Carbamazepine in osteoarthritis treatment:A novel approach targeting Nav1.7 channels

Osteoarthritis(OA)presents a growing health concern,with substantial societal and healthcare burdens.Current management focuses on symptom relief,lacking disease-modifying options.Emerging research suggests the sodium channel Nav1.7 as a pivotal target in OA treatment.Preclinical studies demonstrate carbamazepine's efficacy in Nav1.7 blockade,offering significant joint protection in animal models.However,human trials are needed to validate these findings.Carbamazepine's repurposing holds promise for OA management,potentially revolutionizing treatment paradigms.Further research is essential to bridge the gap between preclinical evidence and clinical application,offering hope for improved OA management and enhanced patient quality of life.

Evaluation of the Effectiveness and Efficiency of Extracorporeal Shock Wave Combined with Rehabilitation Training in the Treatment of Muscle Articulation Chronic Pain

Objective: To analyze the effect of combined extracorporeal shock wave and rehabilitation training treatment in patients with muscle articulation chronic pain (MACP). Methods: Ninety-seven MACP patients admitted to our hospital from September 2021 to September 2023 were randomly selected and were divided into Group A (control group, 46 cases, rehabilitation training treatment) and Group B (observation group, 51 cases, extracorporeal shock wave with rehabilitation training treatment), and outcomes of the two groups were compared. Results: The treatment efficiency, post-treatment clinical indexes (upper and lower limb function scores, activities of daily living (ADL) scores, visual analog scale (VAS) scores), and short-form 36 (SF-36) scores of Group B were better than those of Group A (P < 0.05). Conclusion: Combined extracorporeal shock wave and rehabilitation training treatment for MACP patients improved their limb function, daily activities, quality of life, and reduced pain.

Improving the fatigue property of welded joints for AZ31 magnesium alloy by ultrasonic peening treatment

The fatigue property of AZ31 magnesium alloy and its TIG welded joints were investigated. The ultrasonic peening treatment （UPT） was used to improve the fatigue property of the TIG welded joints, which was treated at the weld toe by the UPT process. The test results show that the fatigue strength of the base metal of AZ31 magnesium alloys is 57.8 MPa, and those of the fillet joint and the transverse cross joint are respectively 20. 0 MPa and 17.2 MPa at 2 × 10^6 cycles. The fatigue strengths of two kinds of welded joints treated by the UPT are respectively 30. 3 MPa and 24. 7 MPa, which have been improved by 51.5% and 43.6%, respectively. The fatigue life of the fillet joint specimens is prolonged by about 2. 74 times and the fatigue life of the transverse cross joint specimens is prolonged by about 1.05 times when the stress range is at 40. 0 MPa.

Non-albicans Candida prosthetic joint infections: A systematic review of treatment

BACKGROUND Non-albicans Candida prosthetic joint infections (PJIs) are rare. Optimal treatment involves a two-stage revision surgery in combination with an antifungal agent. However, no clear guidelines have been developed regarding the agent or treatment duration. Hence, a broad range of antifungal and surgical treatments have been reported so far. AIM To clarify treatment of non-albicans Candida PJIs. METHODS A literature review of all existing non-albicans Candida PJIs cases through April 2018 was conducted. Information was extracted about demographics, comorbidities, responsible species, duration and type of antifungal treatment, type of surgical treatment, time between initial arthroplasty and symptom onset, time between symptom onset and definite diagnosis, outcome of the infection and follow-up. RESULTS A total of 83 cases, with a mean age of 66.3 years, were located. The causative yeast isolated in most cases was C. parapsilosis (45 cases;54.2%), followed by C. glabrata (18 cases;21.7%). The mean Charlson comorbidity index was 4.4 ± 1.5. The mean time from arthropalsty to symptom onset was 27.2 ± 43 mo, while the mean time from symptom onset to culture-confirmed diagnosis was 7.5 ± 12.5 mo. A two stage revision arthroplasty (TSRA), when compared to one stage revision arthroplasty, had a higher success rate (96% vs 73%, P = 0.023). Fluconazole was the preferred antifungal agent (59;71%), followed by amphotericin B (41;49.4%). CONCLUSION The combination of TSRA and administration of prolonged antifungal therapy after initial resection arthroplasty is suggested on the basis of limited data.

Improved Fatigue Behavior of Pipeline Steel Welded Joint by Surface Mechanical Attrition Treatment(SMAT)

A pipeline steel X80 with welded joint was subjected to surface mechanical attrition treatment （SMAT）. After SMAT, a nanostructure surface layer with an average grain size of about 10 nm was formed in the treated sample, and the fatigue limit of the welded joint was elevated by about 13% relative to the untreated joints. In the low and the high amplitude stress regimes, both fatigue strength and fatigue life were enhanced. Formation of the nanostructured surface layer played more important role in the enhanced fatigue behavior than that of residual stress induced by the SMAT.

Effect of heat treatment temperature on dissimilar welded joint

The dissimilar metals 1Crl8Ni9 and 16MnR are welded by shielded metal arc welding process using electrode A312. The corrosion experiments are carried out on welded joint samples, which is as-welded and post-weld heat treatment at 650 ℃, 750 ℃ and 850 ℃, for 2 h in 70% sodium hydroxide solution. EDS and X-ray diffraction analysis are carried out on the samples after corrosion. Average corrosion rate calculation and microhardness measurement are conducted on both as- welded and post-weld heat treatment samples. The results indicate that average corrosion rate of as-welded joint metal is smaller than that of post-weld heat treatment joint metal. Compared with that of post-weld heat treatment at 750 ℃ and 850 ℃ for 2 h, the average corrosion rate of welded joint after post-weld heat treatment at 650 ℃ for 2 h increases greatly.

Effects of laser heat treatment on salt spray corrosion of 1Cr5Mo heat resistant steel welding joints

The surface of 1Cr5 Mo heat-resistant steel welding joint was processed with CO2 laser, and the corrosion behaviors before and after laser heat treatment(LHT) were investigated in the salt spray corrosion environments. The microstructures, phases, residual stresses and retained austenite content of 1Cr5 Mo steel welding joint before and after LHT were analyzed with optical microscope and X-ray diffraction, respectively. The cracking morphologies and chemical compositions of corrosion products after salt spray corrosion were analyzed with field emission scanning electron microscopy(FESEM) and energy disperse spectroscopy(EDS), respectively, the polarization curves were measured on a PS-268 A type electrochemical workstation, and the mechanism of corrosion resistance by LHT was investigated as well. The results show that the passive film of original sample is destroyed owing to the corrosive media penetrating into the subsurface, resulting in the redox reaction. The content of residual austenite in the surface and the self-corrosion potential are increased by LHT, which is contributed to improving the capability of salt spray corrosion resistance.

Dental Treatment for Dizziness and Joint Mobility Disorder Caused by Harmful Electromagnetic Waves

With the development of an IT (Information Technology) society, the opportunity to use electronic devices, such as cell phones and personal computers, has increased. These electronic devices pro-vide many benefits to society. However, there have been a number of reports of electromagnetic hypersensitivity (EHS) related to the use of electronic devices. The symptoms of EHS may include headaches, fatigue, tinnitus, dizziness, memory loss, irregular heartbeat, and skin trouble. Since the pathogenic mechanism of such conditions is not yet clear, further research is required. This report shows how a subject’s dizziness and joint mobility disorder, caused by electromagnetic waves emitted by electronic devices, were cured by removing an onlay from the patient’s mouth and replacing it with a gold alloy onlay. The result indicates that the subject’s symptoms were caused by EHS. Although the symptoms were improved after the dental treatment, the underlying mechanism of the symptoms and the reason why this treatment is successful remain unclear. Further research is required to clarify these issues.

Treatment of condylar osteophyte in temporomandibular joint osteoarthritis with muscle balance occlusal splint and long-term follow-up:A case report

BACKGROUND Condylar osteophytes,a remodeling form of temporomandibular joint osteoarthritis(TMJ OA),mainly manifest as marginal angular outgrowths of the condyle.Previous researchers have advocated surgical removal of condylar osteophytes.Reports on the effect of occlusal splint on TMJ OA patients’joints have mostly focused on treatment with this splint,which can reduce the absorption of the affected condyle and promote repair and regeneration.However,the effect of the splint on the dissolution of condylar osteophytes has not yet been reported.CASE SUMMARY A 68-year-old female patient suffered from occlusal discomfort with left facial pain for 2 years.Cone beam computed tomography showed a rare osteophyte on top of her left condyle.She was finally diagnosed with TMJ OA.The patient refused surgical treatment and received conservative treatment with a muscle balance occlusal splint.The pain experienced by the patient on the left side of her face was relieved,and her chewing ability recovered after treatment.The osteophyte dissolved,and the condylar cortex remained stable during long-term follow-up observations.CONCLUSION The muscle balance occlusal splint could be a noninvasive means of treating condylar osteophytes in TMJ OA patients.

Effect of Post-weld Heat Treatment on Mechanical Characteristics of AZ31 Magnesium Alloy Welded Joints

Tungsten inert gas（TIG） welding was performed on 2.7 mm thick commercial extruded AZ31 B magnesium alloy plates. We investigated the effect of post-weld heat treatment（PWHT） on the microstructure, mechanical properties and precipitated phase of the weld joints. The results showed that during the annealing treatment（200 ℃-1 h, 250 ℃-1 h, 300 ℃-1 h, 350 ℃-1 h, 400 ℃-1 h, and 450 ℃-1 h）, the average grain size in the weld seam was the minimum after annealing at 400 ℃ for 1 hour, and then abnormally grew up after annealing at 450 ℃ for 1 hour. The mechanical properties enhanced when the joints were processed from 200 ℃-1 h to 400 ℃-1 h but sharply decreased with increasing annealing temperature. In contrast to the annealing treatment, solution treatment（250 ℃-10 h, 300 ℃-10 h, 350 ℃-10 h, 400 ℃-10 h, and 450 ℃-10 h） exhibited a better ductility but a slight deterioration in tensile strength. Especially speaking, no eutectic compounds（such as Mg17 Al12） were observed in the weld seam. The supersaturated Al atoms were precipitated in a coarse spherical shape dispersed in the weld seam. The precipitated Al atoms dissolved in the matrix substances at the condition（400 ℃-1 h） or（250 ℃-10 h）. The solution treatment caused grain coarsening and precipitated Al atoms dissolved in the weld seam substantially, which resulted in a drop in micro-hardness at the weld seam compared to the area of the annealed joints.

IMPROVEMENT OF FATIGUE STRENGTH OF TUBULAR T-JOINT IN OFFSHORE PLATFORMS DUE TO POSTWELD TREATMENT

Improvement of the fatigue life of welded tubular T-joints in offshore platforms due to weld toe grinding and TIG dressing is studied physically and experimentally. It is shown that the two methods of treatment can improve the fatigue strength of welded tubular joints not only in the environment of air but even in the envirnment of seawater accordingly.

Effect of Post-weld Heat Treatment on Microstructure and Fracture Toughness of 30CrMnSiNi2A Steel Welded Joints

The electron beam local post-weld heat treatment (EBLPWHT) is a rather new method that provides the advantages of high precision, flexibility and efficiency, energy saving and higher productivity. This paper studies the effect of two post-weld heat treatment processes on the microstructure, mechanical properties and fracture toughness of an electron beam welded joints in 30CrMnSiNi2A steel. EBLPWHT, in a vacuum chamber, immediately after welding and a traditional furnace whole post-weld heat treatment (FWPWHT) were compared. The experimental results show that, after EBLPWHT treatment, the main microstructure of weld was changed from coarse acicular martensite into lath martensite, HAZ was changed from lath martensite, bainite into lower bainite, and base metal was changed from ferrite and pearlite into upper bainite and residual austenite. The microstructures of different zones of joints in FWPWHT condition were tempered sorbite. The properties of welded joints can be improved by the EBLPWHT in some extent, and especially largely for the fracture toughness of welded joints. However the value of fracture toughness of base metal is comparatively low, so appropriate heat treatment parameters should be explored in the future.

Acupuncture Treatment for the 88 Cases of Retention of Urine After Surgical Operation

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A model for retention and continuity of care and treatment for opioid dependent injection drug users in the Russian Federation

Health and Development Foundation has worked collaboratively with the Government of the Russian Federation to develop and implement a model program of retention and continuity of care for opioid dependence and HIV infection. The model utilizes the Narcology Detoxification Service, State AIDS Centers, Non Government Organization (NGO) managed narcology treatment and rehabilitation centers, NGO outreach programs and the community. The model program was developed and implemented as a pilot demonstration project to provide essential health services to injection drug users and retain them in care. The interventions developed and implemented comprised HIV Testing and Counseling, HIV/AIDS Narcology Post-Graduate Curriculum, Peer Support Groups (Buffer groups), Narcological Follow-up Phone Monitoring, Women’s Narcological Services and Short Messaging Services for Injection Drug Users. These services and interventions promoted the integration and utilization of HIV/AIDS health services and narcological services to form an evidence-based health service delivery model providing essential services to people who inject drugs and people living with HIV/AIDS in the Russian Federation.

Early diagnosis and treatment of pulmonary embolism after total joint replacement: report of five cases

Objective To study the early diagnosis and treatment of pulmonary embolism (PE) after total joint replacement (TJR). Methods From April 1987 to December 2001, we performed 1 336 total knee replacements (TKR) in 926 patients and 1 745 total hip replacements (RHRs) in 1 566 patients. In this group there were 5 PE patients after operation. Two patients died (all after TKR), and 3 patients salvaged successfully (2 after TKR, 1 after THR). Results The total incidence of PE after TJR was 0. 2% (5/2 492), the incidence of PE after TKR was 0. 4% (4/926), and the incidence of PE after THR was 0.06% (1/1 556). In the patients who suffered PE, 2 died. The incidence of PE before 2000 was 0%. Conclusion Death after total joint replacement is due to pulmonary embolism ( PE), especially massive PE. The incidence of PE after TKR is higher than that after THR. Pulmonary angiography is the gold standard for the diagnosis of PE. With more understanding on PE and more popularity of joint replacement, the diagnosis of PE

Treatment of acute periprosthetic infections with prosthesis retention: Review of current concepts

Periprosthetic joint infection(PJI) is a devastating complication after total joint arthroplasty, occurring in approximately 1%-2% of all cases. With growing populations and increasing age, PJI will have a growing effect on health care costs. Many risk factors have been identified that increase the risk of developing PJI, including obesity, immune system deficiencies, malignancy, previous surgery of the same joint and longer operating time. Acute PJI occurs either postoperatively(4 wk to 3 mo after initial arthroplasty, depending on the classification system), or via hematogenous spreading after a period in which the prosthesis had functioned properly. Diagnosis and the choice of treatment are the cornerstones to success. Although different definitions for PJI have been used in the past, most are more or less similar and include the presence of a sinus tract, blood infection values, synovial white blood cell count, signs of infection on histopathological analysis and one ormore positive culture results. Debridement, antibiotics and implant retention(DAIR) is the primary treatment for acute PJI, and should be performed as soon as possible after the development of symptoms. Success rates differ, but most studies report success rates of around 60%-80%. Whether single or multiple debridement procedures are more successful remains unclear. The use of local antibiotics in addition to the administration of systemic antibiotic agents is also subject to debate, and its pro's and con's should be carefully considered. Systemic treatment, based on culture results, is of importance for all PJI treatments. Additionally, rifampin should be given in Staphylococcal PJIs, unless all foreign material is removed. The most important factors contributing to treatment failure are longer duration of symptoms, a longer time after initial arthroplasty, the need for more debridement procedures, the retention of exchangeable components, and PJI caused by Staphylococcus(aureus or coagulase negative). If DAIR treatment is unsuccessful, the following treatment option should be based on the patient health status and his or her expectations. For the best functional outcome, one- or two-stage revision should be performed after DAIR failure. In conclusion, DAIR is the obvious choice for treatment of acute PJI, with good success rates in selected patients.

Decompression via posterior-anterior approach and anterior fixation in treatment of fracturedislocation of the lower cervical spine with bilateral facet joints dislocation

Objective To evaluate surgical strategy of decompression via posterior-anterior approach and anterior fixation in treatment fracture-dislocation of lower cervical spine with bilateral facet joints dislocation. Methods This

Surface grain refinement mechanism of SMA490BW steel cross joints by ultrasonic impact treatment

Ultrasonic impact treatment (UIT) is a postweld technique for improving the fatigue strength of welded joints. This technique makes use of ultrasonic vibration to impact and plastically deform a weld toe and can achieve surface grain refinement of the weld toe, which is considered as the main reason for the improvement of fatigue strength. In this paper, the microstructure of the surface of a treated weld toe was observed by metallographic microscopy and transmission electron microscopy (TEM). The results show that UIT could produce severe plastic deformation on the surface layer of the weld toe and the maximum depth of plastic deformation extended to approximately 260 μm beneath the treated surface. Repeated processing could exacerbate the plastic deformation on the surface layer, resulting in finer grains. We can conclude that the surface grain refinement mechanism of SMA490BW welded joints is related to the high density of dislocation tangles and dislocation walls. © 2017, University of Science and Technology Beijing and Springer-Verlag Berlin Heidelberg.