Dyspnea caused by a giant retroperitoneal liposarcoma: A case report.
Abstract Liposarcomas are the most common soft tissue tumors with various histological subtypes. They usually appear in the retroperitoneal region of the abdomen, but their symptomatology remains unclear and their diagnosis, as well as treatment challenging. A case of a 55-year-old female patient with dyspnea and light diffuse abdominal pain caused by a giant retroperitoneal liposarcoma is presented. The patient had an unremarkable medical history, while the computed tomography scan revealed a large mass at the right portion of the abdomen, with its upper limits to the lower edge and the gate portion of the liver....
Source: Pain Physician - July 18, 2018 Category: Anesthesiology Authors: Ioannidis A, Koutserimpas C, Konstantinidis M, Drikos I, Voulgaris P, Economou N Tags: Oncol Lett Source Type: research
Long-term, prolonged-release oral tapentadol for the treatment of refractory chronic low back pain: a single-center, observational study.
CONCLUSIONS: These results show the long-term effectiveness, safety and tolerability of oral tapentadol PR for the treatment of refractory chronic low back pain in a real-life clinical setting. PMID: 29947490 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - June 28, 2018 Category: Anesthesiology Authors: Finco G, Mura P, Musu M, Deidda C, Saba M, Demelas I, Evangelista M, Sardo S Tags: Minerva Med Source Type: research
Effects of early diagnosis of the wrist over-use syndrome on the treatment.
njo H Abstract Aim To demonstrate the effects of early diagnosis of overuse syndrome in the wrist on healing, pain intensity and quick recovery to daily work and sport activities. Methods This clinical retrospective study included 60 patients of both sexes aged from 22 to 44 years, with pain in the wrist and clinical signs of creeping tenosynovitis. Patients were divided into two groups: the first group - persons doing sports activity, and the second group - patients who did not deal with sports activities. Results Females in 31 (51.7%) cases compared to males with 29 (48.3%) were slightly more represented in the ...
Source: Pain Physician - May 5, 2018 Category: Anesthesiology Authors: Talić Tanović A, Tanović E, Mekić M, Mađar Šimić I, Papović A, Konjo H Tags: Med Glas (Zenica) Source Type: research
Suicide in older adults: current perspectives.
ati R Abstract Suicidal behavior in older adults (65 years old and over) is a major public health issue in many countries. Suicide rates increase during the life course and are as high as 48.7/100,000 among older white men in the USA. Specific health conditions and stress factors increase the complexity of the explanatory model for suicide in older adults. A PubMed literature search was performed to identify most recent and representative studies on suicide risk factors in older adults. The aim of our narrative review was to provide a critical evaluation of recent findings concerning specific risk factors for suic...
Source: Pain Physician - May 4, 2018 Category: Anesthesiology Authors: Conejero I, Olié E, Courtet P, Calati R Tags: Clin Interv Aging Source Type: research
Abstract This case presentation relates to a 21 year young male, cachectic in appearance, who presented with progressive shortness of breath, and dull pain on the lower part of the chest ongoing over three months. The patient received antitubercular drugs by local physician for suspected tuberculosis with no significant improvement. He was referred to our Respiratory Department for further evaluation of his chest pain and breathlessness. His X-ray showed moderate pleural effusion on the left side which confirmed by USG chest screening which showed multiple septation with thick parietal pleura and USG abdomen was n...
Source: Pain Physician - May 4, 2018 Category: Anesthesiology Authors: Singh RK, Pattari S Tags: Respir Med Case Rep Source Type: research
Management of a postbulbar duodenal ulcer and stricture causing gastric outlet obstruction: A case report.
Conclusion: This case presented a unique challenge and demonstrated the need for definitive surgical interventions in the treatment of peptic ulcer induced gastric outlet obstruction. This case adds support for the direct anatomic treatment of duodenal strictures when conservative measures fail and perhaps promotes further development of laparoscopic management of gastric outlet obstruction in the future. PMID: 29692890 [PubMed] (Source: Pain Physician)
Source: Pain Physician - April 27, 2018 Category: Anesthesiology Authors: Mirande MD, Mirande RA Tags: Ann Med Surg (Lond) Source Type: research
New York Physicians' Perspectives and Knowledge of the State Medical Marijuana Program.
Conclusion: Given that the majority of surveyed physicians support MMJ as an option for patients, few are registered and have adequate knowledge of MMJ. Although our study sample is small and geographically limited, our survey results highlight key physician issues that are likely applicable to practitioners in other states. Concerted efforts are needed at the federal, state, and academic levels to provide practitioners with evidence-based guidelines for the safe use of MMJ. PMID: 29662957 [PubMed] (Source: Pain Physician)
Source: Pain Physician - April 18, 2018 Category: Anesthesiology Authors: Sideris A, Khan F, Boltunova A, Cuff G, Gharibo C, Doan LV Tags: Cannabis Cannabinoid Res Source Type: research
Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial.
CONCLUSION: Our study demonstrated that breathing exercises produced relevant benefits on pain thresholds tolerance on tender points located in the upper half of the body, some of which predicted improvements in the impact of FM in the functional capacity to perform daily life, pain, and fatigue. These results provide further support of an idea that breathing exercises are a real and effective intervention to consider in women with FM. TRIAL REGISTRATION: International Standard Randomized Controlled Trial Number ISRCTN37081460, available information in www.isrctn.com/ ISRCTN37081460. PMID: 29653069 [PubMed - as s...
Source: Pain Physician - April 13, 2018 Category: Anesthesiology Authors: Tomás-Carús P, Branco JC, Raimundo A, Parraca JA, Batalha N, Biehl-Printes C Tags: J Altern Complement Med Source Type: research
A Novel Mobile App and Population Management System to Manage Rheumatoid Arthritis Flares: Protocol for a Randomized Controlled Trial.
CONCLUSIONS: The completion of this study will provide important data regarding the following: (1) the assessment of validated outcome measures to assess rheumatoid arthritis disease activity with a mobile app between routinely scheduled health care provider visits, (2) patient engagement in monitoring their condition, and (3) communication between patients and health care providers through the population management system. TRIAL REGISTRATION: ClinicalTrials.gov NCT02822521, http://clinicaltrials.gov/ct2/show/NCT02822521 (Archived by WebCite at http://www.webcitation.org/6xed3kGPd). PMID: 29643053 [PubMed] (...
Source: Pain Physician - April 11, 2018 Category: Anesthesiology Authors: Wang P, Luo D, Lu F, Elias JS, Landman AB, Michaud KD, Lee YC Tags: JMIR Res Protoc Source Type: research
Is an enhanced behaviour change intervention cost-effective compared with physiotherapy for patients with chronic low back pain? Results from a multicentre trial in Israel.
CONCLUSIONS: The enhanced transtheoretical model intervention appears to be a very cost-effective intervention leading to improved outcomes for low cost. Given limitations within this study, there is justification for examining the intervention within a larger, long-term randomised controlled trial. TRIAL REGISTRATION NUMBER: NCT01631344; Pre-results. PMID: 29643158 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 10, 2018 Category: Anesthesiology Authors: Canaway A, Pincus T, Underwood M, Shapiro Y, Chodick G, Ben-Ami N Tags: BMJ Open Source Type: research
Assessing bottlenecks in Emergency Department flow of patients with abdominal pain.
CONCLUSIONS: Our study concerning individual patients' time-points provides important insight into delays in the patient journey of patients with abdominal pain. Flow improvement can be achieved by focusing on these bottlenecks, for example by minimizing diagnostic delays and by simultaneous specialists' consultations for patients who need more than one physician. The optimization of ED flow for patients with abdominal pain depends on coordinated efforts between ED staff, medical specialists, radiology and laboratory staff, staff from inpatient units, and hospital supporting services. PMID: 29636284 [PubMed - as suppl...
Source: Pain Physician - April 7, 2018 Category: Anesthesiology Authors: Van Der Linden MC, Van Loon M, Feenstra NSF, Van Der Linden N Tags: Int Emerg Nurs Source Type: research
Trainee physician turnover and 30-day mortality in Korean intensive care units.
CONCLUSIONS: We found no overall association between physician turnover and 30-day mortality of patients admitted to ICUs with high-intensity daytime intensivist coverage or with no intensivist coverage. PMID: 29655029 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - April 6, 2018 Category: Anesthesiology Authors: Oh TK, Ji E, Cho YJ, Jeon YT, Jo YH, Song IA Tags: J Crit Care Source Type: research
Decline in Buprenorphine/Naloxone Prescriptions in a State Medicaid Population Following Formulary Conversion from Suboxone to Bunavail.
CONCLUSION: The rapid reduction in the overall BN market following a complete formulary switch from SLBN to BBN was associated with quarterly savings of $3.5 million for the state Medicaid plan. Toxicology data suggest that this cost saving was realized in the context of improved physician and patient adherence to treatment protocols. The changing market dynamics can potentially be explained by a number of contributory factors, including a reduction of diversion and illicit distribution of BN following formulary conversion. These results are considered hypothesis-generating and future research should systematically compare...
Source: Pain Physician - April 6, 2018 Category: Anesthesiology Authors: Soper R, Appajosyula S, Deximo C Tags: Adv Ther Source Type: research
Atypical presentation of acute coronary syndrome (ACS): a case report.
Discussion Atypical presentation of ACS can range from non-chest pain to an epileptic seizure. Risk factors for atypical presentation include female gender, old age, comorbidities and severe mental illness. Troponin testing plays a central role when confronted with ACS but has only limited added-value with non-chest pain ACS. In cohort studies 1-2.2% of diagnosis of ACS is missed by emergency physicians. Possible explanations include atypical symptoms, non-diagnostic ECG and failure to interpret subtle ECG changes. ACS without chest pain frequently gets underdiagnosed and undertreated, which leads to more complications and...
Source: Pain Physician - April 6, 2018 Category: Anesthesiology Authors: Van Damme A, Vanderheeren P, De Backer T, Desimpel F Tags: Acta Clin Belg Source Type: research
Bilateral multifocal acute lobar nephronia caused by Enterococcus faecalis.
Abstract An 8-year-old boy presented to our hospital with complaints of fever, epigastric pain and headache. Enterococcus faecalis were isolated from urine and blood culture, bacteraemic urinary tract infection was clinically diagnosed. Although vancomycin and ampicillin were administrated, fever did not subside. Contrast-enhanced CT (CECT) revealed bilateral and multiple wedge-shaped defects, thus prompting a diagnosis of acute lobar nephronia (ALN). After 7 days of antibiotic treatment, the patient's fever subsided. ALN can be classified into two subgroups based on features of CECT; simple and complicated ALN. T...
Source: Pain Physician - April 5, 2018 Category: Anesthesiology Authors: Kusama Y, Muraki K Tags: BMJ Case Rep Source Type: research
Sources of Opioid Medication for Misuse in Older Adults: Results from A Nationally Representative Survey.
Abstract Despite increasing rates of prescription opioid misuse in adults 50 years of age and older, little research has investigated such misuse in this population. This work aimed to examine sources of misused opioid medication in adults 50 years and older, with comparisons to younger groups. Data were from the 2009-2014 National Survey on Drug Use and Health surveys. Prevalence rates of prescription opioid sources, misuse, and prescription opioid use disorder (POUD) symptoms were estimated. Design-based logistic regression investigated age-based differences in these factors and the association of sources to POU...
Source: Pain Physician - April 5, 2018 Category: Anesthesiology Authors: Schepis TS, McCabe SE, Teter CJ Tags: Pain Source Type: research
Influence of large joint involvement on patient-physician discordance in global assessment of rheumatoid arthritis disease activity analyzed by a novel joint index.
CONCLUSIONS: RA care providers should focus on pain and functional disability to decrease PGA-PhGA discordance. High disease activity and large joint involvement decreased PGA-PhGA discordance, indicating that the number and distribution of affected joints influenced the perception of disease activity by patients with RA and their physicians. PMID: 29611628 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - April 3, 2018 Category: Anesthesiology Authors: Tago M, Sawada T, Nishiyama S, Tahara K, Kato E, Hayashi H, Mori H, Nishino J, Matsui T, Tohma S Tags: Int J Rheum Dis Source Type: research
Preferences for Web-Based Information Material for Low Back Pain: Qualitative Interview Study on People Consulting a General Practitioner.
CONCLUSIONS: This study identified important issues to consider when developing and supplementing existing general practice treatment with Web-based information and advice for patients with LBP. Development of a Web app should consider patient input, and developers should carefully address the following domains: readability, customization, design, credibility, and usability. PMID: 29610108 [PubMed] (Source: Pain Physician)
Source: Pain Physician - April 2, 2018 Category: Anesthesiology Authors: Riis A, Hjelmager DM, Vinther LD, Rathleff MS, Hartvigsen J, Jensen MB Tags: JMIR Rehabil Assist Technol Source Type: research
Physicians report adopting safer opioid prescribing behaviors after academic detailing intervention.
Conclusions The intervention was effective in promoting physician adoption of prescribing behaviors intended to reduce risks associated with prescription opioids. The self-report findings of this study should be confirmed by analysis using data on the number of queries submitted to the state's PMP. The present study suggests that a single academic detailing visit may be an effective tool for increasing physician voluntary registration and utilization of data on patients' prescription history contained in a state PMP. PMID: 29608412 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - April 2, 2018 Category: Anesthesiology Authors: Larson MJ, Browne C, Nikitin RV, Wooten NR, Ball S, Adams RS, Barth K Tags: Subst Abus Source Type: research
Femoral Neck Stress Fracture in a Female Runner.
Abstract A 23-year-old woman was referred to physical therapy by her primary care physician for a 4-week history of right groin pain that had progressively worsened while training for a half-marathon. Before the physical therapy referral, the primary care physician ordered radiography of the right hip, which was unremarkable for fracture. Following examination, the physical therapist suspected osseous or soft tissue abnormality and requested that the primary care physician order magnetic resonance imaging without contrast, which revealed a femoral neck stress fracture. J Orthop Sports Phys Ther 2018;48(4):343. doi...
Source: Pain Physician - April 1, 2018 Category: Anesthesiology Authors: Lamothe MA, Elliott JM, Chang AH Tags: J Orthop Sports Phys Ther Source Type: research
Pediatric Forefoot Fractures: Assessment of Fracture Patterns and Predictors of Complicated Outcome.
Abstract BACKGROUND: Forefoot fractures account for 6% to 10% of fractures in children, and although the majority heals with supportive treatment, complications may lead to pain and disability. No previous study in children has evaluated complication risk in the emergency department based on initial assessment characteristics. STUDY OBJECTIVES: The study aim was to identify the radiological and clinical variables that increase the complication rate of pediatric forefoot fractures. This may help emergency physicians refer patients who require more thorough follow-up or surgical intervention. METHODS: We e...
Source: Pain Physician - April 1, 2018 Category: Anesthesiology Authors: Lim RK, Gerson B, Seabrook JA, Reardon J, Poonai N Tags: Pediatr Emerg Care Source Type: research
[Association Between Sleep Patterns and Diurnal Blood Pressure Variation and Its Predictors in Women With Systemic Lupus Erythematosus].
Abstract BACKGROUND: Sleep disturbances and hypertension are common health issues in patients with systemic lupus erythematosus (SLE). Limited information is available regarding the objective sleep quality and the variation of diurnal blood pressure (BP) in patients with SLE. Moreover, the relationship between sleep patterns and diurnal BP variation in SLE patients is not clear. PURPOSE: To explore the subjective/objective sleep patterns and the diurnal BP variation in women with SLE, to identify the factors associated with diurnal BP variation, and to identify the predictors of this variation. METHODS: ...
Source: Pain Physician - March 23, 2018 Category: Anesthesiology Authors: Cheng YC, Huang CC, Chen WS, Huang DF, Shun SC, Tsai SY Tags: Hu Li Za Zhi Source Type: research
White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 7. The clinical field of competence: PRM in practice.
Abstract In the context of the White Book on Physical and Rehabilitation Medicine (PRM) in Europe this paper deals with the scope and competencies of PRM starting from its definition as the "medicine of functioning." PRM uses the rehabilitative health strategy as its core strategy together with the curative strategy. According to the complexity of disabling health conditions, PRM also refers to prevention and maintenance and provides information to the patients and other caregivers. The rehabilitation process according to the so-called rehabilitation cycle including an assessment and definition of the (i...
Source: Pain Physician - March 23, 2018 Category: Anesthesiology Authors: European Physical and Rehabilitation Medicine Bodies Alliance Tags: Eur J Phys Rehabil Med Source Type: research
Correlation of some predisposing intrinsic conditions with the morphological integrity of the Achilles tendon.
Conclusion: This study suggests that BP, BG, and BMI could affect the morphological integrity of the AT. It indicates that asymptomatic high blood sugar and BP could weaken the AT, leading to pain which may appear unrelated to the physician and patient. PMID: 29536958 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 16, 2018 Category: Anesthesiology Authors: Fakoya AOJ, Otohinoyi DA, Fakoya FA Tags: Ann Afr Med Source Type: research
Validity and reliability of Arabic version of the ID Pain screening questionnaire in the assessment of neuropathic pain.
Abstract Diagnosis of neuropathic pain (NP) can be challenging. The ID Pain (ID-P) questionnaire, a screening tool for NP, has been used widely both in the original version and translated forms. The aim of this study was to develop an Arabic version of ID-P and assess its validity and reliability in detecting neuropathic pain. The original ID-P was translated in Arabic language and administered to the study population. Reliability of the Arabic version was evaluated by percentage observed agreement, and Cohen's kappa; and validity by sensitivity, specificity, correctly classified, and receiver operating characteri...
Source: Pain Physician - March 16, 2018 Category: Anesthesiology Authors: Abu-Shaheen A, Yousef S, Riaz M, Nofal A, Khan S, Heena H Tags: PLoS One Source Type: research
Role of primary care physicians in intrathecal pain management: a narrative review of the literature.
CONCLUSIONS: Collaboration between PCPs and pain specialists may improve outcomes of and patient satisfaction with IT therapy and other interventional treatments. PMID: 29542370 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 15, 2018 Category: Anesthesiology Authors: McDowell GC, Winchell J Tags: Postgrad Med Source Type: research
Establishment of a pharmacist-led service for patients at high risk for opioid overdose.
CONCLUSION: Naloxone prescribing and provision of education on naloxone use to at-risk patients in a family medicine clinic can help ensure access to life-saving medication and reinforce CDC recommendations on safe prescribing of opioids. PMID: 29523534 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 12, 2018 Category: Anesthesiology Authors: Tewell R, Edgerton L, Kyle E Tags: Am J Health Syst Pharm Source Type: research
The role of rehabilitation after regenerative and orthobiologic procedures for the treatment of tendinopathy: a systematic review.
CONCLUSION: Despite the importance of rehabilitation after regenerative procedures, there is a paucity of evidence available to guide clinicians and highlights the need for additional validation. PMID: 29521582 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 9, 2018 Category: Anesthesiology Authors: Sussman WI, Mautner K, Malanga G Tags: Regen Med Source Type: research
Medical speciality, medication or skills: key factors of prehospital joint reduction. A prospective, multicenter cohort study.
CONCLUSION: A successful reduction is determined by the trias of affected joint, skill level and medical specialty of the physician. In each case this trias should be considered by the physician in charge and he must evaluate limitations and circumstances. PMID: 29516125 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 7, 2018 Category: Anesthesiology Authors: Siebenbürger G, Zeckey C, Fürmetz J, Böcker W, Helfen T Tags: Eur J Trauma Emerg Surg Source Type: research
Red Flags for Low Back Pain Are Not Always Really Red: A Prospective Evaluation of the Clinical Utility of Commonly Used Screening Questions for Low Back Pain.
CONCLUSIONS: While a positive response to a red flag question may indicate the presence of serious disease, a negative response to 1 or 2 red flag questions does not meaningfully decrease the likelihood of a red flag diagnosis. Clinicians should use caution when utilizing red flag questions as screening tools. PMID: 29509613 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 7, 2018 Category: Anesthesiology Authors: Premkumar A, Godfrey W, Gottschalk MB, Boden SD Tags: J Bone Joint Surg Am Source Type: research
Teaching Patients How to Reduce a Shoulder Dislocation: A Randomized Clinical Trial Comparing the Boss-Holzach-Matter Self-Assisted Technique and the Spaso Method.
CONCLUSIONS: The self-reduction technique results in less pain than, and is as efficient in achieving reduction of anterior shoulder dislocations as, the Spaso technique. These findings favor the use of the self-assisted method as an effective first-line treatment for shoulder dislocations seen in the emergency department as well as its use by patients with recurrent dislocation. LEVEL OF EVIDENCE: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. PMID: 29509614 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 7, 2018 Category: Anesthesiology Authors: Marcano-Fernández FA, Balaguer-Castro M, Fillat-Gomà F, Ràfols-Perramon O, Torrens C, Torner P Tags: J Bone Joint Surg Am Source Type: research
Authors: Abstract Angiographic results alone can guide the decision to perform a percutaneous coronary intervention (PCI). Angiography is used to visually assess the coronary anatomy and determine the degree of stenosis, plaque or blockage in the coronary artery. The blockage creates visual irregularities of the inner diameter of coronary vessels on angiography and those irregularities are quantified using a percentage. This percentage correlates with the degree of blockage of the artery. The degree of blockage is usually quantified with a percentage and categorized into mild, moderate/intermediate...
Source: Pain Physician - March 3, 2018 Category: Anesthesiology Tags: Book Source Type: research
Authors: Abstract Prevention of painful, traumatic Foley catheter removals and early identification of catheter mal-positioning can minimize pain, urinary tract infections, discomfort, and hematuria as well as eliminate long-term complications of urethral strictures and incomplete bladder emptying. It also allows for early removal of the Foley catheter. Traumatic, unintended Foley catheter extractions, whether patient-initiated or accidental, can cause permanent urologic complications, affect hospital length of stay, decrease patient satisfaction grades, increase catheter-associated urinary tract infections...
Source: Pain Physician - March 2, 2018 Category: Anesthesiology Tags: Book Source Type: research
Implementation of a Proactive Pilot Health Plan-Driven Opioid Tapering Program to Decrease Chronic Opioid Use for Conditions of the Back and Spine in a Medicaid Population.
This study demonstrated that when a physician agrees to enroll patients in a health-plan driven clinical program it may result in decreased opioid use as referenced by MEDD. However, the results also showed the progressive nature of opioid use in this population. While these initial taper results were promising, a larger sample size and longer follow-up duration are needed to validate long-term adherence to an opioid tapering program and confirm that these results are attributable to the program and not other factors. DISCLOSURES: This study was sponsored by Moda Health. Patel is employed by Moda Health; Page and Sali...
Source: Pain Physician - March 1, 2018 Category: Anesthesiology Authors: Page J, Traver R, Patel S, Saliba C Tags: J Manag Care Spec Pharm Source Type: research
Interventional Procedures Outside of the Operating Room: Results From the National Anesthesia Clinical Outcomes Registry.
This study examines the impact of procedural locations and types of anesthetics on patient outcomes in non-operating room anesthesia (NORA) locations. The National Anesthesia Clinical Outcomes Registry database was examined to compare OR to NORA anesthetic complications and patient demographics. METHODS: The National Anesthesia Clinical Outcomes Registry database was examined for all patient procedures from 2010 to 2013. A total of 12,252,846 cases were analyzed, with 205 practices contributing information, representing 1494 facilities and 7767 physician providers. Cases were separated on the basis of procedure locati...
Source: Pain Physician - February 21, 2018 Category: Anesthesiology Authors: Chang B, Kaye AD, Diaz JH, Westlake B, Dutton RP, Urman RD Tags: J Patient Saf Source Type: research
Machine learning techniques for breast cancer computer aided diagnosis using different image modalities: A systematic review.
Abstract BACKGROUND AND OBJECTIVE: The high incidence of breast cancer in women has increased significantly in the recent years. Physician experience of diagnosing and detecting breast cancer can be assisted by using some computerized features extraction and classification algorithms. This paper presents the conduction and results of a systematic review (SR) that aims to investigate the state of the art regarding the computer aided diagnosis/detection (CAD) systems for breast cancer. METHODS: The SR was conducted using a comprehensive selection of scientific databases as reference sources, allowing access to ...
Source: Pain Physician - February 14, 2018 Category: Anesthesiology Authors: Yassin NIR, Omran S, El Houby EMF, Allam H Tags: Comput Methods Programs Biomed Source Type: research
Identifying Pain and Effects on Quality of Life from Chronic Wounds Secondary to Lower-Extremity Vascular Disease: An Integrative Review.
Abstract GENERAL PURPOSE: To provide information to enable better assessment and management of patients with lower extremity vascular disease (LEVD) chronic wound pain. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you will be able to: ABSTRACT: A lack of wound pain validation and provider understanding about the effect of pain on quality of life are the biggest barriers to pain management for pa...
Source: Pain Physician - February 14, 2018 Category: Anesthesiology Authors: Newbern S Tags: Adv Skin Wound Care Source Type: research
Outpatient, combined use of opioid and benzodiazepine medications in the United States, 1993-2014.
Abstract The combined use of opioid and benzodiazepine medications increases the risk of hazardous effects, such as respiratory depression. Although recent increases in outpatient use of opioid prescriptions have been documented, there are limited data regarding rates and correlates of combined opioid and benzodiazepines among adults in outpatient settings. Our objective was to examine annual trends in outpatient visits including opioids, benzodiazepines, and their combination among adults as well as clinical and demographic correlates. We used data from the 1993-2014 National Ambulatory Medical Care Survey (NAMCS...
Source: Pain Physician - January 18, 2018 Category: Anesthesiology Authors: Hirschtritt ME, Delucchi KL, Olfson M Tags: Prev Med Rep Source Type: research
Real-time endoscopic image orientation correction system using an accelerometer and gyrosensor.
In this study, we developed and evaluated a device that corrects the endoscopic image orientation using an accelerometer and gyrosensor. The acceleration of gravity and angular velocity were retrieved from the accelerometer and gyrosensor attached to the handle of the endoscope. The rotational angle of the endoscope handle was calculated using a Kalman filter with transmission delay compensation. Technical evaluation of the orientation correction system was performed using a camera by comparing the optical rotational angle from the captured image with the rotational angle calculated from the sensor outputs. For the clinica...
Source: Pain Physician - December 1, 2017 Category: Anesthesiology Authors: Lee HC, Jung CW, Kim HC Tags: PLoS One Source Type: research
BET 2: Sharing decisions for patients with suspected cardiac chest pain in the emergency department.
Abstract A short-cut review was carried out to establish whether shared decision making used alongside a decision aid can lead to greater patient satisfaction, lower healthcare resource use and non-inferior clinical outcomes in patients with suspected acute coronary syndromes. Four studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that the use of shared decision-making tools in the ED for management of patients with low-risk chest p...
Source: Pain Physician - November 26, 2017 Category: Anesthesiology Authors: Ward A, Body R Tags: Emerg Med J Source Type: research
[Improving the Accuracy Rate of Analgesics and Sedatives Administration in an Intensive Care Unit].
CONCLUSIONS: With appropriately scaled protocols of sedatives and analgesics administration, intensive care nurses may easily target the consistent and optimal assessment and provide pain relief prior to sedation, which will improve the quality of sedation and patient safety. PMID: 29164549 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - November 23, 2017 Category: Anesthesiology Authors: Lai HC, Chen YH, Li YJ, Huang HM, Tseng CH, Chan MC Tags: Hu Li Za Zhi Source Type: research
Psychosocial consequences in men taking part in a national screening program for abdominal aortic aneurysm.
n C Abstract Screening for abdominal aortic aneurysm (AAA) has proven to reduce AAA-related mortality, but how the knowledge of having an untreated AAA affects health and daily life requires further clarification. The aim was to investigate the psychosocial consequences and sense of coherence (SOC) in 65-year-old men diagnosed with AAA and participating in a national screening program during a 6-month follow-up compared with men with no AAA. The single-center cohort study included 52 men with AAA and 118 men without AAA. A questionnaire including the Short Form 36 Health Survey, Hospital Anxiety and Depression Sca...
Source: Pain Physician - November 22, 2017 Category: Anesthesiology Authors: Ericsson A, Holst J, Gottsäter A, Zarrouk M, Kumlien C Tags: J Vasc Nurs Source Type: research
Are we close to the ideal intravenous fluid?
Abstract The approach to i.v. fluid therapy for hypovolaemia may significantly influence outcomes for patients who experience a systemic inflammatory response after sepsis, trauma, or major surgery. Currently, there is no single i.v. fluid agent that meets all the criteria for the ideal treatment for hypovolaemia. The physician must choose the best available agent(s) for each patient, and then decide when and how much to administer. Findings from large randomized trials suggest that some colloid-based fluids, particularly starch-based colloids, may be harmful in some situations, but it is unclear whether they shou...
Source: Pain Physician - November 22, 2017 Category: Anesthesiology Authors: MacDonald N, Pearse RM Tags: Br J Anaesth Source Type: research
Efficacy of Implementation of a Chest Pain Center at a Community Hospital.
Abstract INTRODUCTION: Chest pain is the second leading cause for emergency department (ED) visits in the United States; however,
Source: Pain Physician - November 16, 2017 Category: Anesthesiology Authors: Davis A, Chiu J, Lau SK, Kok YJ, Wu JYH Tags: Crit Pathw Cardiol Source Type: research
Patient Ethnicity Predicts Poor Health Access and Gaps in Perception of Personal Cardiovascular Risk Factors.
CONCLUSIONS: There are major gaps between awareness and personalization of risk in major modifiable coronary artery disease risk factors in different ethnic groups. PMID: 29135623 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - November 16, 2017 Category: Anesthesiology Authors: Kim Y, Hogan K, D'Onofrio G, Chekijian S, Safdar B Tags: Crit Pathw Cardiol Source Type: research
Efficacy and Tolerability of Peritendinous Hyaluronic Acid in Patients with Supraspinatus Tendinopathy: a Multicenter, Randomized, Controlled Trial.
ego J Abstract BACKGROUND: Physical therapy and peritendinous hyaluronic acid (HA) injections have both shown promising results in the treatment of shoulder tendinopathies. However, the superiority of treatment combining physical therapy and HA is unclear. METHODS: Patients with ultrasound-confirmed supraspinatus tendinopathy were randomized to receive either physical therapy + subacromial HA injections or physical therapy only. Treatment efficacy was assessed using a Visual Analog Scale (VAS) for pain and an Activities of Daily Living (ADL) scale. Other measures were the number of rehabilitation sessions and...
Source: Pain Physician - June 8, 2017 Category: Anesthesiology Authors: Flores C, Balius R, Álvarez G, Buil MA, Varela L, Cano C, Casariego J Tags: Sports Med Open Source Type: research
High Grade Mucinous Urothelial Carcinoma of the Renal Collecting System: A Case Report.
We report the case of a 64 year old female with history of pelvic pain who was incidentally discovered to have a left upper pole renal mass. Left nephroureterectomy was performed and histopathological examination revealed high grade mucinous urothelial carcinoma. Accurate diagnosis of this distinct pathological entity will allow for better understanding of phenotypic behavior and inform best treatment strategies. PMID: 28435787 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 26, 2017 Category: Anesthesiology Authors: Kancherla P, Sullivan JF, Chouhan JD, Feuer Z, Diaz D, Xie Q, Hammill P, McNeil BK Tags: Urol Case Rep Source Type: research
Salve and Burdock: A Safe, Effective Amish Remedy for Treatment of Traumatic Wounds?
CONCLUSIONS: Although the treatment presented here is unconventional, it did not cause harm to the patients studied. PMID: 28426569 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 22, 2017 Category: Anesthesiology Authors: Flurry MD, Herring KL, Carr LW, Hauck RM, Potochny JD Tags: Adv Skin Wound Care Source Type: research
School Nurses on the Front Lines of Medicine: Connecting the Dots: SCRIPTS for Success in the Evaluation of Pediatric Rashes.
This article describes the initial assessment and management of skin rashes in children and adolescents and delineates reasons that may prompt the school nurse to transfer a student with a rash to a local emergency department. PMID: 28422618 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 20, 2017 Category: Anesthesiology Authors: Olympia RP Tags: NASN Sch Nurse Source Type: research
Advancing Nursing Practice: Management of Neuropathic Pain With Capsaicin 8% Without Physician Supervision.
CONCLUSION: Single-dose capsaicin 8% decreased neuropathic pain after being administered in an outpatient setting by an experienced registered advanced nurse practitioner. Further multicenter research led by advanced nurse practitioners is needed to support high-quality, safe treatment of neuropathic pain with high-concentration capsaicin in nurse-led chronic pain clinics. PMID: 28383334 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 7, 2017 Category: Anesthesiology Authors: O'Brien J, Keaveny J, Pollard V, Nugent LE Tags: Clin Nurse Spec Source Type: research