Acutrak Screw Fixation Versus Cast Immobilisation for Undisplaced Scaphoid Waist Fractures

Fifty-three patients with less than 14 day-old, undisplaced fractures of the waist of the scaphoid were randomized to two groups. Twenty-eight patients were treated by immobilisation in a below elbow plaster cast for 10 weeks while 25 were treated by percutaneous insertion of an Acutrak standard screw. There were no statistically significant differences between the two treatment groups with regard to either the rate of union or the time to union. Patients who underwent surgery had a significantly better range of motion at 16 weeks but there were no significant differences for grip strength. Acute percutaneous internal fixation of undisplaced scaphoid waist fractures using the Acutrak screw allows early mobilisation without adverse effects on fracture healing.</p

Calcium pyrophosphate dihydrate deposition in the transverse ligament of the atlas: an unusual cause of cervical myelopathy

There are only 3 methods for the production of heavy and superheavy (SH) nuclei, namely, fusion reactions, a sequence of neutron capture and beta(-) decay and multinucleon transfer reactions. Low values of the fusion cross sections and very short half-lives of nuclei with Z<120 put obstacles in synthesis of new elements. At the same time, an important area of SH isotopes located between those produced in the cold and hot fusion reactions remains unstudied yet. This gap could be filled in fusion reactions of 48Ca with available lighter isotopes of Pu, Am, and Cm. New neutron-enriched isotopes of SH elements may be produced with the use of a 48Ca beam if a 250Cm target would be prepared. In this case we get a real chance to reach the island of stability owing to a possible beta(+) decay of 291114 and 287112 nuclei formed in this reaction with a cross section of about 0.8 pb. A macroscopic amount of the long-living SH nuclei located at the island of stability may be produced by using the pulsed nuclear reactors of the next generation only if the neutron fluence per pulse will be increased by about three orders of magnitude. Multinucleon transfer processes look quite promising for the production and study of neutron-rich heavy nuclei located in upper part of the nuclear map not reachable by other reaction mechanisms. Reactions with actinide beams and targets are of special interest for synthesis of new neutron-enriched transfermium nuclei and not-yet-known nuclei with closed neutron shell N=126 having the largest impact on the astrophysical r-process. The estimated cross sections for the production of these nuclei allows one to plan such experiments at currently available accelerators