足针配合项针治疗重型脑卒中的临床疗效观察

目的：观察足针配合项针治疗重型脑卒中的临床疗效。方法：足针疗法治疗重型脑卒中，有吞咽困难或失语患者配合项针治疗。结果：治疗后总有效率为95％。结论：足针配合项针治疗脑卒中疗效显著。     

Health economic evidence gaps and methodological constraints in low back pain and neck pain: Results of the Research Agenda for Health Economic Evaluation (RAHEE) project

Despite the increased interest in economic evaluations, there are difficulties in applying the results of such studies in practice. Therefore, the “Research Agenda for Health Economic Evaluation” (RAHEE) project was initiated, which aimed to improve the use of health economic evidence in practice for the 10 highest burden conditions in the European Union (including low back pain [LBP] and neck pain [NP]). This was done by undertaking literature mapping and convening an Expert Panel meeting, during which the literature mapping results were discussed and evidence gaps and methodological constraints were identified. The current paper is a part of the RAHEE project and aimed to identify economic evidence gaps and methodological constraints in the LBP and NP literature, in particular.The literature mapping revealed that economic evidence was unavailable for various commonly used LBP and NP treatments (e.g., injections, traction, and discography). Even if economic evidence was available, many treatments were only evaluated in a single study or studies for the same intervention were highly heterogeneous in terms of their patient population, control condition, follow-up duration, setting, and/or economic perspective. Up until now, this has prevented economic evaluation results from being statistically pooled in the LBP and NP literature, and strong conclusions about the cost-effectiveness of LBP and NP treatments can therefore not be made. The Expert Panel identified the need for further high-quality economic evaluations, especially on surgery versus conservative care and competing treatment options for chronic LBP. Handling of uncertainty and reporting quality were considered the most important methodological challenges.     

Equipment Note MUPRO: A MULTIPURPOSE ROBOT

The aim of this article was to describe an apparatus, called multipurpose neck robot (MUPRO), designed to record both the forces exerted at head level and the head rotations in the horizontal plane in the behaving monkey. It consists of a mechanical device, comprising a cardan joint, a potentiometer, an electromagnetic brake, and four flexion load cells, plus an oleodynamic system allowing head rotation in the horizontal plane between &#45 20° These components are assembled on a column bolted to the primate s chair. An electrical device provides DC power for the potentiometer and the brake. The apparatus enables us to measure both the force fields and the head movements during training sessions and electrophysiological investigations.     

Neck of femur fractures in the elderly: Does every hour to surgery count?

ObjectivesTo determine if early surgery before 12 h confers a survival or length of stay benefit for patients with neck of femur (NOF) fractures.DesignRetrospective review of prospectively collected data.SettingDistrict general hospital.Patients1913 patients aged over 60 admitted with a fractured NOF who underwent surgery between 2011 and 2015. Mean age was 83.9 years. 73.7% were female.InterventionPatients had surgery for fractured NOF with data collected on demographics, mortality and length of stay.Main outcome measurementsData collected included gender, age, ASA grade, fracture anatomy, surgery, time to surgery, days spent in acute hospital and rehabilitation settings and 30-day mortality. Statistical analysis was used to identify independent predictors of mortality and length of stay.Results30-day mortality was 6.1% and the mean hospitalisation time was 13 ± 11.3 days for the acute hospital and 20.2 ± 17.2 days for the trust. Operations were performed at a mean of 23.8 ± 14.8 h after presentation. Age, gender, ASA grade and type of fracture were independent predictors of either mortality or length of stay. Timing of surgery had an association with mortality but this only reached statistical significance at 24 h.In line with previous studies we analysed time to surgery in 12 h blocks. We also used logistic regression, recognizing time as a continuous variable, which revealed that every hour of delay to surgery increased the mortality risk by 1.8%.ConclusionsWhile every hour of delay increased mortality risk, the association with mortality only became statistically significant when delaying over 24 h. This supports a pragmatic approach, with surgery as soon as medically possible without a race to theatre.Level of evidenceLevel III retrospective cohort study.     

脓肿型颈部淋巴结结核临床治疗分析

目的：探讨区Ⅱ淋巴结清扫术治疗脓肿型颈部淋巴结结核的临床疗效。方法总结2008年9月~2013年6月我院收治的77例脓肿型颈部淋巴结结核,随机分为手术组及对照组,手术组34例行区Ⅱ淋巴结清扫术,对照组33例予局部处理及换药,两组均予正规抗结核治疗。结果手术组的治愈率为82.35%,对照组的治愈率为36.36%,差异有统计学意义(<0.05)。结论区Ⅱ淋巴结清扫术治疗脓肿型颈部淋巴结结核,治愈率高,安全可行。     

An ultrasonographic investigation of deep neck flexor muscles cross-sectional area in forward and normal head posture

Background

As one of the most common work-related musculoskeletal disorders and postural deviations, forward head posture (FHP), is considered to lead to muscle imbalance.

Reliability of two pragmatic tools for assessing text neck

Background

There is a hypothesis that the growing use of mobile phones in an inappropriate posture to text and read (text neck) could be a reason for the increasing prevalence of neck pain in the past decade. Before testing if there is an association between text neck and neck pain, it is necessary to develop reliable pragmatic tools appropriate to epidemiological studies.