Preliminary results after metal-on-metal hip resurfacing arthroplasty / 中华骨科杂志

Objective To introduce the technique of metal-on-metal hip resurfacing arthroplasty,evaluate its preliminary clinical results and review the factors which affect the results.Methods From January 2006 to October 2010,104 patients (116 hips) with osteonecrosis of the femoral head,hip osteoarthritis,hip dyplasia,or ankylosing spondylitis were treated with the total hip resurfacing arthroplasty.Among them,59 patients (66 hips) were male,and 45 patients (50 hips) were female,with an average age of 39.7 years (range,16-67 years).Standard operation technique was performed for all patients with Conserve Plus prosthesis.Each patient was followed up at 1 month,3 months,6 months,1 year postoperatively.Results Three patients (4 hips) were lost,so 101 patients (112 hips) were followed up for an average period of 33 months (range,9-66 months).The average Harris hip score was improved significantly from 37.6±6.3 preoperatively to 91.3±5.3 at final follow-up; 104 hips were excellent,7 hips were good,1 hip was poor,and the excellent and good rate was 99.1％.At final follow-up,the average abduction angle of the acetabutar cup was 42.7°(range,36°-55°); the average femoral prothesis stem-shaft angle was 138.5° (range,132°-146°).Two patients presented with heterotopic ossification (Brook Ⅲ and Brook Ⅱ ).One patient presented with prothesis dislocation,which healed after being treated with manual reduction.There was no femoral neck fracture,infection,or prosthesis loosening.Conclusion With strict patient selection criteria and optimized technique,the short-term results of metal-on-metal hip resurfacing arthroplasty are satisfactory.

Minimally invasive treatment for intertrochanteric fractures of the femur in high-risk patients / 中国微创外科杂志

Objective To evaluate the clinical effectiveness of minimally invasive external fixation in the treatment of intertrochanteric fractures of the femur in high-risk patients. Methods By using a monolateral external fixator with oblique pin-insertion, we treated 77 consecutive elderly patients (mean age, 71.3) with intertrochanteric fractures of the femur associated with at least one kind of severe systemic diseases from June 1996 to June 2004. Fractures included 70 cases of anterograde intertrochanteric fracture (According to the Evans classification, there were 5 cases of type Ⅰ fracture, 11 cases of type Ⅱ, 34 type ⅢA, 9 type ⅢB, and 11 type Ⅳ.) and 7 cases of retrograde intertrochanteric fracture. A total of 8 patients were combined with multiple injuries. Results A follow-up was made for 5~60 months (mean, 24.3 months). Complete bone union was achieved in all the patients within a period of 8~20 weeks (mean, 12 weeks). Postoperatively, no non-union or coxa vara occurred. According to the Harris hip scores, 49 patients were classified as “excellent” results, 21 as “good”, and 7 as “poor” (all of which were fatal cases), the “excellent-and-good” rate being 91%. Conclusions Minimally invasive external fixation is an alternative to open internal fixation in the management of intertrochanteric fractures in high-risk elderly patients, especially suitable to those with multiple injuries.

An Exploratory Study on Late Schooler's Health Concept and Health Behavior / 아동간호학회지

The purpose of this study was to explore the late schooler's health concept and health behavior. The research was a descriptive method using a self-report questionnaire which include semi open-ended questions. the subjects were 4581ate schooler's from 4 to 6 grade. The results were as follows : 1. Perceived health concepts were 'having no illness' 'having normal physical feature and strength' 'eating food well' 'take exercise' 'having a bright mind' 'having good interpersonal relationships' 'having strong will' 'recovering well'. 2. Perceived health behaviors to maintain health were 'taking proper exercise' 'eating proper food' 'maintaining cleanliness' 'taking sufficient rest and sleep' 'having a vigor life and positive thought' 'having good interterpersonal relationships' 'receiving health check and immunization'. 3. Health behaviors carried out at present were 'taking proper exercise' 'eating proper food' 'having a vigor life and positive thought' 'receiving health check an immunization' 'taking supplementary drugs' 'having a regular life' 'maintaining cleanliness' 'maintaining warmth'. 4. Perceived causes of illness were 'taking inproper food' 'uncleanliness' 'insufficient warmth or environment' 'lack of exercise or overexertion' 'irregular life habits' 'contact with germs' 'mental stress'. 5. Perceived treatments of illness were 'having sufficient rest and sleep' 'mental relaxation' 'eating food' 'maintinging cleanliness' 'maintaining . warmth' 'taking supplementary drug' 'receiving medical treatment'.

Treatment Strategy for Antipsychotic-Induced Side Effects

While the therapeutic efficacy of antipsychotic drugs is not in doubt, a variety of undesirable side effects are common. They can be a disincentive to good compliance with treatment, resulting in increased possibilities for relapse and hospitalization. They can be distressing and disabling and thus interfering with patient safety and quality of life. Furthermore, they may be counter-therapeutic by exacerbating the condition that the drug was prescribed for. In this article, we will provide an overview of management of antipsychotic-induced side effects, with a particular emphasis on the most common side effects as well as less common but serious side effects. In addition, some practical issues regarding the management of side effects will b discussed.

Relations Between Facial Pain and Acupuncture / 全日本鍼灸学会雑誌

Aim: AS stated in the past reports that approx, 75% of hralthy adulte have experienced it, headache is a symptom often experienced in the crinical peactice of acupuncture.<br>Effects of acupunctural therapy against headache hace already been reported in many cases, but few reports hace been published so far on the use of acupunctural stimulation for the purpose of diagnosis. In the past 15 years, we used the acupunctural stimulation dor diagnosis of tinnitus and headache and ecaluated the meanings of uts use.<br>In the present study, we examind the cases whose pains could be reproduced by the acupunctula stimulation in the patients with pain who were introduced to us for diagnosis from the Department of otorhinolaryngology of our hospital.<br>Ptients and method: Of the patients with pain as the chige complaints whise diagmoses were requested to the Oriental Medicine clinic from the Department of Otorhinolaryngology of Showa University since April 1982 up until October 1990, thise whi complained of facial pain were subjected to our diagnosis, previding that they had no abnormalities in the otorhinolaryngological and ophthalmological checks.<br>A stainless steel needle (50mm Mo. 20) was usedfor theusting into block points of greater occiptal nerce and the possible relationship between the pain and the sense of reacting sense was examind at the time of thrusting.<br>Results: 1) It could be reconfirmed that the reacting sensation was produced deep in the inner part and in the epicanthal area of eyes by the neadle thrusting to block points of the greater occipital berce. 2) Ammong the patients who had been teated nefor against trigeminal neuralgia or what were claimed to be pains of eyes of buknown causes, there were cases withe pains coincidental with pathological symptoms such a manner that the reacting sensation by the neadle thrusting (1) resembled the nature of the pain and (2) wads coincidental with that of the affected regions, and (3) the pain could be reproduced by the acupunctural stimulatiom in synchronization with the acupuncturalhandling of the neadle. 3) The efficary of the acupunctueal treatments was higher in those whose pains could be reproducedby the acupunctueal stimulation.<br>Summaary: The stimulations to the block points of the greater occipital berve caused reacting sessation deep in the inner part of eyes. By utilizing this sensation for diagnostic purposes, sone cases could be properly diagnosed. On the ground of these fundungs it can be claimed that the acupunctueal stimulation according to the method in our present study would be one of the useful methods for cheeck of the pain and also for therapeutic treatment in view of the therapeutic meanings of the findings described in the subparagraphe of (1) through (3) in the paragraph 2) and in the paragraph 3) of the above-mentioned “Results”.