Development and validation of machine learning based prediction model for postoperative pain risk after extraction of impacted mandibular third molars
CONCLUSIONS: This study developed a machine learning-based postoperative pain risk prediction model for impacted mandibular third molar extraction, which is promising for providing a theoretical basis for better pain management to reduce postoperative pain after third molar extraction.PMID:38076075 | PMC:PMC10703859 | DOI:10.1016/j.heliyon.2023.e23052 (Source: Pain Physician)
Source: Pain Physician - December 11, 2023 Category: Anesthesiology Authors: Dongsheng Yu Zifeng Liu Weijie Zhuang Kechen Li Yaxin Lu Source Type: research

ChatGPT Influence on Medical Decision-Making, Bias, and Equity: A Randomized Study of Clinicians Evaluating Clinical Vignettes
medRxiv. 2023 Nov 27:2023.11.24.23298844. doi: 10.1101/2023.11.24.23298844. Preprint.ABSTRACTIn a randomized, pre-post intervention study, we evaluated the influence of a large language model (LLM) generative AI system on accuracy of physician decision-making and bias in healthcare. 50 US-licensed physicians reviewed a video clinical vignette, featuring actors representing different demographics (a White male or a Black female) with chest pain. Participants were asked to answer clinical questions around triage, risk, and treatment based on these vignettes, then asked to reconsider after receiving advice generated by ChatGP...
Source: Pain Physician - December 11, 2023 Category: Anesthesiology Authors: Ethan Goh Bryan Bunning Elaine Khoong Robert Gallo Arnold Milstein Damon Centola Jonathan H Chen Source Type: research

Accuracy of Hip Pericapsular Nerve Block (PENG) without Ultrasound Aid in Patients with Hip Pain
Conclusion Unguided PENG block is a viable technique for a physician knowledgeable about its application in services with no ultrasound availability.PMID:38077758 | PMC:PMC10708984 | DOI:10.1055/s-0043-1776909 (Source: Pain Physician)
Source: Pain Physician - December 11, 2023 Category: Anesthesiology Authors: Giancarlo Cavalli Polesello Andr é Sanches Saú Marco Rudelli Walter Ricioli Junior Nayra Deise Dos Anjos Rabelo Source Type: research

'Total pain': reverence and reconsideration
Front Sociol. 2023 Nov 23;8:1286208. doi: 10.3389/fsoc.2023.1286208. eCollection 2023.ABSTRACTDame Cicely Saunders' conceptualization of 'total pain', or 'total suffering', is one of her most significant and lasting contributions to the field of palliative care. It was Saunders' unique combination of knowledge and experiences as a trained social worker, nurse and physician that influenced her understanding of suffering specific to a life-limiting illness as being multi-dimensional: that suffering may be simultaneously physical, psychological, emotional, social, spiritual and/or existential in nature. 'Total pain' remains a...
Source: Pain Physician - December 11, 2023 Category: Anesthesiology Authors: Maxxine Rattner Source Type: research

Current pediatric pain practice in Nigeria, South Africa, Uganda, and Zambia: A prospective survey of anesthetists
CONCLUSION: This survey provides insight into pediatric pain practices in these four countries. Good availability of a variety of analgesics, positive pain prescription practices, and utilization of some non-pharmacological pain management strategies are encouraging, and suggest that achieving good pain control despite limited resources is attainable. Areas for improvement include the development of institutional guidelines, routine utilization of pain assessment tools, and access to regional anesthesia and other advanced pain management techniques.PMID:38078553 | DOI:10.1111/pan.14818 (Source: Pain Physician)
Source: Pain Physician - December 11, 2023 Category: Anesthesiology Authors: Anisa Bhettay Rebecca Gray Ibironke Desalu Romy Parker Salome Maswime Source Type: research

Patient and physician radiation exposure during minimally invasive lumbar decompression: A prospective assessment of X-ray exposure risks
CONCLUSIONS: This study is an attempt to quantify the radiation exposure to the physician and patient during the mild® procedure. Compared with other fluoroscopically guided pain management procedures, patient and physician radiation exposure during mild® was low.PMID:38069541 | DOI:10.1111/papr.13329 (Source: Pain Physician)
Source: Pain Physician - December 9, 2023 Category: Anesthesiology Authors: Nagy Mekhail Krista Topalsky Erin Templeton Sherif Armanyous Nicholas Prayson Carl Olde Shrif Costandi Source Type: research

Drug misuse and self-medication among pharmacy students in jordan
Conclusions: The prevalence of self-medication among pharmacy students in Jordan is high, and medical teaching institutions need to educate students about the proper use of medicines. Strict legislation and more education on self-medication are necessary for effective use of medicines.PMID:38069846 | DOI:10.36740/Merkur202305104 (Source: Pain Physician)
Source: Pain Physician - December 9, 2023 Category: Anesthesiology Authors: Ahmed Maslat Nadia Al-Atoom Manal Al-Najdawi Loay Khaled Hassouneh Ahmed Mashaal Yazan Alrashdan Naser Hamad Al-Rawashdeh Mohammed Elhamrawy Source Type: research

Time-sensitive healthcare guidelines for youth with chronic diseases in custody: gaps in care
This article adds to the existing literature by: Summarizing the gap in age-specific guidelines for six chronic diseases that occur in children and adolescents held in custody. Identifying the lack of adequate intervention strategies for acute management of chronic diseases for youth held in custody and strategies for improving health equity.PMID:38071276 | DOI:10.1038/s41390-023-02947-x (Source: Pain Physician)
Source: Pain Physician - December 9, 2023 Category: Anesthesiology Authors: Colin Dickens Ahalya Ramesh Temiloluwa Adanlawo Michael R DeBaun Source Type: research

Patient and physician radiation exposure during minimally invasive lumbar decompression: A prospective assessment of X-ray exposure risks
CONCLUSIONS: This study is an attempt to quantify the radiation exposure to the physician and patient during the mild® procedure. Compared with other fluoroscopically guided pain management procedures, patient and physician radiation exposure during mild® was low.PMID:38069541 | DOI:10.1111/papr.13329 (Source: Pain Physician)
Source: Pain Physician - December 9, 2023 Category: Anesthesiology Authors: Nagy Mekhail Krista Topalsky Erin Templeton Sherif Armanyous Nicholas Prayson Carl Olde Shrif Costandi Source Type: research

Drug misuse and self-medication among pharmacy students in jordan
Conclusions: The prevalence of self-medication among pharmacy students in Jordan is high, and medical teaching institutions need to educate students about the proper use of medicines. Strict legislation and more education on self-medication are necessary for effective use of medicines.PMID:38069846 | DOI:10.36740/Merkur202305104 (Source: Pain Physician)
Source: Pain Physician - December 9, 2023 Category: Anesthesiology Authors: Ahmed Maslat Nadia Al-Atoom Manal Al-Najdawi Loay Khaled Hassouneh Ahmed Mashaal Yazan Alrashdan Naser Hamad Al-Rawashdeh Mohammed Elhamrawy Source Type: research

Time-sensitive healthcare guidelines for youth with chronic diseases in custody: gaps in care
This article adds to the existing literature by: Summarizing the gap in age-specific guidelines for six chronic diseases that occur in children and adolescents held in custody. Identifying the lack of adequate intervention strategies for acute management of chronic diseases for youth held in custody and strategies for improving health equity.PMID:38071276 | DOI:10.1038/s41390-023-02947-x (Source: Pain Physician)
Source: Pain Physician - December 9, 2023 Category: Anesthesiology Authors: Colin Dickens Ahalya Ramesh Temiloluwa Adanlawo Michael R DeBaun Source Type: research

Elevation of cancer antigen 15-3 owing to oncocytic renal neoplasm in a patient without evidence of breast cancer recurrence on follow-up: a case report
CONCLUSIONS: Elevation of cancer antigen 15-3 owing to causes other than breast cancer recurrence can be a potential diagnostic pitfall during a patient's follow-up. It is important for clinicians to be aware of the limitations of cancer markers and to utilize a combination of diagnostic tests for patient evaluation.PMID:38062521 | PMC:PMC10701971 | DOI:10.1186/s13256-023-04088-5 (Source: Pain Physician)
Source: Pain Physician - December 8, 2023 Category: Anesthesiology Authors: Samuel G Cockey Hongzhi Xu Mohammed Al-Jumayli Source Type: research

The feasibility and acceptability of a physician-led ICU follow-up service: A prospective cohort study
CONCLUSION: There were a large number of patients meeting the inclusion criteria to the ICU follow-up clinic, and clinic attendance was moderate for patients but lower for caregivers. Reported satisfaction with the service was high for both patients and their caregiver.PMID:38065794 | DOI:10.1016/j.aucc.2023.10.003 (Source: Pain Physician)
Source: Pain Physician - December 8, 2023 Category: Anesthesiology Authors: Wade Stedman Lachlan Donaldson Tessa Garside Sarah Green Stephanie F Donoghoe Victoria E Whitfield Frances Bass Anthony Delaney Naomi Hammond Source Type: research

Sequential treatments with TRK inhibitors in a patient with NTRK fusion-positive sarcoma: A case report
In this report, we present a patient with NTRK fusion-positive sarcoma arising from the anterior mediastinum, with tumor progression after 4 months of entrectinib use. The patient took larotrectinib subsequently and maintained disease control for more than 21 months.PATIENT CONCERNS: A 48-year-old female visited a physician because she experienced difficulty in breathing and chest and back pain with no obvious cause 2 months ago. Computed tomography (CT)-guided biopsy was performed at a district general hospital, and histopathological examination revealed a small round cell tumor. She was referred to our hospital, and a se...
Source: Pain Physician - December 8, 2023 Category: Anesthesiology Authors: Yuta Kubota Masanori Kawano Tatsuya Iwasaki Ichiro Itonaga Hiroshi Tsumura Nobuhiro Kaku Kazuhiro Tanaka Source Type: research

Elevation of cancer antigen 15-3 owing to oncocytic renal neoplasm in a patient without evidence of breast cancer recurrence on follow-up: a case report
CONCLUSIONS: Elevation of cancer antigen 15-3 owing to causes other than breast cancer recurrence can be a potential diagnostic pitfall during a patient's follow-up. It is important for clinicians to be aware of the limitations of cancer markers and to utilize a combination of diagnostic tests for patient evaluation.PMID:38062521 | DOI:10.1186/s13256-023-04088-5 (Source: Pain Physician)
Source: Pain Physician - December 8, 2023 Category: Anesthesiology Authors: Samuel G Cockey Hongzhi Xu Mohammed Al-Jumayli Source Type: research