Corneal Neuropathic Pain: A Patient and Physician Perspective
We present the patient and physician perspective on the journey of both patients in order to provide insights into the challenges faced by patients and physicians in the diagnosis, assessment, and management of corneal neuropathic pain.PMID:38363459 | DOI:10.1007/s40123-024-00897-z (Source: Pain Physician)
Source: Pain Physician - February 16, 2024 Category: Anesthesiology Authors: Thomas W McNally Francisco C Figueiredo Source Type: research

Palliative approach remains lacking in terminal hospital admissions for chronic disease across rural settings: multisite retrospective medical record audit
CONCLUSIONS: End-of-life planning and specialist palliative care involvement occurred infrequently for people with chronic disease who died in rural hospitals. Targeted strategies are necessary to improve care for these prevalent and high needs rural populations.PMID:38365070 | DOI:10.1016/j.jpainsymman.2024.02.009 (Source: Pain Physician)
Source: Pain Physician - February 16, 2024 Category: Anesthesiology Authors: Assoc Prof Rebecca Disler Dr Amy Pascoe Dr Xinye Esther Chen Emily Lawson Michael Cahyadi Ajanth Paalendra Dr Helen Hickson Prof Julian Wright Bronwyn Phillips Dr Sivakumar Subramaniam Dr Kristen Glenister Prof Jenny Philip Prof Doranne Donesky Assoc Prof Source Type: research

< em > Candida glabrata < /em > oropharyngeal infection in a patient with oral squamous cell carcinoma after COVID-19 infection
CONCLUSION: Risk of fungal infections, such as Candida seems to be high in patients with severe COVID-19, mainly affecting the oral mucosa. However, whether they are directly attributed to COVID-19 or other surrounding factors is unknown.PMID:38361958 | PMC:PMC10864745 | DOI:10.22034/cmm.2023.345120.1478 (Source: Pain Physician)
Source: Pain Physician - February 16, 2024 Category: Anesthesiology Authors: Jalal Jafarzadeh Javad Javidnia Seyed Ali Jeddi Mahshid Vakili Mojtaba Taghizadeh Armaki Mahin Tavakoli Source Type: research

Corneal Neuropathic Pain: A Patient and Physician Perspective
We present the patient and physician perspective on the journey of both patients in order to provide insights into the challenges faced by patients and physicians in the diagnosis, assessment, and management of corneal neuropathic pain.PMID:38363459 | DOI:10.1007/s40123-024-00897-z (Source: Pain Physician)
Source: Pain Physician - February 16, 2024 Category: Anesthesiology Authors: Thomas W McNally Francisco C Figueiredo Source Type: research

Acthar Gel in African Americans versus Non-African Americans with Symptomatic Sarcoidosis: Physician Assessment of Patient Medical Records
CONCLUSION: Findings suggest that Acthar Gel improves health outcomes for patients with sarcoidosis, which could help to alleviate health disparities among African Americans, who are disproportionately affected by this disease.PMID:38351954 | PMC:PMC10863497 | DOI:10.2147/TCRM.S438174 (Source: Pain Physician)
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Jas Bindra Ishveen Chopra Kyle Hayes John Niewoehner Mary Prince Panaccio George J Wan Source Type: research

Physician Approaches to the Pharmacologic Treatment of Dystonia in Cerebral Palsy
CONCLUSIONS: This study summarizes current indications and dosing for the six most commonly used medications to treat dystonia in CP as per treating physicians in the US and Canada and also demonstrates physician support for a randomized trial comparing the effectiveness of these treatments.ARTICLE SUMMARY: Dystonia is common and debilitating in people with CP, with little data on pharmacologic treatments. We describe physicians' current approaches to using these treatments.WHAT’S KNOWN ON THIS SUBJECT: Comparing the effectiveness of existing pharmacologic treatments for dystonia in CP is a research priority shared by cl...
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Emma Lott Darcy Fehlings Rose Gelineau-Morel Michael Kruer Jonathan W Mink Sruthi P Thomas Steve Wisniewski Bhooma Aravamuthan Source Type: research

Costoclavicular Brachial Plexus Block Facilitates Painless Upper Extremity Reduction: A Case Report
CONCLUSION: Regional anesthesia is an effective component of multimodal pain management and another tool in the emergency physician's analgesic armamentarium. In acute orthopedic traumas necessitating emergent reduction, regional blocks serve as rescue pain control and can obviate the need for procedural sedation. In terms of targeted upper extremity analgesia, the CCBPB offers effective, single-shot, sensorimotor blockade below the shoulder, mitigating use of opioids and their deleterious side effects, while simultaneously avoiding incomplete blockade or phrenic nerve palsy associated with other approaches to brachial ple...
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: M Townsend Reeves Katherine O'Neil Todd L Slesinger Source Type: research

Spontaneous Aortic Rupture: A Case Report
CONCLUSION: Aortic rupture is a fatal complication of AAS. In an elderly patient with a history of hypertension, ischemic changes on electrocardiogram, and nonspecific pain, AAS should be on the emergency physician's differential even in the setting of a benign or limited history and exam.PMID:38353194 | PMC:PMC10855285 | DOI:10.5811/cpcem.1349 (Source: Pain Physician)
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Eshaan J Daas Coleman S Cowart Amanda Balmages Ryan Roten Source Type: research

Full-face and neck resurfacing with a novel ablative fractional 2910  nm erbium-doped fluoride glass fiber laser for advanced photoaging
CONCLUSIONS: Treatment with the novel 2910 nm fiber laser is safe and effective in treating advanced photoaging and rhytides. Three treatments produced moderate to marked improvement with high patient satisfaction and treatment was associated with less discomfort and downtime compared to conventional fractional ablative lasers.PMID:38353284 | DOI:10.1002/lsm.23764 (Source: Pain Physician)
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Taryn N Murray Jamie K Hu Paul M Friedman Source Type: research

The Use of Silver Oxynitrate Wound Dressings in the Treatment of Chronic Wounds: A Feasibility Pilot Study
CONCLUSIONS: The silver oxynitrate dressing may improve healing progression in patients with chronic wounds, enhance patient experience by reducing wound-related pain, and improve patients' mental well-being. Further studies are warranted to elucidate the effect of silver oxynitrate dressings on wound area, perimeter, and volume measurements.PMID:38353651 | DOI:10.1097/ASW.0000000000000085 (Source: Pain Physician)
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Jimena Rodriguez-Arguello Karin Lienhard Jill De Grood Rose Geransar Ranjani Somayaji Daniyal Khan John Conly Chester Ho Laurie Parsons Source Type: research

Efficacy and Durability of Intravenous Ertapenem Therapy for Recalcitrant Hidradenitis Suppurativa
CONCLUSIONS AND RELEVANCE: In this retrospective review of medical records and telephone survey, treating HS with intravenous ertapenem, administered for a mean of 13 weeks, was associated with improvement in clinical and inflammatory markers, as well as heightened patient satisfaction. Nonetheless, this approach should be monitored for the emergence of antimicrobial resistance given a longer than standard treatment course.PMID:38353987 | PMC:PMC10867774 | DOI:10.1001/jamadermatol.2023.6201 (Source: Pain Physician)
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Avigdor Nosrati Peter Y Ch'en McCall E Torpey Neda Shokrian Gretchen Ball Gabrielle Benesh Tyler M Andriano Tian Ran Zhu Haley D Heibel H Dean Hosgood Kristina L Campton Steven R Cohen Source Type: research

Caring for the Soul at the limits of Medical Technology: Reflection on Caring for a Patient on ECMO
J Pain Symptom Manage. 2024 Feb 12:S0885-3924(24)00070-8. doi: 10.1016/j.jpainsymman.2024.02.004. Online ahead of print.NO ABSTRACTPMID:38355068 | DOI:10.1016/j.jpainsymman.2024.02.004 (Source: Pain Physician)
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Mei-Ean Yeow Jose L Morales Rojas Christina Wood Teresa J Goddard Source Type: research

Vascular Regenerative Cell Deficiencies in  South Asian Adults
CONCLUSIONS: South Asian people with cardiometabolic disease had less vascular regenerative and reparative cells suggesting compromised vessel repair capabilities that may contribute to the excess vascular risk in this population. (The Role of South Asian vs European Origins on Circulating Regenerative Cell Exhaustion [ORIGINS-RCE]; NCT05253521).PMID:38355246 | DOI:10.1016/j.jacc.2023.12.012 (Source: Pain Physician)
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Aishwarya Krishnaraj Ehab Bakbak Hwee Teoh Yi Pan Irene N Firoz Arjun K Pandey Daniella C Terenzi Raj Verma Basel Bari Asaad I Bakbak Shakkeela Padanilathu Kunjummar Bobby Yanagawa Kim A Connelly C David Mazer Ori D Rotstein Adrian Quan Deepak L Bhatt Dar Source Type: research

Development of a novel clinimetric tool: PAtient Reported Disease Activity Index in Rheumatoid Arthritis (PARDAI-RA) by PANLAR, for the assessment of patients living with rheumatoid arthritis
CONCLUSION: In this article, we present a new clinimetric tool developed based on expert consensus and on data retrieved from our search. Disease activity can be better assessed by combining various data sources, such as clinical, laboratory, and self-reported outcomes. These variables were included in our novel clinimetric tool. Key Points • The goal of treatment of RA is to achieve the best possible control of inflammation, or even remission; therefore, disease management should include systematic and regular evaluation of inflammation and health status. • Clinimetric tools evaluate a series of variables (e.g., sympt...
Source: Pain Physician - February 14, 2024 Category: Anesthesiology Authors: Daniel G Fern ández-Ávila Daniela Pati ño-Hernández Socorro Moreno-Luna Lorena Brance Álvaro Arbeláez Antonio Cachafeiro Vilar Carlos Lozada Carlos R íos Carlos Toro Claudia Ram írez Guillermo Pons-Estel Manuel Ugarte-Gil Mar ía Narváez Miguel A Source Type: research

Competence by Design: The Role of High-Stakes Examinations in a Competence Based Medical Education System
Perspect Med Educ. 2024 Feb 6;13(1):68-74. doi: 10.5334/pme.965. eCollection 2024.ABSTRACTCompetency based medical education is developed utilizing a program of assessment that ideally supports learners to reflect on their knowledge and skills, allows them to exercise a growth mindset that prepares them for coaching and eventual lifelong learning, and can support important progression and certification decisions. Examinations can serve as an important anchor to that program of assessment, particularly when considering their strength as an independent, third-party assessment with evidence that they can predict future physic...
Source: Pain Physician - February 12, 2024 Category: Anesthesiology Authors: Farhan Bhanji Viren Naik Amanda Skoll Richard Pittini Vijay John Daniels C Maria Bacchus Glen Bandiera Source Type: research