What are women's mode of birth preferences and why? A systematic scoping review.

CONCLUSION: To help ensure women receive the required care that is aligned with their preferences, processes of shared decision-making should be implemented. Shared decision-making has the potential to reduce the rate of unnecessary interventions, and also improve the willingness of women to accept a medically-indicated caesarean section in low-income countries. PMID: 31607640 [PubMed - as supplied by publisher]
Source: Women Birth - Category: Midwifery Authors: Tags: Women Birth Source Type: research

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This study aims to examine the effectiveness of the postural treatment of the Mézières method on elite rhythmic gymnastics athletes with low back pain. DESIGN: Double-blind, randomized, controlled trial. SETTING: The sports hall of "Puente Tocinos," Murcia, Spain. PARTICIPANTS: Ninety gymnastics athletes were randomized into 2 parallel groups (intervention: n = 39; control: n = 51), of whom 98.9% were women (women = 89; man = 1). INTERVENTION: The Mézières method postural therapy was implemented. It lasted about 60 minutes in repeated sessions of 2 to 3 meetings per wee...
Source: Journal of Sport Rehabilitation - Category: Sports Medicine Tags: J Sport Rehabil Source Type: research
Authors: Fyock M, Cortes N, Hulse A, Martin J Abstract Clinical Scenario: Patellofemoral pain (PFP) is a common knee injury in recreational adult runners, possibly caused by faulty mechanics. One possible approach to reduce this pain is to retrain the runner's gait. Current research suggests that no definitive gold standard treatment for PFP exists. Gait retraining utilizing visual feedback may reduce PFP in both the short and long term. Clinical Question: In adult runners diagnosed with PFP, does gait retraining with real-time visual feedback lead to a decrease in pain? Summary of Key Findings: A literature search...
Source: Journal of Sport Rehabilitation - Category: Sports Medicine Tags: J Sport Rehabil Source Type: research
CONCLUSION: Because 25-40% of cases of facial nerve palsy are not idiopathic, differential diagnosis is very important; key diagnostic methods include a clinical neurological examin- ation, otoscopy, and a lumbar puncture for cerebrospinal fluid examination. High-level evidence supports corticosteroid treatment for the idiopathic form of the disorder. PMID: 31709978 [PubMed - in process]
Source: Deutsches Arzteblatt International - Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
DISCUSSION: Delayed postvasectomy scrotal pain associated with hematospermia may be a sign of vasal recanalization. We propose that this symptom complex should prompt an investigation for vasal recanalization, during which the patient should be instructed to refrain from intercourse without the use of an additional method of contraception. PMID: 31710838 [PubMed - in process]
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
ConclusionsOpioid prescribing has decreased for geriatric patients with minor injuries. However, surgeons have not reduced dosage based on age or fall risk.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Hey all, Now that I am a couple years out of fellowship and in private practice I feel like my idealized view of pain medicine is not more realistic and somewhat more cynical. I was having a discussion with a colleague of mine who recently just graduated fellowship and is excited to start a new job and I was going over some of the realities and biggest points of pain for the pain provider. I was hoping to gain some insight into some other points of frustration or inefficiency other... Biggest Pains of Pain Practice
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
I have a young male patient with bothersome right hand paresthesias consistent with radiculopathy, tried gabapentin but had some sexual dysfunction so will not try anything else with that potential side effect (TCA, Cymbalta). NSAID not helpful, doesn't want anything "stronger" than that. Tried a bunch of muscle relaxants per PCP without help. CESi somewhat helpful. PT no help, chiro no help...any reccs on something else to help without affecting his libido?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Researchers urge nonradiologists to stay in their lane when interpreting advanced imaging studies www.radiologybusiness.com "Also, radiology residency requires a minimum of 48 months of intense education. On the flipside, other residency programs “do not offer sufficient education in diagnostic imaging and depend heavily on short rotations through the radiology department, during which the resident is passively observing... Can you interpret a spine MRI better than a BC radiologist?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
ConclusionIntra-meniscal administration of PRP under ultrasound guidance directly into meniscal degenerative lesions is feasible and safe. Further randomized controlled studies are needed to definitely confirm the effectiveness of this procedure.
Source: Diagnostic and Interventional Imaging - Category: Radiology Source Type: research
The objective of this study was to assess the value of MRI &direct magnetic resonance arthrography (MRA) of the wrist for detecting &evaluating tears of the triangular fibrocartilage complex (TFCC) &scapholunate &luno triquetral interosseous ligament(LTIL &SLIL) injuries in comparison with arthroscopy of the wrist .Materials &MethodsAll patients presenting with chronic wrist pain of more than 3 months duration with suspected ligament injuries were included . MRI was performed with 8 channel wrist coil on 1.5 Tesla machine. (PHILIPS, Netherlands). MRA was performed after obtaining consent. Retrospect...
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
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