Editorial Commentary: Knee Anterior Cruciate Ligament Hamstring Graft Fixation Wars Continue: Does Analysis of a Small Fraction of the Story Resolve the Dilemma?

After beginning with a search of more than 809 titles and ending up with 5 randomized controlled trials and 2 prospective comparative trials, the authors of a recent systematic review discovered that a statistically significant but nonclinical difference existed between anterior cruciate ligament reconstructions performed using a hamstring graft with either cross-pin or interference screw femoral fixation.

The impact of viral respiratory infection on the severity and recovery from an asthma exacerbation.

Background: : Viral respiratory illness triggers asthma exacerbations, but the influence of respiratory illness on the acute severity and recovery of childhood asthma is unknown. Our objective was to evaluate the impact of a concurrent acute respiratory illness (based on a clinical definition and PCR detection of a panel of respiratory viruses, Mycoplasma pneumoniae and Chlamydia pneumoniae) on the severity and resolution of symptoms in children with a nonhospitalized exacerbation of asthma.

Methods: : Subjects were children aged 2 to 15 years presenting to an emergency department for an acute asthma exacerbation and not hospitalized.

Wireless telemedicine for the delivery of specialist paediatric services to the bedside.

A mobile interactive online health system was used to conduct virtual ward rounds at a regional hospital which had no specialist paediatrician. The system was wireless, which allowed telepaediatric services to be delivered direct to the bedside. Between December 2004 and May 2005, 43 virtual ward rounds were coordinated between specialists based in Brisbane and local staff at the Gladstone Hospital.

Contemporary challenges and opportunities at academic health centers.

Academic health centers (AHCs) have struggled in recent years to redefine their special position in healthcare delivery. This article presents a description of structural and process features at AHCs to serve as a framework for redesigning healthcare delivery at AHCs. We review and synthesize the literature regarding health system performance.

Provisional percutaneous pin fixation for arthroscopic suture-less rotator cuff repairs.

Percutaneous provisional cuff fixation can facilitate arthroscopic rotator cuff repair with devices that eliminate the need to tie surgical knots.