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

Knowledge, attitude, and practice toward herpes zoster (HZ) and HZ vaccination: Concept elicitation findings from a multi-country study in the Asia Pacific
Hum Vaccin Immunother. 2024 Dec 31;20(1):2317446. doi: 10.1080/21645515.2024.2317446. Epub 2024 Mar 4.ABSTRACTHerpes zoster (HZ) is a prevalent disease characterized by a painful rash. A multi‑country study was conducted to elicit public and physician knowledge, attitude, and practice (KAP) toward HZ disease and vaccination for the assessment of local factors influencing HZ vaccine perceptions in four Asian-Pacific countries/territories One-to-one qualitative interviews were conducted in 2022, among the public (people aged ≥ 50 years, adults with parents aged ≥ 50 years, zoster vaccine live-vaccinated individuals age...
Source: Pain Physician - March 4, 2024 Category: Anesthesiology Authors: Jing Chen Sumitra Shantakumar Jennifer Si Regina Gowindah Raunak Parikh Felix Chan Macy Chan Won Suk Choi Erick Huang Kuo-Chin Huang Li-Min Huang Hyungwoo Kim Choon Kit Leong Hoe-Nam Leong Yubin Seo Charles Williams Andrew Ty Wong Source Type: research

Foot pain from exercise: Diagnosis and treatment
This article discusses three common presentations of foot pain following exercise: stress fractures, plantar fasciitis and arthritis. The reader will understand how to take an appropriate history, perform an examination and order suitable investigations for these conditions, and when to refer on to allied health, orthopaedic surgeon or a sport and exercise physician.DISCUSSION: Prompt diagnosis and treatment, particularly focusing on offloading, lifestyle modifications and footwear, using a multidisciplinary team can prevent the development of chronic musculoskeletal pain and expedite recovery and return to activity.PMID:3...
Source: Pain Physician - March 4, 2024 Category: Anesthesiology Authors: Amy Touzell Source Type: research

Relationship among sleep, work features, and SARS-cov-2 vaccine antibody response in hospital workers
CONCLUSIONS: Shift work and self-reported short sleep duration were associated with a lower antibody response following a booster dose of the SARS-CoV-2 vaccine. These findings suggest that the efficacy of vaccination, particularly among healthcare workers, may be augmented by addressing both sleep and circadian alignment.PMID:38437781 | DOI:10.1016/j.sleep.2024.02.045 (Source: Pain Physician)
Source: Pain Physician - March 4, 2024 Category: Anesthesiology Authors: Riva Tauman Oryan Henig Eliot Rosenberg Or Marudi Talia M Dunietz Michael A Grandner Avishay Spitzer David Zeltser Michal Mizrahi Eli Sprecher Ronen Ben-Ami Hanoch Goldshmidt Ilana Goldiner Esther Saiag Yoel Angel Source Type: research

A randomized double-blind trial of intranasal dexmedetomidine versus intranasal esketamine for procedural sedation and analgesia in young children
CONCLUSIONS: This study was underpowered and did not show any difference between intranasal dexmedetomidine and intranasal esketamine for procedural sedation and analgesia in young children. However, the results support that intranasal dexmedetomidine could provide effective analgesia and sedation during procedures in young children aged 1-3 years with minor injuries.TRIAL REGISTRATION: Eudra-CT 2017-00057-40, April 20, 2017. https://eudract.ema.europa.eu/.PMID:38439043 | PMC:PMC10913425 | DOI:10.1186/s13049-024-01190-5 (Source: Pain Physician)
Source: Pain Physician - March 4, 2024 Category: Anesthesiology Authors: Anna Nikula Stefan Lundeberg Malin Ryd Rinder Mitja L ääperi Katri Sandholm Maaret Castr én Lisa Kurland 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

Knowledge, attitude, and practice toward herpes zoster (HZ) and HZ vaccination: Concept elicitation findings from a multi-country study in the Asia Pacific
Hum Vaccin Immunother. 2024 Dec 31;20(1):2317446. doi: 10.1080/21645515.2024.2317446. Epub 2024 Mar 4.ABSTRACTHerpes zoster (HZ) is a prevalent disease characterized by a painful rash. A multi‑country study was conducted to elicit public and physician knowledge, attitude, and practice (KAP) toward HZ disease and vaccination for the assessment of local factors influencing HZ vaccine perceptions in four Asian-Pacific countries/territories One-to-one qualitative interviews were conducted in 2022, among the public (people aged ≥ 50 years, adults with parents aged ≥ 50 years, zoster vaccine live-vaccinated individuals age...
Source: Pain Physician - March 4, 2024 Category: Anesthesiology Authors: Jing Chen Sumitra Shantakumar Jennifer Si Regina Gowindah Raunak Parikh Felix Chan Macy Chan Won Suk Choi Erick Huang Kuo-Chin Huang Li-Min Huang Hyungwoo Kim Choon Kit Leong Hoe-Nam Leong Yubin Seo Charles Williams Andrew Ty Wong Source Type: research

Foot pain from exercise: Diagnosis and treatment
This article discusses three common presentations of foot pain following exercise: stress fractures, plantar fasciitis and arthritis. The reader will understand how to take an appropriate history, perform an examination and order suitable investigations for these conditions, and when to refer on to allied health, orthopaedic surgeon or a sport and exercise physician.DISCUSSION: Prompt diagnosis and treatment, particularly focusing on offloading, lifestyle modifications and footwear, using a multidisciplinary team can prevent the development of chronic musculoskeletal pain and expedite recovery and return to activity.PMID:3...
Source: Pain Physician - March 4, 2024 Category: Anesthesiology Authors: Amy Touzell Source Type: research

Factors associated with return to play following conservative treatment for lumbar spondylolysis among young athletes: A retrospective case series using structural equation modeling
CONCLUSION: Patient adherence is essential for reducing the time to RTP among young athletes receiving conservative treatment for early-stage spondylolysis.PMID:38432841 | DOI:10.1016/j.jbmt.2023.11.006 (Source: Pain Physician)
Source: Pain Physician - March 3, 2024 Category: Anesthesiology Authors: Masahiro Tsukada Toshiro Takiuchi Noriko Ichinoseki-Sekine Source Type: research

Prevalence and Factors Associated With Patient-Clinician Discordance Among Patients With Rheumatoid Arthritis Initiating Advanced Therapy
CONCLUSION: Results suggest positive discordance is common among real-world patients with RA initiating their first biologic or JAKi. The identified risk factors associated with patient-clinician discordance will help clinicians foster a more patient-centric discussion in treatment decisions.PMID:38429905 | DOI:10.1002/acr2.11587 (Source: Pain Physician)
Source: Pain Physician - March 2, 2024 Category: Anesthesiology Authors: Jeffrey R Curtis Robert R McLean I-Heng Lee Rachel H Mackey Page C Moore Richard Haubrich Jeffrey D Greenberg Alicea Wu Source Type: research

Prevalence and Factors Associated With Patient-Clinician Discordance Among Patients With Rheumatoid Arthritis Initiating Advanced Therapy
CONCLUSION: Results suggest positive discordance is common among real-world patients with RA initiating their first biologic or JAKi. The identified risk factors associated with patient-clinician discordance will help clinicians foster a more patient-centric discussion in treatment decisions.PMID:38429905 | DOI:10.1002/acr2.11587 (Source: Pain Physician)
Source: Pain Physician - March 2, 2024 Category: Anesthesiology Authors: Jeffrey R Curtis Robert R McLean I-Heng Lee Rachel H Mackey Page C Moore Richard Haubrich Jeffrey D Greenberg Alicea Wu Source Type: research

Effects of Prognostic Communication Strategies on Prognostic Perceptions, Treatment Decisions and End-Of-Life Anticipation in Advanced Cancer: An Experimental Study among Analogue Patients
CONCLUSION: If and how oncologists discuss prognosis can influence how individuals perceive prognosis, which treatment they prefer, and how they feel about treatment decisions. Communicating numerical estimates may stimulate prognostic understanding and informed treatment decision-making.PMID:38428696 | DOI:10.1016/j.jpainsymman.2024.02.563 (Source: Pain Physician)
Source: Pain Physician - March 1, 2024 Category: Anesthesiology Authors: Naomi C A van der Velden Ellen M A Smets Liesbeth M van Vliet Linda Brom Hanneke W M van Laarhoven Inge Henselmans Source Type: research