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Irish Journal of Medical Science (1922-1925)最新文献

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Unusual renal tumours 异常肾肿瘤
Pub Date : 2008-10-22 DOI: 10.1007/BF02967901
W. I. Wheeler
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引用次数: 3
Abstracts of current literature 当前文献摘要
Pub Date : 2005-04-01 DOI: 10.1080/00029157.2005.10403643
L. Abrahamson, L. Abrahamson
s ofthe Current Literature Adrian, C. (2004). Therapist sexual feelings in hypnotherapy: Managing therapeutic boundaries in hypnotic work. Australian Journal ofClinical & Experimental Hypnosis. 32(2), 127-139. This article elaborates ways in which using hypnosis may create special vulnerability for the clinician, not only experiencing sexual feelings toward patients but also becoming confused about the meaning of these feelings, their relevance to treatment, and the maintenance of appropriate patient-clinician boundaries, Special qualities of the hypnotic experience and relationship likely to generate erotic feelings and impulses in patients and/or clinicians are addressed. A clinical case example illustrates many possible meanings of therapist sexual feelings and the impulses to avoidance or acting out they may provoke. Clinically appropriate and inappropriate ways of managing boundaries in the presence of sexual arousal and of using sexual feelings to deepen clinical understanding and direct treatment interventions are discussed. Beshai, J. A. (2004). Toward a phenomenology of trance logic in posttraumatic stress disorder. Psychological Reports. 94(2), 649-654. Some induction procedures result in trance logic as an essential feature of hypnosis. Trance logic is a voluntary state of acceptance of suggestions without the critical evaluation that would destroy the validity of the meaningfulness of the suggestion. Induction procedures in real and simulated conditions induce a conflict between two contradictory messages in experimental hypnosis. In military induction the conflict is much more subtle involving society's need for security and its need for ethics. Such conflicts are often construed by the subject as trance logic. Trance logic provides an opportunity for therapists using the phenomenology of "presence" to deal with the objectified concepts of "avoidance" or "numbing" implicit in this kind of dysfunctional thinking in Posttraumatic Stress Disorder. An individual phenomenology of induction procedures and suggestions, which trigger trance logic, may lead to a resolution of logical fallacies and recurring painful memories. It invites a reconciliation of conflicting messages implicit in phobias and avoidance traumas. Such a phenomenological analysis of trance logic may well be a novel approach to restructure the meaning of trauma. Butler L.D., Symons B.K., Henderson S.L., Shortliffe L.D., & Spiegel, D. (2005). Hypnosis reduces distress and duration of an invasive medical
《当代文学》(英文版)。催眠治疗中的治疗师性感受:管理催眠工作中的治疗边界。临床与实验催眠杂志,32(2),127-139。本文详细阐述了使用催眠可能会给临床医生带来特殊脆弱性的方式,不仅会对患者产生性感觉,还会对这些感觉的含义、它们与治疗的相关性以及维持适当的患者-临床医生界限感到困惑。催眠体验和关系的特殊品质可能会在患者和/或临床医生中产生性感觉和冲动。一个临床案例说明了治疗师性感受的许多可能含义,以及它们可能引发的回避或表现冲动。讨论了在性唤起的情况下,临床适当和不适当的边界管理方法,以及利用性感觉加深临床理解和直接治疗干预的方法。贝沙,J. A.(2004)。论创伤后应激障碍的恍惚逻辑现象学。心理杂志。1994(2),649-654。一些诱导过程导致恍惚逻辑,这是催眠的基本特征。恍惚逻辑是一种自愿接受建议的状态,没有批判性的评估,这会破坏建议的有效性和意义。在实验催眠中,真实和模拟条件下的诱导过程会引起两种矛盾信息之间的冲突。在军事诱导中,冲突要微妙得多,涉及到社会对安全的需要和对道德的需要。这种冲突通常被主体解释为恍惚逻辑。恍惚逻辑为治疗师提供了一个机会,利用“在场”现象学来处理创伤后应激障碍中这种功能失调思维中隐含的“回避”或“麻木”的客观化概念。诱发恍惚逻辑的归纳过程和暗示的个体现象学可能导致逻辑谬误和反复出现的痛苦记忆的解决。它让恐惧和逃避创伤中隐含的矛盾信息得以和解。这种对恍惚逻辑的现象学分析很可能是一种重构创伤意义的新方法。Butler l.d., Symons b.k., Henderson s.l., Shortliffe l.d., and Spiegel, D.(2005)。催眠减少痛苦和侵入性医疗的持续时间
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引用次数: 0
Abstracts of current literature 当前文献摘要
Pub Date : 2005-01-01 DOI: 10.1179/106698105790835840
B. Solomons, T. R.E., J. J.S.
S OF CURRENT LITERATURE / 63 Pickett, GE, Soelen J van, Duggal N. Controversies in Cervical Discectomy and Fusion: Practice Patterns Among Canadian Surgeons. Can J Neurol Sci 2004;31:478-483. Objective: Optimal fusion technique and peri-operative management of patients undergoing anterior cervical discectomy (ACD) is unclear.We document current practice patterns among Canadian spinal surgeons regarding the surgical management of single level degenerative cervical spondylosis. Methods: We conducted a web-based survey of neurosurgeons and spinal orthopedic surgeons in Canada. We asked questions pertaining to the management of single level cervical degenerative disc disease causing radiculopathy and/or myelopathy, including frequency of fusion following single-level discectomy, preferred fusion technique, indications and frequency of use of anterior plating, and use of an external cervical orthosis following surgery. Demographic factors assessed included training background, type and length of practice. Results: Sixty respondents indicated that their practice involved at least 5% spine surgery and were included in further analysis. Neurosurgeons comprised 59% of respondents, and orthopedic surgeons 41%. Fusion was employed 93% of the time following ACD; autologous bone was the preferred fusion material, used in 76% of cases. Neurosurgeons employed anterior cervical plates in 42% of anterior cervical discectomy and fusion cases, whereas orthopedic surgeons used them 70% of the time. External cervical orthoses were recommended for 92% of patients without plates and 61% of patients with plates. Surgeons who had been in practice for less than five years were most likely to be performing spinal surgery, using anterior cervical plates, and recommending the postoperative use of cervical orthoses. Conclusion: Practice patterns vary among Canadian surgeons, although nearly all employ fusion and many use instrumentation for single-level ACD. Training background, and type and length of practice influence practice habits. Henrichs A. A Review of Knee Dislocations. J Athl Train 2004;39:365 369. Objective: To inform health care professionals about the various mechanisms of this little-known injury, as well as its potentially limb-threatening complications. In addition, keys to immediate recognition and the importance of a thorough rehabilitation program are stressed. Data Sources: I searched MEDLINE (1966–2000) using the key words knee dislocation, knee injury, and tibiofemoral dislocation. Data Synthesis: Knee dislocations are uncommon but very serious injuries. Because the joint may spontaneously reduce before the examiner reaches the patient, the examiner must be aware of the potential complications and rule out any neurovascular damage immediately. Conclusions/Recommendations: Prompt recognition of this injury and proper care combined with an extensive rehabilitation program can greatly improve the prognosis for the patient. Neurovascular integrity should be
[63] Pickett, GE, Soelen J van, Duggal N.颈椎椎间盘切除术和融合的争议:加拿大外科医生的实践模式。中华神经科学杂志(英文版);2004;31(1):478-483。目的:颈前路椎间盘切除术(ACD)患者的最佳融合技术及围手术期处理尚不清楚。我们记录了目前加拿大脊柱外科医生关于单节段退行性颈椎病手术治疗的实践模式。方法:我们对加拿大的神经外科医生和脊柱骨科医生进行了一项基于网络的调查。我们询问了与单节段颈椎退行性椎间盘疾病引起神经根病和/或脊髓病的处理有关的问题,包括单节段椎间盘切除术后融合的频率、首选融合技术、前路钢板的适应症和使用频率,以及手术后颈椎外矫形器的使用。评估的人口因素包括培训背景、类型和实习时间。结果:60名受访者表示,他们的做法涉及至少5%的脊柱手术,并包括在进一步的分析。神经外科医生占应答者的59%,骨科医生占41%。ACD术后93%的时间采用融合;自体骨是首选的融合材料,在76%的病例中使用。在42%的前路颈椎椎间盘切除术和融合术中,神经外科医生使用前路颈椎板,而骨科医生使用前路颈椎板的比例为70%。92%的无钢板患者和61%的有钢板患者推荐使用外颈矫形器。从业时间少于5年的外科医生最有可能进行脊柱手术,使用前颈椎钢板,并建议术后使用颈椎矫形器。结论:加拿大外科医生的实践模式各不相同,尽管几乎所有外科医生都采用融合,许多外科医生使用内固定治疗单节段ACD。训练背景、练习类型和时间长短影响练习习惯。Henrichs A.膝关节脱位综述。[J] .体育学报;2004;39(3):365 - 369。目的:告知卫生保健专业人员关于这种鲜为人知的损伤的各种机制,以及其潜在的肢体威胁并发症。此外,强调了立即认识到的关键和彻底康复计划的重要性。资料来源:检索MEDLINE(1966-2000),检索关键词为膝关节脱位、膝关节损伤和胫股脱位。资料综合:膝关节脱位是罕见但非常严重的损伤。因为在检查人员到达患者之前,关节可能会自发复位,检查人员必须意识到潜在的并发症,并立即排除任何神经血管损伤。结论/建议:及时识别这种损伤,适当的护理结合广泛的康复计划可以大大改善患者的预后。神经血管的完整性应在受伤后的几天内进行常规评估,以确保不会出现并发症。有双膦酸盐治疗史患者的上颌骨坏死。中国生物医学工程学报(英文版);2009;31(1):391 - 391。双膦酸盐抑制破骨细胞,减轻转移性骨病的许多破坏性后果。然而,双膦酸盐可能在颌骨骨坏死的发展中起作用。我们报告了我们处理一位有双磷酸盐治疗史的患者的经验,该患者在拔牙后出现颌骨骨坏死,以使其他人,特别是更广泛的牙科社区,意识到这种潜在的并发症。我们也回顾了二膦酸盐的药理学性质及其在骨坏死病理生理中的可能作用。在对双膦酸盐在颌骨骨坏死发展中的作用有更多了解之前,我们建议采取措施预防有骨坏死风险的人,包括在可行的情况下,在开始双膦酸盐治疗之前进行牙科咨询。杨建军,杨建军,杨建军。口腔鳞状细胞癌:一种模拟颞下颌关节紊乱的非典型表现。[J]中国生物医学工程学报,2004;48(1):326 - 326。一名50岁女性因左下颌疼痛与颞下颌关节紊乱相一致而来到整脊诊所。检查发现在舌头后外侧边缘有一大块溃疡
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引用次数: 0
Abstracts from Current Literature 当代文献摘要
Pub Date : 2003-07-01 DOI: 10.1179/106698103790825627
H. A.K.
S OF CURRENT LITERATURE Paessler HH; Mastrokalos DS Anterior cruciate ligament reconstruction using semitendinosus and gracilis tendons, bone patellar tendon, or quadriceps tendon-graft with press-fit fixation without hardware. A new and innovative procedure. Orthop Clin North Am 2003 Jan; 34(1):49-64 BONE--PATELLAR TENDON: The "no hardware" technique for ACL reconstruction is a new method that offers many advantages and is straightforward to perform. Its main innovative feature is that it does not require boneblock harvesting from the patella. This reduces donor site morbidity and prevents patellar fractures. The bone tunnels are made using tube harvesters and compaction drilling. This minimizes traumaand obviates the risk of bone necrosis. The articular entrance of the tibial tunnel is completely occupied by the grafts. This prevents a windshield-wiper effect and synovial fluid ingress into the tunnel, and enhances graft incorporation. The fact that no hardware is used with both patellar tendon or hamstring grafts significantly reduces the overall cost of the operation and facilitates revision surgery. The quadriceps tendon is also a very good graft. It is thick and has good biomechanical properties and low donor site morbidity. Its disadvantages are: weakness of quadriceps after the operation, an unsightly scar, and some difficulty in graft harvesting [58]. Also, postoperative MRI is not fraught with the problem of metal artifacts. It is difficult to decide which of the methods currently available for ACL reconstruction is the best because most of them give satisfactory results. In the future, assessments of knee ligament reconstruction techniques should look at long-term stability combined with low complication rates. Ease of revision surgery and low cost should also be taken into consideration, given the large annual volume of knee ligament reconstructions (50,000 in the United States alone) [59]. We believe that our technique addresses most of these issues, and that it constitutes a useful alternative method for ACL reconstruction. SEMITENDINOSUS--GRACILIS: This technique, which was used with 915 patients from June 1998 to February 2002, shows a particularly low rate of postoperative morbidity. The reason is probably to be found in the "waterproofing" of the bone tunnels, which lead to less postoperative bleeding and swelling. No drains were used. Rehabilitation follows the same protocol as used for the reconstruction using patellar tendon grafts (accelerated/functional). As expected, there was no widening of the femoral tunnels and little widening of the tibial tunnels. Interestingly, tibial tunnel enlargement was significantly less in a nonaccelarated rehabilitation group than in the accelerated group [60] without affecting stability. The measured internal torque of the hamstrings, as well as their flexion force, already had returned to normal 12 months postoperatively. In a prospective randomized (unpublished) study comparing this techni
虽然这种损伤的大多数患者经历了一个良性的、自我限制的过程,逐渐解决疼痛,但仍有相当数量的患者继续经历慢性疼痛和残疾。在评估椎体压缩性骨折患者时,鉴别诊断不仅要考虑骨质疏松症,还要考虑各种原因的骨软化症、内分泌病变和恶性肿瘤。多发压缩性骨折的积累和胸腰椎后凸的增加与预后不良有关。多种药物治疗——包括激素替代疗法、降钙素和双膦酸盐——在维持或增加骨量和降低压缩性骨折的风险方面是有效的。传统的治疗方法包括止痛药、限制活动、偶尔使用支具等,可以有效地使大多数患者恢复到以前的功能水平。当治疗失败时,患者可以考虑进行微创治疗,如椎体成形术或后凸成形术。尽管由于潜在的健康状况不佳和骨骼结构薄弱,手术具有极大的挑战性,但对于一小部分经历进行性畸形或神经功能缺损的患者来说,手术可能是最后的手段。Riew KD;麦克洛克JA;Delamarter RB;颈椎退行性病变的显微外科治疗。高级课程讲座2003;[05:497 -508]尽管手术显微镜用于脊柱外科已有20多年的历史,但它的使用仍未被骨科脊柱外科医生广泛接受。然而,使用手术显微镜的外科医生都清楚地意识到它在脊柱手术中的许多优点。最值得注意的是,它提供的高级可视化允许更快、更安全、更广泛的解压缩。许多外科医生不愿使用手术显微镜往往与对新技术的恐惧有关。在进行颈椎前后路手术时使用手术显微镜使这些手术更容易进行,并降低了脊髓减压过程中并发症的风险。史密斯PN;Knaub马;康博士颈椎前路入路治疗颈椎神经根病和脊髓病。高级课程讲座2003;[05:455 -63]脊髓型病变或椎间盘突出引起的脊髓和神经根受压是脊髓型颈椎病、神经根病或髓根病最常见的病因。手术治疗这些疾病是非常成功的。颈椎前路被用于治疗颈椎神经根病和脊髓病。前椎间盘切除术和椎体切除术的技术方面、融合的方法和内固定的使用是重要的治疗考虑因素。当代文献摘要/当代文献摘要/ 177
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引用次数: 0
Abstracts of Current Literature 当代文献摘要
Pub Date : 2002-10-01 DOI: 10.1179/106698102790819049
W. Doolin, S. H, V. M. Synge
S OF CURRENT LITERATURE The Journal of Manual & Manipulative Therapy Vol. 10 No. 4 (2002), 226 227 Hoving, JL; Koes, BW; de Vet, HC; van der Windt, DA; Assendelft, WJ; van Mameren H, Deville WL; Pool, JJ; Scholten, RJ; Bouter, LM Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial. Annals of Internal Medicine. 136(10):713-22, 2002 May 21. BACKGROUND: Neck pain is a common problem, but the effectiveness of frequently applied conservative therapies has never been directly compared. OBJECTIVE: To determine the effectiveness of manual therapy, physical therapy, and continued care by a general practitioner. DESIGN: Randomized, controlled trial. SETTING: Outpatient care setting in the Netherlands. PATIENTS: 183 patients, 18 to 70 years of age, who had had nonspecific neck pain for at least 2 weeks. INTERVENTION: 6 weeks of manual therapy (specific mobilization techniques) once per week, physical therapy (exercise therapy) twice per week, or continued care by a general practitioner (analgesics, counseling, and education). MEASUREMENTS: Treatment was considered successful if the patient reported being "completely recovered" or "much improved" on an ordinal sixpoint scale. Physical dysfunction, pain intensity, and disability were also measured. RESULTS: At 7 weeks, the success rates were 68.3% for manual therapy, 50.8% for physical therapy, and 35.9% for continued care. Statistically significant differences in pain intensity with manual therapy compared with continued care or physical therapy ranged from 0.9 to 1.5 on a scale of 0 to 10. Disability scores also favored manual therapy, but the differences among groups were small. Manual therapy scored consistently better than the other two interventions on most outcome measures. Physical therapy scored better than continued care on some outcome measures, but the differences were not statistically significant. CONCLUSION: In daily practice, manual therapy is a favorable treatment option for patients with neck pain compared with physical therapy or continued care by a general practitioner. Berth, A; Urbach, D; Awiszus, F Improvement of voluntary quadriceps muscle activation after total knee arthroplasty. Archives of Physical Medicine & Rehabilitation. 83(10):14326, 2002 Oct. OBJECTIVE: To evaluate the maximal voluntary contraction (MVC) force and the voluntary activation of the quadriceps femoris muscle in patients with knee osteoarthritis (OA) before and after total knee arthroplasty (TKA). DESIGN: A prospective intervention study. SETTING: University hospital clinic in Germany. PATIENTS: Fifty patients (32 women, 18 men; mean age ± standard deviation, 65.8+/-5.6 y) with knee OA and 23 healthy ageand gender-matched control subjects. INTERVENTION: Unilateral TKA without patella resurfacing. MAIN OUTCOME MEASURES: Voluntary activation, MVC, and true maximal contraction forces of the bilateral quadriceps femoris muscles, using
《手法与手法治疗杂志》Vol. 10 No. 4 (2002), 226 - 227 Hoving, JL;ko, BW;de Vet, HC;范德温特,DA;Assendelft WJ;van Mameren H, Deville WL;池,JJ;Scholten RJ;手工治疗,物理治疗,或由全科医生继续护理颈部疼痛的患者。随机对照试验。内科医学年鉴。136(10):713-22,2002年5月21日。背景:颈部疼痛是一个常见的问题,但经常应用的保守疗法的有效性从未被直接比较过。目的:确定手工治疗、物理治疗和全科医生持续护理的有效性。设计:随机对照试验。环境:在荷兰的门诊护理环境。患者:183例患者,年龄18 ~ 70岁,非特异性颈部疼痛至少2周。干预:每周1次的6周手工治疗(特定活动技术),每周2次的物理治疗(运动治疗),或由全科医生继续护理(止痛、咨询和教育)。测量:如果患者报告“完全恢复”或“明显改善”,则认为治疗成功。还测量了身体功能障碍、疼痛强度和残疾。结果:7周时,手工治疗的成功率为68.3%,物理治疗的成功率为50.8%,继续治疗的成功率为35.9%。与继续护理或物理治疗相比,手工治疗的疼痛强度在0到10的范围内的统计学差异在0.9到1.5之间。残疾得分也倾向于手工治疗,但各组之间的差异很小。在大多数结果测量中,手工疗法的得分始终优于其他两种干预措施。在一些结果测量中,物理治疗的得分高于继续护理,但差异没有统计学意义。结论:在日常实践中,与物理治疗或全科医生的持续护理相比,手工治疗是颈部疼痛患者较好的治疗选择。一个泊位;Urbach D;全膝关节置换术后随意股四头肌活动的改善。目的:评价膝关节骨性关节炎(OA)患者全膝关节置换术(TKA)前后股骨股四头肌的最大自主收缩力(MVC)和自主活动。设计:前瞻性干预研究。地点:德国大学医院诊所。患者:50例(女32例,男18例;平均年龄±标准差,65.8+/-5.6 y), 23名年龄和性别匹配的健康对照组。干预:单侧TKA,不髌骨置换。主要观察指标:TKA前和TKA后33+/-8个月,使用抽搐插值技术,自主激活、MVC和双侧股四头肌的真正最大收缩力。用Lewis评分评估术后膝关节疼痛。结果:手术后双侧自愿活动增加(P< 0.05)。01手术侧,P=。(2)非手术侧),但仍低于自愿激活对照组。手术侧的MVC (P< 0.001)和真最大收缩力(P= 0.01)显著增加。MVC保持不变(P= 0.45),真实最大收缩力在未手术侧显著降低(P= 0.04)。结论:膝关节OA患者有明显的双侧自主活动障碍,至少部分在TKA后3年内可逆转。TKA后立即进行的康复计划应侧重于减少自愿激活缺陷。在自主激活改善后,物理治疗应针对股四头肌力量的增强。226 / Journal of Manual & Manipulative Therapy, 2002
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引用次数: 0
Abstracts from current literature 摘要从当前文献
Pub Date : 2000-03-01 DOI: 10.1179/his.2000.23.1.81
H. A.K., B. Solomons
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引用次数: 0
The Royal Academy of Medicine in Ireland 爱尔兰皇家医学院
Pub Date : 1943-04-01 DOI: 10.1007/BF02966217
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引用次数: 0
Abstracts from current literature on cardiovascular disorders 心血管疾病的文献摘要
Pub Date : 1925-12-01 DOI: 10.1007/BF02952034
R. H. Micks
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引用次数: 0
Solid tumour of the mesentery. (Teratoblastoma.) 肠系膜实体瘤。(畸胎样瘤)。
Pub Date : 1925-12-01 DOI: 10.1007/BF02952033
D. J. Cannon, W. D. O’kelly
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引用次数: 0
Abstracts from current gynecological literature 当前妇科文献摘要
Pub Date : 1925-11-01 DOI: 10.1007/BF02952025
L. Cassidy, B. Solomons, G. Tierney
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引用次数: 0
期刊
Irish Journal of Medical Science (1922-1925)
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