恢刺法治疗急性腰扭伤的临床观察

目的观察恢刺法治疗急性腰扭伤的临床效果。方法 60例急性腰扭伤患者随机分为治疗组与对照组,对照组采取普通针刺治疗,治疗组采取恢刺法治疗,7 d为1个疗程。结果在治疗后3、7 d后,治疗组患者腰痛视觉模拟量表(VAS)评分、腰椎活动ROM评分和血清C反应蛋白均明显低于对照组(P <0.05),日常生活动作评分明显高于对照组(P <0.05),中医综合疗效评价显示治疗组患者总有效率为85.71%,明显高于对照组的72.41%(P <0.05)。结论恢刺法治疗急性腰扭伤疗效明显。     

How we do it: Modified Wehrs incus ossiculoplasty

• ? Ossiculoplasty is commonly performed as part of tympanoplasty. Hydroxyapatite is a favoured material for ossicular protheses.
• ? A modification to the Wehrs incus prosthesis^® is described.
• ? Twenty‐one procedures were performed on 20 patients and the results are reported.
• ? On average there was a 4–5 dB closure of the air–bone gap (ABG), with patients having a hearing gain procedure averaging 11 dB closure. Air–bone gap closure to ≤20 dB was achieved between 78% (0.5, 1, 2 kHz average) and 60% (0.5, 1, 2, 4 kHz average) of patients and this was stable during long‐term follow‐up of the ABG.
• ? Wehrs incus prosthesis^® ossiculoplasty provides a reliable result following ossiculoplasty when autograft incus is not available.

     

Mandibular fractures in Jordanians: a comparative study between young and adult patients.

BACKGROUND: There are very few reports directly comparing mandibular fractures between young and adult patients in Middle Eastern countries. AIM: To review and compare the frequency and aetiology of mandibular fractures in young and adult Jordanian patients. STUDY DESIGN: A retrospective review was made of patients' records and radiographs seen at two university-based maxillofacial units during a 10-year period between 1993 and 2002. Age, gender, aetiology, and site were analysed and compared between young and adult patients. RESULTS: In total, 703 patients (502 (71%) male and 201 (29%) female) were found with 892 mandibular fractures altogether. There were 497 (71%) adults with 676 fractures, and 206 (29%) young patients with 216 fractures. The mean age of the adults was 30 years with a male-to-female ratio of 2.5:1. The mean age of the young patients was 13 years with a male-to-female ratio of 1.5:1. The most common fracture site in adult patients was the mandibular body, whereas the condyle predominated in young patients. The most common causative factor in adults was road traffic accidents, and falls in the young. CONCLUSION: There was a similar gender distribution in both groups of Jordanian young and adult patients. However, there were differences regarding aetiology and site of fracture. The differences found in this study between adult and young patients are similar to those from other countries.     

The predisposing factors of pericoronitis of mandibular third molars in a Jordanian population.

OBJECTIVES: The purpose of this study was to identify the most frequently encountered predisposing factors in relation to the etiology of pericoronitis in young adults and to compare these findings with similar studies. METHOD AND MATERIALS: The patients included in this prospective study were those presenting for treatment of signs and symptoms of pericoronitis in the mandibular third molar area during an 8-year period from 1994 to 2001. A standard check sheet of subjective and objective observations was completed, and female patients were asked about menstruation or pregnancy. Each patient with a diagnosis of pericoronitis was interviewed and observations were recorded. Patients were asked about the symptoms relating to the pericoronitis. Patients were divided into five 5-year age groups ranging from 16 to 40 years. RESULTS: During the 8-year period, 2,151 patients presented diagnosed cases of pericoronitis; 932 (43.3%) patients were male and 1,219 (56.7%) were female. The peak age of occurrence of pericoronitis varied from 21 to 25 years (55.2% of the patients). The incidence of pericoronitis was highest in September (207 [9.6%]), followed by April (181 [8.4%]); for subacute pericoronitis, the highest was in February (128 [5.95%]) and April (112 [5.2%]), followed by October (97 [4.5%]). The most frequently seen predisposing factor was upper respiratory tract infection in 815 (37.9%) patients, followed by stress in 473 (22%) patients. CONCLUSION: It was concluded that the upper respiratory tract infection was the most frequently predisposing factor, which could precipitate pericoronitis.     

Willingness of dentists in Jordan to treat HIV-infected patients

Reluctance of dentists to treat human immunodeficiency virus (HIV) positive patients represents a major concern. Many efforts have been extended towards the documentation of the extent of this reluctance and speculation of factors that influence it. OBJECTIVES: Assess the willingness of dentists in Jordan to treat HIV-infected patients. MATERIALS AND METHODS: Two hundred and forty-two general dental practices were surveyed for their willingness to provide treatment of toothache and routine dental care of an HIV-infected individual. RESULTS: Only 15% of the dental practices were willing to provide such care. Willingness to provide treatment did not seem to be influenced by financial factors or the local prevalence of HIV disease. CONCLUSION: Present data suggest that HIV-infected individuals will have difficulty in obtaining dental health care in Jordan.     

Role of clinical pharmacist in the management of blood pressure in dialysis patients

International Journal of Clinical Pharmacy - Background Hypertension is highly prevalent yet undertreated condition in hemodialysis patients. Objective The objective of this study was to evaluate...     

Soft lining materials in prosthetic dentistry: a review

Although soft lining materials are widely used in prosthetic dentistry, their properties are far from ideal. This paper presents a review of these materials, including their historical development, clinical indications, ideal properties, and limitations. Examples of the three basic types are given together with their typical compositions. It is evident that further research and development is necessary to achieve a material with optimum properties.