Examining pain, function, behavioral symptoms and associations with engagement in meaningful activity for residents with dementia in assisted living
CONCLUSION: Findings from this study show that pain is a significant factor that is negatively associated with residents' engagement in meaningful activity. Ongoing research is needed to help improve pain management for residents with dementia in assisted living and support their engagement in meaningful activity.PMID:38651198 | DOI:10.1080/13607863.2024.2342963 (Source: Aging and Mental Health)
Source: Aging and Mental Health - April 23, 2024 Category: Geriatrics Authors: Sarah D Holmes Barbara Resnick Elizabeth Galik Sorah Levy Susan Scherr Erin O'Brien Source Type: research
Cingulotomy for Intractable Pain: A Systematic Review of an Underutilized Procedure
Cureus. 2024 Mar 22;16(3):e56746. doi: 10.7759/cureus.56746. eCollection 2024 Mar.ABSTRACTPain management is a critical aspect of cancer treatment and palliative care, where pain can significantly impact quality of life. Chronic pain, which affects a significant number of people worldwide, remains a prevalent and challenging symptom for patients. While medications and psychosocial support systems play a role in pain management, surgical and radiological interventions, including cingulotomy, may be necessary for refractory cases. Cingulotomy, a neurosurgical procedure targeting the cingulate gyrus, aims to disrupt neural pa...
Source: Cancer Control - April 23, 2024 Category: Cancer & Oncology Authors: Billy McBenedict Wilhelmina N Hauwanga Mariana P Pires Jos é Geraldo M Netto Dulci Petrus Jumana A Kanchwala Rhea Joshi Shaista Rizwan Ahamed Alurkar Otari Chankseliani Zaeemah Mansoor Sona Subash Berley Alphonse Ana Abrah ão Bruno Lima Pess ôa Source Type: research
Transversus Abdominis Plane Block versus Epidural Anesthesia for Pain Management Post-Caesarean Delivery: A Pilot Study
CONCLUSION: The TAP block proves advantageous in mitigating postoperative pain for women post-caesarean delivery, particularly in the initial 6 postpartum hours. This relief promotes early mother-infant bonding and facilitates breastfeeding.PMID:38650746 | PMC:PMC11033210 | DOI:10.2147/LRA.S444947 (Source: Local and Regional Anesthesia)
Source: Local and Regional Anesthesia - April 23, 2024 Category: Anesthesiology Authors: Jorge Emilio Salazar-Fl órez Leidy Tatiana Arenas-Cardona Ninemy Marhx Eduardo L ópez-Guerrero Ángela Patricia Echeverri-Rendón Luz Stella Giraldo-Cardona Source Type: research
Patient Perspectives on Outpatient versus Inpatient Cervical Ripening for Induction of Labor
Conclusion Outpatient cervical ripening can be a patient-centered solution to obstetric throughput challenges arising from increased numbers of inductions. Those who underwent outpatient cervical ripening had similar perceived control to those who underwent inpatient cervical ripening, suggesting that individual patient preferences are most important in determining the optimal setting for care. The patients' reported experiences identified focus areas for process improvement efforts and future research, including improving patient education regarding expectations and innovating new pain management strategies for cervical...
Source: American Journal of Perinatology - April 23, 2024 Category: Perinatology & Neonatology Authors: Watters, Amber Ekpe, Etoroabasi Okafor, Annette Donelan, Emily Tags: Original Article Source Type: research
Comparison of analgesic efficacy of ibuprofen and dexketoprofen in pain management of long bone fractures: a prospective, randomized, double-blind study
ConclusionIbuprofen 800 mg demonstrated superior analgesic efficacy at 60 and 120 min compared to Dex in long bone fractures. These findings suggest ibuprofen ’s potential as an effective pain management option in emergency departments. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - April 23, 2024 Category: Emergency Medicine Source Type: research
Surgical management of renal cell carcinoma with subhepatic inferior vena cava tumor thrombus: a case report and review of the literature
ConclusionOpen surgery is a safe and efficient way to treat renal cell carcinoma involving the renal vein and inferior vena cava. It is superior to other therapeutic modalities. When properly done it provides acceptable long time survival and good quality of life to patients. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - April 23, 2024 Category: General Medicine Source Type: research
Do the management and functional outcomes of the surgically treated spinal fractures change in suicidal jumpers?
ConclusionPsychiatric disorders are more common in patients in the suicidal jumpers. The presence of underlying psychiatric problems adversely affects the postoperative functional outcomes of patients with surgically treated spinal fractures. A multidisciplinary approach together with raising awareness in this way can improve the clinical outcomes after orthopedic treatment, even if there is physical disability. (Source: European Spine Journal)
Source: European Spine Journal - April 23, 2024 Category: Orthopaedics Source Type: research
Recent United States Developments in the Pharmacological Treatment of Dry Eye Disease
AbstractDry eye disease (DED) can arise from a variety of factors, including inflammation, meibomian gland dysfunction (MGD), and neurosensory abnormalities. Individuals with DED may exhibit a range of clinical signs, including tear instability, reduced tear production, and epithelial disruption, that are driven by different pathophysiological contributors. Those affected often report a spectrum of pain and visual symptoms that can impact physical and mental aspects of health, placing an overall burden on an individual ’s well-being. This cumulative impact of DED on an individual’s activities and on society underscores...
Source: Drugs - April 23, 2024 Category: Drugs & Pharmacology Source Type: research
Rare retroperitoneal giant sacral schwannoma: A case report
Oncol Lett. 2024 Apr 10;27(6):261. doi: 10.3892/ol.2024.14394. eCollection 2024 Jun.ABSTRACTSchwannomas localized in the sacrum are relatively infrequent, accounting for 1-5% of all spinal axis schwannomas; they present with vague symptoms or are symptomless, so often grow to a considerable size before detection. Sacral schwannomas occasionally present with enormous dimensions, and these tumors are termed giant sacral schwannomas. However, their surgical removal is challenging owing to an abundant vascularity. The present study retrospectively analyzed the clinical and follow-up data of a patient with a giant sacral schwan...
Source: Oncology Letters - April 22, 2024 Category: Cancer & Oncology Authors: Shunchang Zhou Shenyi Wan Liang Li Wei Dong Xuhui Ma Haibo Chu Yuxu Zhong Source Type: research
Lumbar Spinal Stenosis: Diagnosis and Management
Am Fam Physician. 2024 Apr;109(4):350-359.ABSTRACTLumbar spinal stenosis is a clinical syndrome that affects more than 200,000 people in the United States annually. It is a common cause of chronic insidious low back pain, especially in older patient populations (mean age = 64 years). Lumbar spinal stenosis is a degenerative condition of the spine leading to narrowing in the spaces around the neurovascular bundles and the classic symptom of low back pain that radiates to the buttocks and lower extremities bilaterally. It is typically a progressive waxing and waning process that may deteriorate over years. The pain is typica...
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Charles W Webb Kenneth Aguirre Peter H Seidenberg Source Type: research
Pain Management After Orthopedic Trauma: Guidelines From the Eastern Association for the Surgery of Trauma and the Orthopaedic Trauma Association
Am Fam Physician. 2024 Apr;109(4):376-377.NO ABSTRACTPMID:38648845 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Pamela R Hughes Gregorio Climaco Source Type: research
Provider Perspectives on Analgesic Use in Intrauterine Device Insertion Procedures: A Mixed Methods Analysis
CONCLUSIONS: Our study has identified a significant amount of variation in practices regarding analgesic use for IUD insertion procedures and highlighted some underlying causes of these inconsistencies. Future studies should further investigate trends in analgesic administration in IUD insertion procedures with a larger sample size and delve into factors such as provider education and barriers to access.PMID:38646269 | PMC:PMC11031185 | DOI:10.7759/cureus.56580 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Camryn Daidone Kaitlyn Morris James Colquitt Gwenn Jackson Source Type: research
Application of a user experience design approach for an EHR-based clinical decision support system
CONCLUSION: A UX approach can drive design to help understand physician-users and meet their needs; ultimately with the goal of increased uptake.PMID:38646110 | PMC:PMC11032728 | DOI:10.1093/jamiaopen/ooae019 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Emily Gao Ilana Radpavar Emma J Clark Gery W Ryan Mindy K Ross Source Type: research
Regional analgesia using ultrasound-guided intermediate cervical plexus block versus cervical erector spinae block for anterior cervical spine surgery: a randomized trial
Regional analgesia techniques are crucial for pain management after cervical spine surgeries. Anesthesiologists strive to select the most effective and least hazardous regional analgesia technique for the cerv... (Source: BMC Anesthesiology)
Source: BMC Anesthesiology - April 22, 2024 Category: Anesthesiology Authors: Alshaimaa Abdel Fattah Kamel, Ahmed M. Fahmy, Heba M. Fathi, Wael Abd Elrahman Ali Elmesallamy and Osama Yehia A. Khalifa Tags: Research Source Type: research
An initial examination of ChatGPT responses to questions about decision making in advanced cancer
ChatGPT is an online chat application supported by a large language model (LLM) that has garnered widespread attention in scientific research.1 It is well understood that patients with cancer use the internet as a source of information to support medical decision making (DM),2 and recent research suggests that ChatGPT often provides accurate medical information in response to questions about cancer.3 Given ChatGPT's accessibility, it is likely to be used by individuals seeking DM support related to cancer. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 22, 2024 Category: Palliative Care Authors: Meghan McDarby, Emily L. Mroz, Amanda Kastrinos, Gleneara Bates-Pappas, Smita Banerjee, Patricia A. Parker Tags: Letter Source Type: research
