The authorship in nursing literature: An against trend?

nurs

Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report

case repor

Effect of Shock Waves in the Treatment of De Quervain’s Syndrome: A Radomized Perspective Clinical Study

Background: Conservative treatment of De Quervain’s syndrome includes corticosteroid infiltration and physical therapies. Methods: In this prospective randomized clinical trial, 30 patients affected by De Quervain’s syndrome were assigned to either cortisone infiltrative treatment (steroidal group) or extracorporeal shock waves therapy (ESWT group). Therapy efficacy was estimated by monitoring pain (with VAS (visual analogue scale)), disability (with DASH (disability of the arm, shoulder and hand)) and quality of life (with SF-36) compared between recruitment (T0) and after three (T1) and six months (T2). Results: Both groups demonstrated statistically significant improvement after treatment. Evaluating the comparison between times, a statistically significant difference was found for VAS, DASH and 6 scales of SF-36 (p < 0.05). No significant interaction was found in the comparison between groups and in the comparison between time and group. Conclusions: ESWT could be a non-invasive option for treatment of De Quervain’s syndrome, particularly for those patients who prefer to avoid corticosteroid infiltratio

VITAMIN D DEFICIENCY IN ADULTS: SEARCHING FOR THE PROPER LOADING DOSE

Vitamin D is the main hormone regulating calcium phosphate homeostasis and mineral bone metabolism. Vitamin D deficiency is indeed extremely frequent in musculoskeletal diseases. Recent studies have shown that the treatment of osteoporosis needs to have an optimal vitamin D and calcium supplementation for its efficacy. Actually no agreement exists on the estabilished dose of vitamin D to administer in deficency states. We conducted a prospective study to develop a practical cholecalciferol loading dose regimen that would enable rapid correction of vitamin D deficiency. Sixty post-menopausal age woman were enrolled secondary to a fragility fracture (hip, vertebral, wrist) and screened for 25-hydroxyvitamin D (25(OH)D), calcium, and PTH at baseline (T0), after one month (T1), two months (T2), three months (T3) and six months (T4). Secondary to initial blood values of vitamin D patients were divided into 2 groups; the first group (group A, n=30) included patients with 25(OH)D values between 10-30 ng/ml and the second group (group B, n=30) with values under 10 ng/ml. Each group was then divided in 3 subgroups secondary to the randomized administered dose of 25(OH)D. By this, patients can alternatively receive 25000 UI two times monthly, 100000 UI monthly, 10000 UI (25 drops) weekly. The highest values of mean increase of 25(OH)D were observed in patients treated with 100000 UI. Patients treated with 10000 UI weekly did never achieve the target value. Additionally, as vitamin levels increased, pain intensity decreased. Vitamin D supplementation of 100000 UI monthly seems to be adequate to ensure that serum 25(OH)D values reach the threshold level; by this, it will confer the expected effects without risks of toxicity

Restoring the femoral offset prevent early migration of the stem in total hip arthroplasty: an EBRA-FCA study

The use of modular stems is still debated and controversial. Some authors have highlighted a number of disadvantages of modular prostheses including high costs, the tendency to fracture, the fretting and corrosion and the increased production of debris. Other authors have emphasized several advantages to adapt the prosthesis to the morphometric differences of patients, to allow better accuracy in restoring the anatomy and biomechanics of hip joint. The advantages of the modular devices appear to be more evident in patients with developmental dysplasia of the hip (DDH). In our study we compared 96 patients, operated for arthritis of the hip with 55 modular neck prostheses (PROFEMUR®, Wright® Arlington, Tennesse, USA) and 41 standard femoral stems (SYMAX®, Striker® Kalamazoo, Michigan, USA). The precision of restoring the natural offset during surgery was correlated with the clinical outcome and the radiological early migration of each stem measured using the computer-assisted EBRA-FCA method. The average preoperative HHS (Harris Hip Score) was 44 (23-66); the postoperative 86.56 in the 55 patients operated with modular prostheses and 81.70 in the 41 patients with monoblock stem. The worst HH Scores were seen in patients in whom the offset was not restored properly. On the contrary, the best scores have been reached in patients in which that value is closer to the \u93target\u94 value (offset value of the contralateral hip). Restoring the proper offset seems to determine an appropriate tension of the abductor muscles of the hip and implies a better functioning of the joint and a better primary stability of the implant, with less early migration. This has to be a primary objective of THA surgery