el método de la inserción ecológica fundamentada en la teoría de los sistemas ecológicos. Resultados: se identificó que la familia ejecuta un importante rol para la recuperación del mayor debilitado, por lo que ofrece soporte afectivo necesario para el desarrollo de ese grupo. Las complicaciones que acometen al mayor, enese caso, el accidente por caídas, hacen con que las familias se aproximen, promoviendo una reestructuración del vínculo familiar. Conclusión: se concluye que conocer el cuidado familiar dedicado al mayor, tras accidente por caída instrumentaliza y auxilia a los profesionales de la salud a direccionar su mirada más allá de los individuos, en la búsqueda por entender la funcionalidad familiar como componente esencial del planeamiento asistencial para el alcance del suceso terapéutico...

Short-Term Clinical Result of Cortical Bone Trajectory Technique for the Treatment of Degenerative Lumbar Spondylolisthesis with More than 1-Year Follow-Up

STUDY DESIGN: Retrospective follow-up study on the result of surgical treatment for patients with degenerative lumbar spondylolisthesis (DLS) using cortical bone trajectory (CBT) technique. PURPOSE: To evaluate the capability of CBT to manage patients with DLS. OVERVIEW OF LITERATURE: CBT is a recently advocated, novel, less-invasive technique of lumbar pedicle screw, which provides enhanced screw purchase by maximizing the thread contact with higher density bone surface. Despite the frequent use of CBT technique in the lumbar spine surgery, little is known of the capability of this technique to manage patients with DLS. METHODS: Thirty two consecutive patients (5 males, 27 females) surgically treated with single-level DLS in our institute using CBT were included. All patients were followed up at least 12 months (mean 24 months). Their clinical and radiological features were measured. RESULTS: Good leg pain relief was achieved in all patients. The mean postoperative percentage slip demonstrated significant reduction with significant neurological recovery when compared with preoperative percentage slip, and it was maintained until the latest follow-up. Loss of correction of more than 3 mm during the follow-up period was observed in 3 cases. Surgical site infection was observed in one case; however, pull-out of PSs or neurological deterioration was not found. No patient needed additional surgery during the follow-up period. CONCLUSIONS: These preliminary results confirmed that CBT is useful for the treatment for patients with DLS. This technique allows good reduction of spondylolisthesis and neurological improvement.

Phytochemical, Antimicrobial and Anti-Adherence Analysis of Plant and Ayurvedic Extracts.

The incessant and vital need to discover new antimicrobial compounds with diverse chemical structures and novel mode of action is stimulated by the increasing failure of chemotherapeutics and expanded antibiotic resistance exhibited by pathogenic agents. In the present research work, antimicrobial activity of few plant extracts and ayurvedic samples were screened against bacteria. Phytochemical analysis of active plant extracts showed the presence of triterpenes, glycosides and flavonoids. Both aqueous and acetone extracts of Holoptelia integrifolia leaf and Barringtonia acutangula flower; and methanolic extract of Glycyrrhiza glabra and Meera powder exhibited activity against S. aureus. Aqueous mortar pestle and soxhlet extracts of B. acutangula flower exhibited activity against both P. aeruginosa and E. coli. Further, the ability to adhere and build biofilm was assessed in few biofilm formers at sub-MIC concentrations using the Microtiter plate assay and the Coverslip assay. Aqueous soxhlet and mortar pestle extract of B. acutangula flower and acetone overnight extract of H. integrifolia leaf exhibited antibiofilm activity against these organisms.