Why Defining The Anatomy Is Important: CT Coronary Angiogram Following An Abnormal Spect Identifies An Unexpected Finding

Introduction: A 73-year-old male patient presented with atypical chest pain radiating to the back of one-week duration. Initial work-up included negative cardiac enzymes, electrocardiogram without signs of ischemia, and a non-contrast-enhanced CT of abdomen and pelvis for concern for renal colic which showed moderate atherosclerotic plaque in the abdominal aorta. The patient underwent an exercise SPECT which showed ST depression in the inferolateral leads with exercise and a small, fixed defect in the apex and inferior region, overall suggestive of intermediate risk for cardiovascular mortality.
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Authors: Source Type: research

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In the wake of multiple legal challenges, the Biden Administration late last month aimed to fortify the Deferred Action for Childhood Arrivals (DACA) program with a new rule that would shield more than 600,000 undocumented people brought to the U.S. by their parents. While proponents of the program welcomed the move and heralded it an “effort to bulletproof the DACA program,” our response in this moment overlooks a fundamental problem: each challenge on immigration—whether the Muslim Ban, family separation, or challenging DACA—takes a toll on refugee and migrants through vicarious trauma and weather...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: news
This study investigated the limitations and restrictions in the most relevant brief ICF core set categories for chronic low back pain (cLBP) as automatically predicted from routinely measured outcomes using a novel, validated mapping algorithm. Materials and Methods: Of 2718 cLBP patients recruited, data from 1541 (64% females) were available from before and at the end of 6 months comprehensive outpatient rehabilitation. Assessments included the Roland Morris Disability Questionnaire (RMDQ) and Pain Disability Index (PDI) questionnaires, the percentage of patients with predicted limitations and restrictions in impor...
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research
Clin Neuropsychol. 2021 Oct 20:1-22. doi: 10.1080/13854046.2021.1991481. Online ahead of print.ABSTRACTOBJECTIVE: Examine associations between subjective memory complaints (SMCs), concussion history, and cognitive, psychological, and physical health in older men from the general population.METHOD: Participants were 504 men aged 50-79 who were recruited using an online labor market. Participants completed a survey assessing demographics, medication history, concussion history, recent memory problems, and additional aspects of recent cognitive, mental, and physical health.RESULTS: Men with a lifetime history of ≥3 concuss...
Source: The Clinical Neuropsychologist - Category: Psychiatry & Psychology Authors: Source Type: research
ConclusionsAlthough spinal cord injury is related with high costs, no studies were found with detailed resources use. Also, A variety of instrument were used to examine how different factors have a role in predicting quality of life in spinal cord injury population. However, it is important to consider that differences found in those studies may at least be part in function of the instruments used. Therefore, standardized instruments should be used as part of these process.Key messagesParaplegia or the severity of SCI impact negatively quality of life and positively on healthcare and social costs.Promoting the employment o...
Source: The European Journal of Public Health - Category: General Medicine Source Type: research
Neural Plast. 2021 Oct 8;2021:7498714. doi: 10.1155/2021/7498714. eCollection 2021.ABSTRACTNumerous neuroimaging studies have demonstrated that the brain plasticity is associated with chronic low back pain (cLBP). However, there is a lack of knowledge regarding the underlying mechanisms of thalamic pathways for chronic pain and psychological effects in cLBP caused by lumbar disc herniation (LDH). Combining psychophysics and magnetic resonance imaging (MRI), we investigated the structural and functional brain plasticity in 36 patients with LDH compared with 38 age- and gender-matched healthy controls. We found that (1) LDH ...
Source: Neural Plasticity - Category: Neurology Authors: Source Type: research
Conclusion. The Spanish version of TSK-11 is a reliable and valid instrument to analyze kinesiophobia in AIS. However, the weak correlation between kinesiophobia and pain intensity, disability, and emotional condition in adolescents requires further study. Level of Evidence: 4
Source: Spine - Category: Orthopaedics Tags: DEFORMITY Source Type: research
DiscussionThis pilot randomized controlled trial will evaluate the efficacy of electroacupuncture for treating failed back surgery syndrome. The outcomes will determine whether electroacupuncture is efficacious in relieving low back pain as well as improving the quality of life in failed back surgery syndrome patients.Trial registrationChinese Clinical Trial RegistryChiCTR2000040144. Registered on 22 November 2020
Source: Trials - Category: Research Source Type: clinical trials
ConclusionIndividualised physiotherapy for low back pain appears to work predominately by facilitating an early reduction in disability, which in turn leads to improvements in other biopsychosocial outcomes. The current study cannot rule out that unmeasured mechanisms (such as tissue healing or reduced inflammation) may mediate the relationship between individualised physiotherapy treatment and improvement in disability. Further data-driven analyses involving a broad range of plausible biopsychosocial variables are recommended to fully understand how treatments work for people with low back pain. Trials registrationACTRN12609000834257.
Source: PLoS One - Category: Biomedical Science Authors: Source Type: research
This study analysed pain drawings to examine whether pain drawing is suitable as a screening tool for signs of anxiety, depression or reduced quality of life, as the detection of these symptoms is essential for successful treatment. MethodsPain drawings of 219 patients with lower back pain were evaluated retrospectively. Pain drawings are a schematic drawing of a human being. Six variables of the pain drawing were analysed. Subscales of the Hospital Anxiety and Depression Scale (HADS) and the Mental Component Summary (MCS) of the Short Form 12 (SF-12) were used to measure anxiety, depression and quality of life, respective...
Source: PLoS One - Category: Biomedical Science Authors: Source Type: research
CONCLUSION: CMI is feasible and acceptable to implement with people with SCI and chronic pain. Further study is warranted to assess potential benefits for pain-related outcomes.PMID:34612802 | DOI:10.1080/10790268.2021.1970894
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Authors: Source Type: research
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