Glucose management team significantly improves glycaemic care and commitment to in-hospital guidelines within arthroplastic patients.

Background: Perioperative dysglycaemias are a risk for harm but guidelines to improve glucose management are poorly adhered to.

Aim: To determine whether a specialized team and diabetes education improves the implementation of guidelines and glucose values.

Methods: We conducted a prospective study of 611 nonselected, consecutive patients attending for elective hip or knee arthroplasty.

Stress and Tinnitus; Transcutaneous Auricular Vagal Nerve Stimulation Attenuates Tinnitus-Triggered Stress Reaction.

Introduction: Tinnitus can become a strong stressor for some individuals, leading to imbalance of the autonomous nervous system with reduction of parasympathetic activity. It can manifest itself as sleep disturbances, anxiety and even depression. This condition can be reversed by bioelectrical vagal nerve stimulation (VNS).

Perioperative hyperglycaemia in elective arthroplasties. Should we do better?

Background: Perioperative dysglycaemia is associated with deleterious outcomes but guidelines to improve glucose management are poorly or inconsistently adhered to. We evaluated glucose management among diabetic and non-diabetic patients undergoing elective hip or knee arthroplasty.

Methods: Capillary plasma glucose (CPG) was measured prospectively four times daily of 209 patients undergoing elective hip or knee surgery.

Concomitant low-grade isthmic L5-spondylolisthesis does not affect the course of adolescent idiopathic scoliosis.

Background: Scoliosis with spondylolisthesis was described in 4.4-48%. No information on clinical impact or outcome is available.