The purpose of this study was to examine factors related to the occurrence of enthesis pain by long-term longitudinal investigation and measurement in junior high school soccer players, while intervening for its prevention. The subjects were 107 male junior high school soccer club members. The presence or absence of enthesis pain, the height growth velocity, muscle tightness, and alignment were longitudinally investigated, and stretching was instructed periodically. The time of enthesis pain occurrence was consistent with phase II of the height growth velocity curve in many cases. On comparison between before and after the appearance/disappearance of enthesis pain, no association was noted between the muscle tightness and occurrence of enthesis pain. But, on comparison of changes with time in muscle tightness, the tightness of the right quadriceps significantly increased, being useful for the prediction of enthesis pain. A significant increase in the Q-angle was also noted when enthesis pain appeared. Furthermore, the tightness of the bilateral iliopsoas, hamstrings, hip adductors, and gastrocnemius had significantly improved on the final measurement, showing that instruction in stretching was effective. This study showed the necessity of the long-term longitudinal evaluation of muscle tightness, suggesting that there is a possibility of intervention for prevention, as well as physical therapy for sporting injuries in the growth period.

Some problems about the microwave therapy were discussed in this paper. In physical therapy, adequate heating of the deeper tissue without excessive heating of the superficial layer is desirable.
Comparison between tissue temperatures before and after exposure of microwave showed that the temperature in the depth of 5cm from skin rose to a peak (about 3°C higher than that before exposure) in first 15-20 minutes.
Exposure of microwave for 20 minutes on the stomach at a distance of 5cm from the skin showed no elevation of the temperature in the stomach cavity, and the rectal temperature also did not rise.
Two machines of the microwave therapy were compared in respect to the subjective feeling of heat and the grade of erythema of patients exposed by each machine. Some differences were found between them. From this reason it is necessary that the strict standard of the structure of the machine should be settled as soon as possible.
To observe the influence of the microwave upon the affected muscle, values of serum creatin phosphokinase and serun transaminase were measured in rabbits whose muscle was injured by injection of Trimeresurus venom. The results suggest that the microwave acts to accelerate the regeneration of the affected muscle in its chronic stadium and to accelerate its destruction in its acute stadium.

Ruptured vertebral artery dissecting aneurysm is more prone to re-bleeding and thus needs immediate surgical management. We present a case of 47 years old male with ruptured vertebral artery dissecting aneurysm which was immediately treated by endovascular surgery. Coil occlusion of the vertebral artery at the aneurysm site was performed. As emergency open surgery is often not possible, this case shows that endovascular surgery is an effective and helpful alternative.

We describe a case of successful open-cell stent deployment across the wide neck of a large middle cerebral artery aneurysm using the stent anchor technique. A microcatheter was looped through the aneurysm and navigated into a distal vessel across the aneurysm neck. Although the loop of the microcatheter in the aneurysm straightened as it was gently withdrawn, the microcatheter again protruded into the aneurysm by open-cell stent navigation. The stent was partially deployed in a vessel distal to the aneurysm neck, withdrawn slowly to straighten the loop of the microcatheter in the aneurysm, and completely deployed across the aneurysm neck. After successful stent deployment, stent-assisted coil embolization was performed without complications. The stent anchor technique was successfully used to deploy an open-cell stent across the aneurysm neck in this case of microcatheter protrusion into the aneurysm during stent navigation.
Aneurysm ; Embolization, Therapeutic ; Endovascular Procedures ; Intracranial Aneurysm* ; Neck* ; Stents* ; Subarachnoid Hemorrhage

Multisite pacing has recently been available as a new treatment for patients with congestive heart failure. This study was intended to evaluate the effects of atrioventricular myocardial pacing on left or biventricular sites. Eleven patients (4 men, 7 women) who had undergone atrioventricular myocardial pacing between January 2000 and April 2002 were selected for this study. They ranged in age from 24 to 74 years (mean age 58.5 years). The diagnosis was dilated cardiomyopathy in 3 patients, ischemic cardiomyopathy in 4, complete atrioventricular heart block in 2, sick sinus syndrome in 1, and atrial fibrillation with bradycardia in 1. The method of pacemaker implantation was atrioventricular myocardial pacing on left or biventricular sites by means of mini-thoracotomy under general anesthesia. A DDD-R pacemaker was used. When biventricular pacing was employed, the ventricular pacing lead was cut, connected with a Y adapter, and implantation was made biventricularly. We analyzed pre- and postoperative hemodynamic states by means of a Swan-Ganz catheter, and clinical course (NYHA class). There was a significant difference between pre- and postoperative clinical course and hemodynamic state. The atrioventricular myocardial pacing on left or biventricular sites was a useful method of improving the clinical course and hemodynamic state. It is concluded that this method is available as a new therapeutic option in patients with congestive heart failure.