Performance of multiparametric prostate magnetic resonance imaging validated by targeted and systematic transperineal biopsies.

Objective: To measure the performance of multiparametric (mp) magnetic resonance imaging (MRI) to identify intraprostatic tumour deposits using a systematic and targeted MR-guided transperineal prostate biopsy technique.

Materials And Methods: Patients underwent a combined systematic and targeted MR-guided transperineal biopsy procedure in the dorsal lithotomy position under general anaesthesia. Systematic biopsies were spaced 10 mm or less apart and additional biopsies targeted any Prostate Imaging-Reporting and Data System (PI-RADS) 3, 4 or 5 lesions identified on mpMRI.

Electrical muscle stimulation as an adjunct to exercise therapy in the treatment of nonacute low back pain: a randomized trial.

A prospective, randomized, double-blind, placebo-controlled clinical trial was performed to investigate the efficacy of electrical muscle stimulation when combined with a therapist-guided, standardized exercise therapy program in the treatment of nonacute low back pain. Eighty patients with low back pain of at least 6 weeks' duration were randomized into the following 2 groups: standardized exercise therapy with functional electrical muscle stimulation or standardized exercise therapy with placebo electrical stimulation. Subjects were evaluated at baseline, 2 months, and 6 months with a standardized back pain questionnaire and objective measurements of lumbar spine function.

Mechanical stability of polyethylene liners cemented into acetabular shells.

Revision of well-fixed, metal-backed acetabular components for dislocation or polyethylene failure requires consideration of removing the entire construct or replacing the polyethylene liner only. For non-modular or first-generation modular components with poor locking mechanisms, one option is to cement undersized liners into well-fixed shells. The purpose of this study was to measure the stability of undersized liners cemented into metal acetabular shells and compare the results with those of modular components.

Fractures about the shoulder: conservative management.

Fractures about the shoulder are a frequent occurrence. The clavicle and the proximal humerus are fractured much more often than the scapula. Appropriate diagnosis of these injuries and any associated injuries is essential.

An interactive, computer-based program to educate patients about genital herpes.

Background And Objectives: Education and counseling constitute a substantial portion of management of patients with genital herpes. Innovative methods for education about genital herpes are needed.

Goal: To test the ability of an interactive, computer-based program to educate patients about genital herpes.