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

{"title":"Unusual renal tumours","authors":"W. I. Wheeler","doi":"10.1007/BF02967901","DOIUrl":"https://doi.org/10.1007/BF02967901","url":null,"abstract":"","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131526076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts of current literature","authors":"L. Abrahamson, L. Abrahamson","doi":"10.1080/00029157.2005.10403643","DOIUrl":"https://doi.org/10.1080/00029157.2005.10403643","url":null,"abstract":"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","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121774147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts of current literature","authors":"B. Solomons, T. R.E., J. J.S.","doi":"10.1179/106698105790835840","DOIUrl":"https://doi.org/10.1179/106698105790835840","url":null,"abstract":"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 ","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128843438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts from Current Literature","authors":"H. A.K.","doi":"10.1179/106698103790825627","DOIUrl":"https://doi.org/10.1179/106698103790825627","url":null,"abstract":"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","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124709525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts of Current Literature","authors":"W. Doolin, S. H, V. M. Synge","doi":"10.1179/106698102790819049","DOIUrl":"https://doi.org/10.1179/106698102790819049","url":null,"abstract":"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","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132026457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts from current literature","authors":"H. A.K., B. Solomons","doi":"10.1179/his.2000.23.1.81","DOIUrl":"https://doi.org/10.1179/his.2000.23.1.81","url":null,"abstract":"","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127083875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Royal Academy of Medicine in Ireland","authors":"","doi":"10.1007/BF02966217","DOIUrl":"https://doi.org/10.1007/BF02966217","url":null,"abstract":"","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1943-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133838340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts from current literature on cardiovascular disorders","authors":"R. H. Micks","doi":"10.1007/BF02952034","DOIUrl":"https://doi.org/10.1007/BF02952034","url":null,"abstract":"","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1925-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123824451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Solid tumour of the mesentery. (Teratoblastoma.)","authors":"D. J. Cannon, W. D. O’kelly","doi":"10.1007/BF02952033","DOIUrl":"https://doi.org/10.1007/BF02952033","url":null,"abstract":"","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1925-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124149418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts from current gynecological literature","authors":"L. Cassidy, B. Solomons, G. Tierney","doi":"10.1007/BF02952025","DOIUrl":"https://doi.org/10.1007/BF02952025","url":null,"abstract":"","PeriodicalId":146369,"journal":{"name":"Irish Journal of Medical Science (1922-1925)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1925-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120973237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}