A Descriptive Study of a Spirituality Curriculum for General Psychiatry Residents.

Objective: The study collected data on the attitudes of residents toward religion and spirituality in their practice after taking part in a 3-year curriculum on spirituality during their residency.

Methods: This is a descriptive, single-site study with psychiatry residents as subjects. A questionnaire was given to the residents at the end of their third year of residency (N = 12).

Customized patient instrumentation for total knee arthroplasty: preoperative planning and intraoperative technique.

Individual physicians are challenged to decrease their operating costs at the same time they are expected to reduce complication rates. For the orthopedic surgeon who performs total knee arthroplasty (TKA), one way to address operating costs is to increase efficiency in the operating room. Computer-assisted surgery (CAS) has not delivered efficiency the way it was once hoped.

Radiographic evaluation of periprosthetic metallosis after total knee arthroplasty.

This retrospective study examined the clinical significance of a radiographic sign associated with periprosthetic metallosis after total knee arthroplasty. Of 71 knees undergoing revision arthroplasty over an 8-year period, 11 had gross evidence of metal debris identified intraoperatively. Histologic preparations confirmed the presence of particulate metal debris in all cases.

Rapid polyethylene failure of unicondylar tibial components sterilized with gamma irradiation in air and implanted after a long shelf life.

Background: The mechanical toughness of polyethylene that has been sterilized by gamma irradiation in air decreases after a long shelf life. The purpose of the present study is to report the high failure rate after unicondylar knee replacements performed with polyethylene bearings that had been sterilized with gamma irradiation in air and implanted after a shelf life of < or = 4.4 years.

Vulnerability: reflection on its ethical implications for the protection of participants in SAMHSA programs.

The vulnerability of participants in Substance Abuse and Mental Health Services Administration (SAMHSA) programs is a consequence of the illnesses that they are experiencing; ethical guarantees must be in place that ensure the dignity of the persons involved in such programs. Dignity is more than an individual concern; it has individual, institutional, and societal dimensions. An ethical framework is proposed that involves the interrelated vulnerabilities and needs of individuals and communities and our societal response to them.