\n\nResults.\n\nIn this action research, the development of a bereavement follow-up intervention for grieving fathers

began with the planning phase that included a baseline study about fathers’ grief and social support, a study of current bereavement support systems in Finnish university hospitals and a systematic review of literature on the topic area and collaboration with a panel of experts. The developed bereavement follow-up intervention included three complementary components: support package, peer supporters’ contact and health care personnel’s contact. Implementation of the intervention included the development of a programme to be used in nursing practice, intervention training for programme implementers and intervention implementation.\n\nConclusions.\n\nDeveloping

and implementing an intervention is a complex, demanding and long-term process. The planning required theoretical knowledge as well as understanding LY2603618 solubility dmso the experiences of fathers, nursing practice and collaboration with those who implemented the intervention.\n\nRelevance to clinical practice.\n\nNew information about the fathers’ Selleckchem LOXO-101 grief and bereavement follow-up support is described. The model developed is evidence-based and can be applied in nursing care where grieving fathers and families are met.”
“Introduction: Ceramic friction bearings have been proposed as a means of reducing wear in total hip replacement (THR). A “sandwich” composite concept including a ceramic bearing surface has been proposed as simplifying the modularity while matching metal-back cups with a polyethylene liner. It is not precisely known how frequently abnormal noise would occur during functioning of this type of implant, which moreover

entails a risk of ceramic liner fracture.\n\nHypothesis: Results with sandwich type ceramic liners are comparable to those with polyethylene liners, without risk of side effects (noise, fracture).\n\nPatients and methods: Clinical and radiological results of 144 cementless Atlas III (TM) cups see more containing a 28 mm-diameter polyethylene-ceramic sandwich type liner coupled to a ceramic Biolox Forte (TM) head were retrospectively analyzed at a mean 74 months’ follow-up. Mean patient age was 59.4 years. Twelve patients were lost to follow-up. Femoral components comprised 61 ESOP (TM) anatomic stems and 71 BHS (TM) Corail stems. The radiologic study used Imagika (TM) software.\n\nResults: Global function scores were satisfactory: PMA score, 17.2 +/- 1.2 (range, 9 to 18); global Harris score, 93.6 +/- 3.1 (49 to 100). Global survivorship was 91.6% (95% CI: 86.34-96.9). Radioclinical analysis found seven liner fractures (5.3%) at a mean 32 months; all were non-traumatic and asymptomatic. Clinical risk factors for liner fracture were overweight, advanced age, dislocation, prosthetic impingement, increased postoperative offset was a radiologic risk factor.