The methodological quality and the quality of reporting was poor and we identified a moderate to large degree of heterogeneity among the trials (I(2) = 65%). We found little evidence for a benefit of joint lavage in terms of pain relief at three months (SMD -0.11, 95% CI -0.42 to 0.21), corresponding to a difference in pain scores between joint lavage and control of see more 0.3 cm on a 10-cm visual analogue scale (VAS). Results for improvement in function at three months were similar (SMD -0.10, 95% CI -0.30 to 0.11), corresponding to a difference in function scores between joint lavage and control of 0.2 cm on a WOMAC disability sub-scale from

0 to 10. For pain, estimates of effect sizes varied to some degree depending on the type of lavage, but this variation was likely to be explained

by differences in the credibility of control interventions: trials using sham interventions to closely mimic the process of joint lavage showed a null-effect. Reporting on adverse events and drop out rates was unsatisfactory, and we were unable to draw conclusions for these secondary outcomes.\n\nAuthors’ conclusions\n\nJoint lavage does not result in a relevant benefit for selleck inhibitor patients with knee osteoarthritis in terms of pain relief or improvement of function.”
“A liquid acoustic lens with variable focal length is described for photoacoustic microscopy. This liquid lens takes advantage of the elastic and deformable lens interface to tune its focal length in a pneumatical manner. The curvature of the lens interface as well as the dependant focal length was characterized as a function of the infusion volume of the liquid. Experiments were carried out to demonstrate the zooming ability of this liquid acoustic lens. Targets embedded at different depths were photoacoustically imaged without performing mechanically axial scanning. (C) 2013 AIP Publishing LLC.”
“Ovarian granulosa cell tumor (GCT) is among the ovarian sex-cord stromal tumors that are classified as borderline malignancies. We report a case of GCT

with multiple metastases selleck compound for which multidisciplinary treatment including surgery, chemotherapy and radiotherapy was effective. A 41-year-old woman underwent left salpingo-oophorectomy because of an ovarian tumor in 2004. Final pathology confirmed a granulosa cell tumor adult type, FIGO Stage IC. In 2008, tumorectomy of the lower abdominal wall metastases was also performed. After three cycles of BEP chemotherapy for metastases of the right lung, liver, paraaortic lymph node and rectus, surgical resection was performed in 2009. In 2010, local radiation was performed for the first lumbar vertebral metastasis. Ovarian GCTs exhibit slow growth but if the surgical stage is IC or higher, there is the possibility of recurrence. It is important to treat recurrent tumors with the combination of surgery, chemotherapy, and radiation therapy.”
“Objective: To characterize mechanical ventilation-associated pneumonia (MVAP).