Patient-reported outcomes in chronic diseases under treatment with cannabis medicines : Analysis of the results of the Copeia survey
CONCLUSION: A symptom matrix (SMX) composed of different symptoms seems to play a special role in CAM therapy to improve the quality of life of chronically ill patients, regardless of the underlying disease. The SMX could contribute to the identification of an indication and to targeted treatment monitoring.PMID:38451340 | DOI:10.1007/s00482-024-00802-4 (Source: Pain Physician)
Source: Pain Physician - March 7, 2024 Category: Anesthesiology Authors: Knud Gastmeier Andr é Ihlenfeld Anne Gastmeier Garvin Hirt Assaf Landschaft Stefan Wirz Source Type: research

Emergency department attendances for persistent pelvic pain are not reduced following laparoscopic surgery for women with or without endometriosis
CONCLUSIONS: In a cohort of women living with PPP, laparoscopic surgery failed to reduce the need to attend the ED owing to their pain. Further investigation into interventions that can reduce the burden of pain on these women and the healthcare system is required.PMID:38452232 | DOI:10.26635/6965.6377 (Source: Pain Physician)
Source: Pain Physician - March 7, 2024 Category: Anesthesiology Authors: Karen Joseph Source Type: research

Feasibility of quality indicators on prehospital advanced airway management in a physician-staffed emergency medical service: survey-based assessment of the provider point of view
CONCLUSIONS: Collection of QIs on PAAM appears feasible. Electronic medical records and technological solutions facilitating automatic collection of vital parameters and timing during the procedure could improve the reliability of data collection for some QIs. Studies in other services are needed to determine the external validity of our results.PMID:38453207 | DOI:10.1136/bmjopen-2023-081951 (Source: Pain Physician)
Source: Pain Physician - March 7, 2024 Category: Anesthesiology Authors: Alexandre Kottmann Mathieu Pasquier Pierre-Nicolas Carron Ludovic Maudet Jean-Daniel Rouv é L Suppan David Caillet-Bois Thomas Riva Roland Albrecht Andreas Kr üger Stephen Johan Mikal Sollid Source Type: research

Keloid and Hypertrophic Scars Treatment
CONCLUSIONS: The device was found to be safe and effective, with promising results for the treatment of hypertrophic and keloid scars.LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.PMID:38453710 | DOI:10.1007/s00266-024-03869-7 (Source: Pain Physician)
Source: Pain Physician - March 7, 2024 Category: Anesthesiology Authors: Shaked Menashe Lior Heller Source Type: research

A Comprehensive Review of Solriamfetol to Treat Excessive Daytime Sleepiness
Psychopharmacol Bull. 2024 Mar 4;54(1):65-86.ABSTRACTPURPOSE OF REVIEW: This is a comprehensive review of the literature regarding the use of Solriamfetol for excessive daytime sleepiness. It covers the background and current therapeutic approaches to treating excessive daytime sleepiness, the management of common comorbidities, and the existing evidence investigating the use of Solriamfetol for this purpose.RECENT FINDINGS: Excessive daytime sleepiness leads to worse quality of life, a medical sequela and significant economic cost. There are multiple phenotypes of excessive daytime sleepiness depending on the comorbidity ...
Source: Pain Physician - March 7, 2024 Category: Anesthesiology Authors: Mitchell C Fuller Samuel Carlson Haley Pysick Vince Berry Andrew Tondryk Hayden Swartz Elyse M Cornett Adam M Kaye Omar Viswanath Ivan Urits Alan D Kaye Source Type: research

A Comprehensive Review of Lemborexant to Treat Insomnia
Psychopharmacol Bull. 2024 Mar 4;54(1):43-64.ABSTRACTPURPOSE OF REVIEW: This is a comprehensive review of the literature regarding Lemborexant for the treatment of insomnia. It covers the background and management of insomnia and then reviews the body of existing evidence evaluating the use of Lemborexant for this purpose.RECENT FINDINGS: Insomnia leads to significant decreased in quality of life and economic burden due to decreased workplace performance and increased health care costs. Insomnia manifests as a single common pathway of hyperarousal due to a highly complex network of interactions between activation of the sy...
Source: Pain Physician - March 7, 2024 Category: Anesthesiology Authors: Mitchell C Fuller Samuel F Carlson Chris Grant Vince Berry Marko Ivancich Elyse M Cornett Adam M Kaye Omar Viswanath Ivan Urits Sahar Shekoohi Alan D Kaye Source Type: research

Patient-reported outcomes in chronic diseases under treatment with cannabis medicines : Analysis of the results of the Copeia survey
CONCLUSION: A symptom matrix (SMX) composed of different symptoms seems to play a special role in CAM therapy to improve the quality of life of chronically ill patients, regardless of the underlying disease. The SMX could contribute to the identification of an indication and to targeted treatment monitoring.PMID:38451340 | DOI:10.1007/s00482-024-00802-4 (Source: Pain Physician)
Source: Pain Physician - March 7, 2024 Category: Anesthesiology Authors: Knud Gastmeier Andr é Ihlenfeld Anne Gastmeier Garvin Hirt Assaf Landschaft Stefan Wirz Source Type: research

From terminal ileum to terminal diagnosis: The critical role of terminal ileum intubation in diagnosing langerhans cell histiocytosis in a patient with TAR syndrome
Radiol Case Rep. 2024 Mar 2;19(5):2052-2057. doi: 10.1016/j.radcr.2024.02.017. eCollection 2024 May.ABSTRACTThe co-occurrence of Thrombocytopenia with Absent Radius (TAR) syndrome and Langerhans Cell Histiocytosis (LCH) is exceedingly rare, with scant documentation in existing medical literature. This case report aims to shed light on this unique intersection of conditions, emphasizing the diagnostic and therapeutic challenges it presents. A 27-year-old female with a history of TAR syndrome presented with microcytic anemia, hip pain, and gastrointestinal symptoms. Terminal ileum intubation during colonoscopy revealed super...
Source: Pain Physician - March 6, 2024 Category: Anesthesiology Authors: Mena Louis Chad Copper Elaine Lelli Joseph Conway Daniel Sarmiento Hardeep Singh Source Type: research

Assessment of Patient-Physician Interactions in Psoriatic Arthritis: National Results of the ASSIST Study
CONCLUSIONS: In this study, few patients with PsA were at risk of suboptimal communication with their physician. This phenomenon appeared to be primarily related to higher disease activity and burden.PMID:38446398 | DOI:10.1007/s40744-024-00655-4 (Source: Pain Physician)
Source: Pain Physician - March 6, 2024 Category: Anesthesiology Authors: Fabio Massimo Perrotta Rossana Scrivo Salvatore D'Angelo Silvia Scriffignano Andrea Delle Sedie Laura Coates Ennio Lubrano Source Type: research

Assessment of Ingrown Toenails Treated with Nail Fold Cryotherapy in Adolescent Patients: An Observational Pilot Study
CONCLUSIONS: Nail fold cryotherapy is a useful alternative among conservative methods because of its rapid and high efficiency (91.7%), especially in mild to moderate cases, despite the high recurrence rates (45.5%) in juvenile IGTN.PMID:38446556 | DOI:10.7547/21-177 (Source: Pain Physician)
Source: Pain Physician - March 6, 2024 Category: Anesthesiology Authors: Çağrı Turan Nurcan Metin Source Type: research

The utility and accuracy of ChatGPT in providing post-operative instructions following tonsillectomy: A pilot study
CONCLUSION: Although ChatGPT can provide accurate answers for common patient questions following tonsillectomy, it sometimes provides eloquently written inaccurate information. This may lead to patients using AI-generated medical advice contrary to physician advice. The inaccuracy in pain management answers likely reflects regional practice variability. If trained appropriately, ChatGPT could be an excellent resource for Otolaryngologists and patients to answer questions in the postoperative period. Future research should investigate if Otolaryngologist-trained models can increase the accuracy of responses.PMID:38447265 | ...
Source: Pain Physician - March 6, 2024 Category: Anesthesiology Authors: Sarit Dhar Dhruv Kothari Missael Vasquez Travis Clarke Andrew Maroda Wade G McClain Anthony Sheyn Robert M Tuliszewski Dennis M Tang Sanjeet V Rangarajan Source Type: research

Systemized approach to equipping medical students with naloxone: a student-driven initiative to combat the opioid crisis
CONCLUSIONS: We propose that medical schools advocate for a hospital pharmacy-initiated workflow focused on convenience and accessibility to expand naloxone access to medical students as a strategy to strengthen the U.S. emergency response and prevention efforts aimed at reducing opioid-related morbidity and mortality. Expansion of our program to BWH internal medicine residents increased our distribution to over 110 healthcare workers, and efforts to expand the program to other BWH training programs and clinical sites such as the emergency department and outpatient infectious disease clinics are underway. With more than 90...
Source: Pain Physician - March 6, 2024 Category: Anesthesiology Authors: Shahin A Saberi Sydney Moore Sienna Li Rory Vu Mather Mary B Daniels Amrita Shahani Antje Barreveld Todd Griswold Patrick McGuire Hilary S Connery Source Type: research

From terminal ileum to terminal diagnosis: The critical role of terminal ileum intubation in diagnosing langerhans cell histiocytosis in a patient with TAR syndrome
Radiol Case Rep. 2024 Mar 2;19(5):2052-2057. doi: 10.1016/j.radcr.2024.02.017. eCollection 2024 May.ABSTRACTThe co-occurrence of Thrombocytopenia with Absent Radius (TAR) syndrome and Langerhans Cell Histiocytosis (LCH) is exceedingly rare, with scant documentation in existing medical literature. This case report aims to shed light on this unique intersection of conditions, emphasizing the diagnostic and therapeutic challenges it presents. A 27-year-old female with a history of TAR syndrome presented with microcytic anemia, hip pain, and gastrointestinal symptoms. Terminal ileum intubation during colonoscopy revealed super...
Source: Pain Physician - March 6, 2024 Category: Anesthesiology Authors: Mena Louis Chad Copper Elaine Lelli Joseph Conway Daniel Sarmiento Hardeep Singh Source Type: research

Complementary and Alternative Medicine for Hidradenitis Suppurativa Discussed on TikTok: A Cross-Sectional Analysis
CONCLUSION: TikTok videos were poor quality (low DISCERN and AVA scores); physician-uploaded videos were fair quality. Dermatologists can improve video quality by adequately discussing the supporting evidence, mechanisms of action, and remaining questions for HS treatments.  J Drugs Dermatol. 2024;23(3):e93-96. doi:10.36849/JDD.7738e.PMID:38443128 | DOI:10.36849/jdd.7738 (Source: Pain Physician)
Source: Pain Physician - March 5, 2024 Category: Anesthesiology Authors: Hannah Peterson Paige Kingston Kathryn Lee Danielle Yee Margaret Y Huang Edwin Korouri Rosario Aguero April W Armstrong Source Type: research

Evolution of Parent-Targeted Interventions for Pain-Predominant Disorders of Gut-Brain Interactions: Research and Clinical Practice Considerations
CONCLUSIONS: There is a promising and growing evidence-base for parent-targeted interventions for pain-related DGBIs, which have not yet been widely adopted into clinical practice recommendations. Engaging all stake-holders and attending to the nuances of this approach are recommended to successfully apply parent-targeted interventions into clinical practice settings.PMID:38433851 | PMC:PMC10907008 | DOI:10.1037/cpp0000496 (Source: Pain Physician)
Source: Pain Physician - March 4, 2024 Category: Anesthesiology Authors: Katherine Lamparyk Jacklyn Stellway Cathleen Turnage Tasha B Murphy Jovita Echere Rona L Levy Source Type: research