LEA 34. Qualitative and Quantitative Malnutrition as a Risk Factor for Large Amputation After Revascularization in Patients With Critical Limb Ischemia

Patients with critical limb ischemia are exposed to qualitative and quantitative malnutrition as a result of anorexia caused by chronic pain, insomnia, overuse of analgesics, and limitation of mobility. Furthermore, malnutrition is a well-known factor that causes coagulation disorders and immunosuppression, and it directly adversely affects the wound healing process. The aim of this study was to assess the influence of qualitative and quantitative malnutrition on the results of revascularization procedures as frequency of large amputations in patients with critical lower limb ischemia.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research

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Conclusions: Similar to previous studies, our results suggest that patients suffering from CLBP differ with regard to the magnitude of mental burden and the presence of physical impairment. These differences ascertain the need for precise targeting of treatment for CLBP. Inpatient pain centers therefore should offer different multimodal therapy pathways and integrate a meaningful triage, taking into account the multifaceted nature of CLBP based on sophisticated knowledge about forms, differences, and relationships among the biopsychosocial components of CLBP. PMID: 31728134 [PubMed - in process]
Source: GMS German Medical Science - Category: General Medicine Tags: Ger Med Sci Source Type: research
Alright, probably a horrible and simple question, but I want other opinions: We just took an OSCE, and I was given some interesting advice/directions. The pt had c/c of RUQ pain. Fair. Hx was no problem. Then, I got to the PE. Per our guidelines, I performed soft palpation, deep palpation, painful quadrant rebound tenderness, then for this at least, Murphy's sign. But, on soft palpation, barely touching the pt in RUQ, he flinched w/ pain. Then, I barely hooked my hand into his... Bear with me here – OCSEs
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Medical Students - MD Source Type: forums
Is a stent always the answer for people with chest pain? Maybe not. But they do need to do some work, new research finds, including sticking to medication and changing behaviors. www.nbcnews.com Study Finds Limited Benefits of Stent Use for Millions With Heart Disease Stents and coronary artery bypass surgery are no more effective than intensive drug treatment and better health habits in preventing millions of Americans from heart attacks and death, a large study fou...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Topics in Healthcare Source Type: forums
Should PainSpecialists strive to cultivate a humble and modest professional demeanor like pediatricians or family practice docs or should we be more “in your face” specialty like plastics, deem, or spine surgery? Imagine if no one Pain dressed up in fancy suits at conference ms and drove fast, expensive cars and instead just cane “as you are” in comfortable Dad jeans and JCPenny shirts and ties? Would purposely presenting ourselves this improve the specialty’s reputation and would... Cultivating a humble and modest professional demeanor
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
In conclusion, the studies presented in the current review demonstrate that CBD has the potential to limit delta-9-THC-induced cognitive impairment and improve cognitive function in various pathological conditions. Human studies suggest that CBD may have a protective role in delta-9-THC-induced cognitive impairments; however, there is limited human evidence for CBD treatment effects in pathological states (e.g. schizophrenia). In short, they found that CBD may help alleviate the negative impact of a person with schizophrenia from taking cannabis, both in the psychotic and cognitive symptoms associated with schizophrenia. T...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Alternative and Nutritional Supplements Disorders General Research Treatment cannabidiol Cannabis cbd cbd oil Marijuana THC Source Type: blogs
This study also examines whether there is a G-CSF dose threshold above which there is a significant increase in skeletal pain and other acute toxicities from mobilization without an appreciable increase in progenitor cell yield.Methods. The primary outcome was examination of CD34+ per liter of blood processed (x106/L) on Day 5 of G-CSF administration as a measure of collection yield. The secondary outcomes were the incidence of skeletal pain and highest toxicity level across selected body symptoms (fatigue, nausea, anorexia, insomnia, dizziness) at 24 hours after first G-CSF dose, day 1 to 5 of G-CSF administration, 2 days...
Source: Blood - Category: Hematology Authors: Tags: 711. Cell Collection and Processing II Source Type: research
Authors: Abrams DI Abstract Cannabis species have been used as medicine for thousands of years; only since the 1940s has the plant not been widely available for medical use. However, an increasing number of jurisdictions are making it possible for patients to obtain the botanical for medicinal use. For the cancer patient, cannabis has a number of potential benefits, especially in the management of symptoms. Cannabis is useful in combatting anorexia, chemotherapy-induced nausea and vomiting, pain, insomnia, and depression. Cannabis might be less potent than other available antiemetics, but for some patients, it is t...
Source: Current Oncology - Category: Cancer & Oncology Tags: Curr Oncol Source Type: research
Abstract: Available systematic reviews showed uncertainty on the effectiveness of using acupuncture and related therapies for palliative cancer care. The aim of this systematic review and meta-analysis was to summarize current best evidence on acupuncture and related therapies for palliative cancer care. Five international and 3 Chinese databases were searched. Randomized controlled trials (RCTs) comparing acupuncture and related therapies with conventional or sham treatments were considered. Primary outcomes included fatigue, paresthesia and dysesthesias, chronic pain, anorexia, insomnia, limb edema, constipation, and h...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Systematic Reviewand Meta-Analysis Source Type: research
Publication date: January 2016 Source:Advances in Chronic Kidney Disease, Volume 23, Issue 1 Author(s): Divya Raghavan, Jean L. Holley Palliative care is a branch of medicine dedicated to the relief of symptoms experienced during the course of illness. Renal palliative medicine or kidney supportive care is an evolving branch of nephrology, which incorporates the principles of palliative care into the care of CKD and ESRD (dialysis, transplant, and conservatively managed) patients. Conservative (non-dialytic) management is a legitimate option for frail, elderly CKD patients in whom dialysis may not lead to an improvemen...
Source: Advances in Chronic Kidney Disease - Category: Urology & Nephrology Source Type: research
Conclusions: There was no significant difference in the efficacy of Peginterferon-alpha-2a and Peginterferon-alpha-2b in Iranian patients. Physicians might choose the treatment regimen for every individual concerning the differences in side effects of Peginterferons.,Background: Nearly 0.5% of Iranians are infected with HCV. Peginterferon-alpha-2a and Peginterferon-alpha-2b are the two available types of interferon for the treatment of hepatitis C. Comparing the results of these two treatments is still a challenge.,Objectives: The aim of this study was to compare the results of Peginterferon-alpha-2a and Peginterferon-alph...
Source: Hepatitis Monthly - Category: Infectious Diseases Source Type: research
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