Cortical modulation of nociception by galvanic vestibular stimulation: a potential clinical tool?

ConclusionsGVS appeared as a well-tolerated and powerful procedure for the relief of experimental pain, probably through physiological interaction within insular nociceptive networks. Either isolated or in combination with other types of vestibular activation (e.g., optokinetic stimuli), GVS deserves being tested in clinical settings.
Source: Brain Stimulation - Category: Neurology Source Type: research

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Unfortunately I manage and fill about 30 IT pumps in my current gig. I feel like I have a good system down to make extra sure I am always through the port and in the pump before I ever inject any medicine. I accessed a patient's Medtronic pump earlier today, took out the old medicine without any problems. Needle stays firmly in pump, never moves. I go to inject the new medicine (40ml pump so difficult to inject as per usual tactile feedback) and after about 3-4 cc's the patient says that she... Weird Pump Reaction
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Conclusions: Sufficient deltoid tensioning is vital to the stability of a reverse prosthesis as well as patient range of motion and outcomes; however, increased deltoid lengthening during reverse total shoulder arthroplasty increases the risk of postoperative tension-related complications. These data suggest that lengthening more than 26 mm is a risk factor for deltoid-related complications after reverse total shoulder arthroplasty. Level of Evidence: Level III.
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
This study aimed to elucidate any connection between central sensitization and ongoing pain after knee replacement surgery and other associated factors. Methods: The population was composed of 182 patients who had undergone TKR, and in follow-up visits from 1 mo to 2 yr after the operation, they were evaluated using the Pressure Pain Threshold (PPTs), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Central Sensitization Inventory (CSI), the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), the Beck Depression Inventory (BDI), and the painDETECT test. Results: Th...
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
Conclusions: For one-level ACDF, the anchored cage with screws has some advantage compared to the stand-alone PEEK cage in avoiding dysphagia and restoring disc space height and cervical lordosis. We suggest the anchored spacer may be a good substitute for the stand-alone cage in one-level ACDF. Level of Evidence: Level II
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
We report a case of a 48-year-old Caucasian woman who was treated at the University General Hospital of Alicante. She consulted because of progressive abdominal pain over the last seven months, with the initial diagnosis of renal-ureteral colic. Ultrasound and computed tomography of the abdomen and pelvis revealed a 25x15 cm, well-defined cystic lesion with papillary projections, centrally located in the abdomen. The radiology report suggested a primary ovarian tumor versus peritoneal implant as the first option. The patient underwent an exploratory laparotomy showing a large cystic mass located in the urinary bladder peri...
Source: Gynecologic Oncology Reports - Category: OBGYN Source Type: research
Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but they also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives highlights articles selected to fit today's topics and times. In this month's article, from the May 1925 issue, nurse Ellen G...
Source: AJN - Category: Nursing Tags: From the AJN Archives: PDF Only Source Type: research
According to this study: Mind–body therapies that prioritized the use in pain relief of mental techniques—such as meditation, hypnosis, guided imagery, relaxation, therapeutic suggestion, and cognitive behavioral therapy—are associated with reductions in pain and opioid dose.These therapies may also have therapeutic benefits for opioid-related problems, such as cravings and misuse.
Source: AJN - Category: Nursing Tags: Journal Watch Source Type: research
Two drugs, voxelotor (Oxbryta) and crizanlizumab-tmca (Adakveo), have been approved to treat sickle cell disease.The most common adverse effects of voxelotor are diarrhea, headache, abdominal pain, nausea, fatigue, rash, and fever. Hypersensitivity reactions are also possible.The most common adverse effects of crizanlizumab-tmca are back pain, nausea, fever, and arthralgia. Serious adverse effects include infusion-related reactions and interference with automated platelet counts.
Source: AJN - Category: Nursing Tags: Drug Watch Source Type: research
In this case study, we investigated the efficacy of mirror therapy and online counseling in the management of phantom limb pain. The patient was a 28-year-old woman who experienced phantom limb pain after a traumatic transhumeral amputation three and a half months before initiating therapy. After a 40-minute educational session with a nurse researcher experienced in pain management and surgical nursing, the patient practiced mirror therapy at home for four weeks and kept in contact with the nurse using a mobile chat application. The patient scored the intensity of her pain before and after each practice session on a 0-to-1...
Source: AJN - Category: Nursing Tags: Case in Point Source Type: research
Conclusions: Despite being a safe therapeutic method, the absence of histopathological or immunohistochemical response suggests that clinical improvement may not be accompanied by histopathological cure for AC treated with IM. PMID: 32072836 [PubMed - as supplied by publisher]
Source: Journal of Dermatological Treatment - Category: Dermatology Tags: J Dermatolog Treat Source Type: research
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