The effect of a family-based mindfulness intervention on children with attention deficit and hyperactivity symptoms and their parents: design and rationale for a randomized, controlled clinical trial (Study protocol)

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Surgery following anterior cruciate ligament reconstruction

The 28th Annual Congress of the Hong Kong Orthopaedic Association, Hong Kong, 29-30 November 2008

A Simple Device in Shoulder Arthroscopy: the Suture Assistant

Arthroscopic reconstructive surgery in the shoulder is an extremely demanding. The advent of suture anchors, arthroscopic knot-tying techniques, and new arthroscopic instruments has greatly facilitated its development. Knowledge of the anatomy and surgical principles alone are not enough. Good visualization is critical. We describe a simple home-made device that can be very useful in improving visualization and in helping to retrieve sutures during the knot-tying stage, especially in smaller shoulders. We introduce the concept of 'bringing the suture' to the instrument rather than 'taking the instrument to the suture.

Arthroscopic-assisted anterior cruciate ligament reconstruction using irradiated bone-patellar tendon-bone allograft

The 28th Annual Congress of the Hong Kong Orthopaedic Association, Hong Kong, 29-30 November 2008

Arthroscopic treatment of patellar symptoms in posterior stabilized total knee replacement

Twenty-one patients with patellar symptoms had arthroscopic treatment. Symptoms included frank patellar clunk and painful patellofemoral crepitus. All patients had posterior stabilized total knee replacement (TKR). The average onset of symptoms following TKR was 17 (range 3-75) months. All patients were referred to physiotherapy treatment before arthroscopic treatment. The average duration of symptoms prior to arthroscopic treatment was 23 (range 4-92) months. All patients were satisfied with resolution of symptoms at average follow-up of 32 (range 12-52) months. No complications were encountered; however, one patient had recurrence of a painful patellar crepitus 8 months after arthroscopy.link_to_OA_fulltex

Arthroscopic surgery in the posterior compartment of the knee: Suture fixation of the anterior and posterior cruciate ligament avulsions

Anterior and posterior cruciate ligament avulsion injuries in the posterior compartment of the knee are most commonly dealt with using open approaches. We report an arthroscopic method of treatment using sutures, without the need of any metal implants, that can be safely used in patients with open physes and without the need of a 70 degrees arthroscope

A review of the evidence for hand hygiene in different clinical and community settings for family physicians

This paper discusses the evidence of hand hygiene (mainly hygienic hand antisepsis) in reducing infections in different settings. In the hospital setting, there is convincing evidence that hand hygiene is effective in reducing nosocomial infections such as urinary tract infection, pneumonia, surgical wound infection and sepsis of in-patients, and in reducing the incidence rates of infection with methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE). In long-term care facilities, there is limited evidence to prove whether hand hygiene is effective or not in reducing infections. In institutions such as schools, it is evident that hand hygiene is effective in reducing gastrointestinal illnesses and probably respiratory illnesses among healthy children and young adults. In the community, it is evident that hand hygiene is effective in reducing diarrhoea among healthy individuals within families. Unfortunately, despite the above evidence, doctors are constantly reported to have poor compliance in many studies. Therefore it is important for doctors to improve their compliance in hand hygiene whether they practise in hospitals or in their own clinics.link_to_subscribed_fulltex