Talking skin: attitudes and practices around skin infections, treatment options, and their clinical management in a remote region in Western Australia.
CONCLUSION: Documenting carer, service provider and healthcare practitioner perspectives on skin infections provides a more informed understanding of the context in which treatment decisions are made. The ongoing need for culturally appropriate targeted, translational health education; improved treatment guidelines and feasible, painless treatments; and potential for the use of bush medicines for skin infections were themes that emerged. PMID: 31540550 [PubMed - in process]
Authors: Berenbaum F, Walker C Abstract Globally, osteoarthritis (OA) is the most prevalent arthritic condition in those aged over 60 years. OA has a high impact on patient disability and is associated with a significant economic burden. Pain is the most common first sign of disease and the leading cause of disability. Data demonstrating the increasing global prevalence of OA, together with a greater understanding of the burden of the disease, have led to a reassessment of the seriousness of OA and calls for the designation of OA as a serious disease in line with the diseases impact on comorbidity, disability,...
Authors: Rossi DM, Resende RA, Hotta GH, da Fonseca ST, de Oliveira AS Abstract Altered scapular movement in subacromial pain syndrome has been demonstrated using discrete data reduction approach. However, this approach does not consider the data collinearity and variability, and scapular translations are poorly investigated in symptomatic individuals. The purpose of this study was to investigate the scapular rotation and translation of asymptomatic individuals and those with subacromial pain syndrome during arm motions using principal component analysis. Scapulothoracic kinematics were evaluated in 47 participants...
One of the challenges faced when treating a child with genitourinary rhabdomyosarcoma is what to do when a residual mass remains after organ sparring treatment. The authors present an interesting case which exemplifies the dilemma. The answer to this question is simplified for when the residual mass is associated with pain, is growing or impairs organ function, providing a rational for excision. When this is not the case concern centers around residual disease and recurrence. Today the post-treatment finding of mature rhabdomyoblasts is not a reason for exenterative surgery, however some point bear mentioning.
Ulnar-sided wrist pain is a common problem in athletes that can be challenging owing to its frequent combination of overuse in conjunction with acute injury. Repetitive pronosupination, wrist flexion and extension, as well as radial and ulnar deviation can predispose the athlete to injury of ulnar structures. Careful understanding of the sport-specific injuries as well as the underlying biomechanics are key to understanding and treating the athlete. In this article, we discuss the most frequent causes of ulnar-sided wrist pain in the athlete and focus on anatomy and pathophysiology, presentation, and diagnosis, as well as ...
To evaluate whether oxycodone use for postoperative pain control after hysterectomy for benign disease differs based on hysterectomy route.
The aim of this study is to assess whether the use of MRI as part of preoperative workup in the setting of patients with chronic pelvic pain and presumed diagnosis of endometriosis is predictive of pathology-proven endometriosis.
Despite the increasing morbidity and mortality of the opioid epidemic, the rates of pain medication use among the urogynecology patient population is not known. Our objective was to describe the baseline prevalence of preoperative opioid and neuropathic pain medication use in patients presenting for urogynecologic surgery and to determine whether this rate changed before and after passage of anti-opioid state legislation.
Urinary urgency without incontinence, frequently referred to as “dry overactive bladder” is a poorly understood condition. Our aim was to investigate the relationship of clinical symptoms (urgency and pain) with urinary biomarkers of neuroinflammation in women with urinary urgency without incontinence.
Little is known about mechanisms underlying nocturia in women with bladder pain syndrome/interstitial cystitis (BPS/IC). The thalamus plays a primary role in the organization of the sleep-wake cycle. Our hypothesis was that nocturia is associated with activation of the thalamus in women with BPS/IC as compared to controls.
Although sexual function outcomes in Pelvic Organ Prolapse (POP) trials are usually secondary outcomes, they are important outcomes to patients and should be reported in comparative trials. The IUGA-ICS Joint Report on Sexual Health in Women with Pelvic Floor Disorders recommends a minimum of reporting sexual activity, pain/dyspareunia, and overall sexual function based on a validated sexual function questionnaire. It is also important to report not only postoperative dyspareunia and sexual activity rates but also preoperative rates.