CGRP-monoclonal antibodies in Japan: insights from an online survey of physician members of the Japanese headache society
CONCLUSIONS: Most of the respondents recommended CGRPmAbs to patients with ≥ 2 preventive failures, followed by ≥ 1. The MMD threshold ranged mostly from ≥ 4 to ≥ 10. The concern for costs was raised as a major limiting factor for prescribing CGRPmAbs.PMID:38491415 | PMC:PMC10941476 | DOI:10.1186/s10194-024-01737-y (Source: Pain Physician)
Source: Pain Physician - March 16, 2024 Category: Anesthesiology Authors: Tsubasa Takizawa Keiko Ihara Narumi Watanabe Ryo Takemura Nobuyuki Takahashi Naoki Miyazaki Mamoru Shibata Keisuke Suzuki Noboru Imai Norihiro Suzuki Koichi Hirata Takao Takeshima Jin Nakahara Source Type: research
Evaluation and 1-year follow-up of patients presenting at a Lyme borreliosis expertise centre: a prospective cohort study with validated questionnaires
CONCLUSION: Patients with symptoms attributed to LB who present at clinical LB centres without physician-confirmed LB more often report persistent symptoms and report more severe symptoms compared to confirmed LB patients and a population cohort.PMID:38492058 | DOI:10.1007/s10096-024-04770-6 (Source: Pain Physician)
Source: Pain Physician - March 16, 2024 Category: Anesthesiology Authors: F R van de Schoor M E Baarsma S A Gauw J Ursinus H D Vrijmoeth H J M Ter Hofstede A D Tulen M G Harms A Wong C C van den Wijngaard L A B Joosten J W Hovius B J Kullberg Source Type: research
Societal and economic burden of migraine in Spain: results from the 2020 National Health and Wellness Survey
CONCLUSIONS: Having migraine not only causes a massive impact on patients' quality of life and ability to work, but it also generates considerable economic costs for society. In Spain, having migraine was associated to 1.7 higher costs per patient. The clinical and economic burden increases with the frequency of headaches but is higher than controls even in patients suffering from 1-3 MHD.PMID:38486155 | PMC:PMC10941425 | DOI:10.1186/s10194-024-01740-3 (Source: Pain Physician)
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: David Garc ía-Azorín Carlota Moya-Alarc ón Beatriz Armada Margarita S ánchez Del Río Source Type: research
Pharmacological labour pain interventions: South African midwives' perspective
BMC Nurs. 2024 Mar 14;23(1):176. doi: 10.1186/s12912-024-01844-w.ABSTRACTWomen of childbearing age feel great about giving birth, but the pain could be excruciating depending on their pain tolerances. Midwives requires obstetrical knowledge and skills such as pain management during labour and safety. We explored midwives' perspectives on the utilisation of pharmacological pain alleviation interventions during labour in selected hospitals in Matjhabeng Municipality, Free State province, South Africa. A qualitative study was undertaken, involving a sample of ten midwives, using a semi-structured interview guide. The intervie...
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: L E Parkies D Murray U B Okafor Source Type: research
Urgent Management of Penetrating Ocular Injury: A Case Report and Review of the Literature
J Acute Med. 2024 Mar 1;14(1):39-41. doi: 10.6705/j.jacme.202403_14(1).0005.ABSTRACTOcular globe injury is a severe ophthalmic emergency that requires immediate attention in the emergency department. In this case report, we present a 35-year-old male who suffered a penetrating ocular injury and globe rupture caused by a nail puncture. The patient presented with severe pain and visual loss and was treated with tetanus vaccination, empirical antibiotics, and pain control, followed by an urgent orbital computed tomography (CT) scan and consultation with an ophthalmologist. The CT scan revealed a retained nail in the ocular sp...
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: Chang-Han Wu Chi-Wei Chen Liang-Chi Kuo Source Type: research
Opioid Prescribing Rate for Nonoperative Distal Radius Fractures and Clinician Response to a Clinical Decision Support Alert
CONCLUSION: Over 90% of patients (106/118) continued to receive an opioid medication despite having a known risk factor for abuse. Additionally, we found older patients were more likely to be prescribed opioids for nonoperatively managed distal radius fractures.PMID:38490894 | DOI:10.1016/j.jemermed.2023.12.002 (Source: Pain Physician)
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: Ben Averkamp Katherine Li Meghan K Wally Tamar Roomian Christopher Griggs Michael Runyon Joseph R Hsu Rachel B Seymour PRIMUM Group Michael Beuhler Michael J Bosse Manuel Castro Michael Gibbs Steven Jarrett Daniel Leas Susan Odum Ziqing Yu James Rachal An Source Type: research
Societal and economic burden of migraine in Spain: results from the 2020 National Health and Wellness Survey
CONCLUSIONS: Having migraine not only causes a massive impact on patients' quality of life and ability to work, but it also generates considerable economic costs for society. In Spain, having migraine was associated to 1.7 higher costs per patient. The clinical and economic burden increases with the frequency of headaches but is higher than controls even in patients suffering from 1-3 MHD.PMID:38486155 | DOI:10.1186/s10194-024-01740-3 (Source: Pain Physician)
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: David Garc ía-Azorín Carlota Moya-Alarc ón Beatriz Armada Margarita S ánchez Del Río Source Type: research
Pharmacological labour pain interventions: South African midwives' perspective
BMC Nurs. 2024 Mar 14;23(1):176. doi: 10.1186/s12912-024-01844-w.ABSTRACTWomen of childbearing age feel great about giving birth, but the pain could be excruciating depending on their pain tolerances. Midwives requires obstetrical knowledge and skills such as pain management during labour and safety. We explored midwives' perspectives on the utilisation of pharmacological pain alleviation interventions during labour in selected hospitals in Matjhabeng Municipality, Free State province, South Africa. A qualitative study was undertaken, involving a sample of ten midwives, using a semi-structured interview guide. The intervie...
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: L E Parkies D Murray U B Okafor Source Type: research
Urgent Management of Penetrating Ocular Injury: A Case Report and Review of the Literature
J Acute Med. 2024 Mar 1;14(1):39-41. doi: 10.6705/j.jacme.202403_14(1).0005.ABSTRACTOcular globe injury is a severe ophthalmic emergency that requires immediate attention in the emergency department. In this case report, we present a 35-year-old male who suffered a penetrating ocular injury and globe rupture caused by a nail puncture. The patient presented with severe pain and visual loss and was treated with tetanus vaccination, empirical antibiotics, and pain control, followed by an urgent orbital computed tomography (CT) scan and consultation with an ophthalmologist. The CT scan revealed a retained nail in the ocular sp...
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: Chang-Han Wu Chi-Wei Chen Liang-Chi Kuo Source Type: research
Opioid Prescribing Rate for Nonoperative Distal Radius Fractures and Clinician Response to a Clinical Decision Support Alert
CONCLUSION: Over 90% of patients (106/118) continued to receive an opioid medication despite having a known risk factor for abuse. Additionally, we found older patients were more likely to be prescribed opioids for nonoperatively managed distal radius fractures.PMID:38490894 | DOI:10.1016/j.jemermed.2023.12.002 (Source: Pain Physician)
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: Ben Averkamp Katherine Li Meghan K Wally Tamar Roomian Christopher Griggs Michael Runyon Joseph R Hsu Rachel B Seymour PRIMUM Group Michael Beuhler Michael J Bosse Manuel Castro Michael Gibbs Steven Jarrett Daniel Leas Susan Odum Ziqing Yu James Rachal An Source Type: research
Automated HEART score determination via ChatGPT: Honing a framework for iterative prompt development
CONCLUSION: We established a framework for iterative prompt design in the clinical space. Although the results indicate potential for integrating LLMs in structured clinical note analysis, translation to real, large-scale clinical data with appropriate data privacy safeguards is needed.PMID:38481520 | PMC:PMC10936537 | DOI:10.1002/emp2.13133 (Source: Pain Physician)
Source: Pain Physician - March 14, 2024 Category: Anesthesiology Authors: Conrad W Safranek Thomas Huang Donald S Wright Catherine X Wright Vimig Socrates Rohit B Sangal Mark Iscoe David Chartash R Andrew Taylor Source Type: research
Xanthogranulomatous Pyelonephritis: Case Report
J Emerg Med. 2023 Dec 5:S0736-4679(23)00583-8. doi: 10.1016/j.jemermed.2023.11.021. Online ahead of print.ABSTRACTBACKGROUND: In the emergency department (ED), pyelonephritis is a fairly common diagnosis, especially in patients with unilateral flank pain. Xanthogranulomatous pyelonephritis (XGP) is a rare type of pyelonephritis that is associated with unique features, which may lead to its diagnosis.CASE REPORT: A 30-year-old male patient presented to the ED for evaluation of right-sided abdominal pain that has been ongoing for the past 24 hours. He noted the pain was located predominantly in the right flank and described ...
Source: Pain Physician - March 14, 2024 Category: Anesthesiology Authors: Mary Rometti Depesh Patel Christopher Bryczkowski Source Type: research
Automated HEART score determination via ChatGPT: Honing a framework for iterative prompt development
CONCLUSION: We established a framework for iterative prompt design in the clinical space. Although the results indicate potential for integrating LLMs in structured clinical note analysis, translation to real, large-scale clinical data with appropriate data privacy safeguards is needed.PMID:38481520 | PMC:PMC10936537 | DOI:10.1002/emp2.13133 (Source: Pain Physician)
Source: Pain Physician - March 14, 2024 Category: Anesthesiology Authors: Conrad W Safranek Thomas Huang Donald S Wright Catherine X Wright Vimig Socrates Rohit B Sangal Mark Iscoe David Chartash R Andrew Taylor Source Type: research
Predictive models for perceived convenience of accessing outdoor activities among elderly with physical disabilities in rural China
CONCLUSIONS: Structural equation models have effectively predicted the self-reported convenience of accessing outdoor activities, underscoring the importance of functional and behavioral rehabilitation. Furthermore, gender-sensitive rehabilitation programs are advised to promote engagement in outdoor activities among elderly individuals with physical disabilities.PMID:38475781 | PMC:PMC10936013 | DOI:10.1186/s12889-024-18311-5 (Source: Pain Physician)
Source: Pain Physician - March 13, 2024 Category: Anesthesiology Authors: Qi Xu Youyi Lin Yiqi He Xianhong Zhou Jinhai Liu Dewang Shen Fan Wu Xin Lin Yun Zhang Taibiao Li Tiebin Yan Source Type: research
Can diffuse reflectance spectroscopy identify shuntodynia in pediatric hydrocephalus patients?
CONCLUSIONS: Optically derived hemodynamic variables were statistically significantly different in subjects presenting with shuntodynia relative to those without. DRS could provide a viable mode in routine bedside monitoring of subjects with VP shunts for clinical management and assessment of shuntodynia.PMID:38476219 | PMC:PMC10929735 | DOI:10.1117/1.JBO.29.3.037002 (Source: Pain Physician)
Source: Pain Physician - March 13, 2024 Category: Anesthesiology Authors: Olivia Kline Karthik Vishwanath Boyd Colbrunn Andrew Peachman Jing Zhang Sudhakar Vadivelu Source Type: research
