Opioid use and disposal at 2 weeks post-surgery: Brief communication regarding excess opioids and disposal habits
CONCLUSION: Two-thirds of the patients reported having excess opioids, highlighting the issue of an overabundance of unused prescription opioids in America. Utilization of opioid-free pain management strategies and drug disposal kits should be explored to reduce the number of unused and improperly disposed opioids.PMID:38700391 | DOI:10.5055/jom.0854 (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - May 3, 2024 Category: Addiction Authors: Henry Kuechly Sarah Kurkowski John Bonamer Brian Newyear Brian Johnson Brian Grawe Source Type: research

The Gluteus Deep Investing Fascia Compartment Block: A Novel Technique for Posterior Femoral Cutaneous Nerve Block
CONCLUSION: The GDIF block appears to be a promising technique for anesthetic management, alone or as part of the CLEFT block. Further research with a larger patient population is necessary to validate these findings.PMID:38699287 | PMC:PMC11064292 | DOI:10.2147/LRA.S455702 (Source: Local and Regional Anesthesia)
Source: Local and Regional Anesthesia - May 3, 2024 Category: Anesthesiology Authors: Majaliwa Shabani Seydina Alioune Beye Abdoulaye Traore Pablo Echave Xavier Raingeval Daouda Coulibaly Sophie Crespo Source Type: research

Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
For elderly people with chronic lower back pain who need long-term management, there is a need for a nursing intervention study that is effective, is easy to perform, and applies complementary and alternative ... (Source: BMC Complementary and Alternative Medicine)
Source: BMC Complementary and Alternative Medicine - May 3, 2024 Category: Complementary Medicine Authors: Hyojung Park and Hyejin Lee Tags: Research Source Type: research

Decision Making of the In-season Athlete with Anterior Shoulder Instability
In-season management of anterior shoulder instability in athletes is a complex problem. Athletes often wish to play through their current season, though recurrent instability rates are high, particularly in contact sports. Athletes are generally considered safe to return to play when they are relatively pain-free, and their strength and range of motion match the uninjured extremity. If an athlete is unable to progress toward recovering strength and range of motion, surgical management is an option, though this is often a season-ending decision. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 3, 2024 Category: Sports Medicine Authors: Garrett V. Christensen, Olivia C. O ’Reilly, Brian R. Wolf Source Type: research

Factors Associated With Pain Catastrophizing in Patients With Chronic Neuropathic Pain: A Cross-Sectional Study
Chronic neuropathic pain caused by lesions or diseases of the somatosensory nervous system, which lasts for more than 3 months continuously or intermittently (Tao et al., 2021), is the most prevalent pain disorder group. It includes symptoms such as hyperalgesia, spontaneous pain, and paresthesia. Chronic neuropathic pain is characterized by its persistence, severity, and lack of controllability (Tao et al., 2021). Although drug therapy is the first-line treatment, its level of efficacy is far from optimal, and adverse drug reactions are common (Noori et al., 2019). (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 3, 2024 Category: Nursing Authors: Ruirui Qiu, Xiaoliang Bai, Yuli Li, Xinhua Shi, Dongyu Song, Yanyan Zhang Tags: Original Research Source Type: research

Cancer Pain Management in Patients with Opioid Use Disorder
AbstractPurpose of reviewUpdated cancer pain management recommendations considering the rise of opioid use disorder (OUD) and opioid overdose deaths. Few studies examine cancer pain management specific to patients with OUD. This narrative review aims to review recent literature on the topic, synthesize current recommendations, and formulate practical guidance.Recent findingsWe explored Google Scholar, PubMed, and institutional databases using keywords: cancer pain, pain management, and OUD for key literature. Themes found were multimodal cancer pain management, opioid selection, opioid and OUD stigma, and barriers to medic...
Source: Current Addiction Reports - May 3, 2024 Category: Addiction Source Type: research

Acupuncture for pediatric chronic pain: a systematic review
CONCLUSION: The analyzed studies showed important clinical results such as the reduction of pain intensity, and improvement in school attendance and social life. However, there are many limitations in study design and sample size. Therefore, there is weak evidence to support the use of acupuncture in the context of pediatric chronic pain, but the positive results reinforce the need for further investigation of the topic with the conduct of larger and well-designed studies, to obtain more data and greater scientific conviction of the findings.PMID:38697213 | DOI:10.1016/j.jped.2024.03.013 (Source: Jornal de Pediatria)
Source: Jornal de Pediatria - May 2, 2024 Category: Pediatrics Authors: Jo ão Roberto Bissoto Jos é Udevanier Rebouças da Silva Júnior Gabrielle Pignol Alvares Fl ávia H Santos Claudio Arnaldo Len Source Type: research

Comparison of Short ‑Term Outcomes and 3-Year Overall Survival between Robotic and Laparoscopic Gastrectomy for Gastric Cancer: A Propensity Score Matching Analysis
Conclusion: Our findings suggest that RG may offer advantages in terms of blood loss, surgical complications, recovery time, and pain management compared to LG while maintaining similar overall survival rates. However, RG is associated with higher hospital costs, potentially limiting its wider adoption. Further research, including large, multi-center randomized controlled trials with longer patient follow-up, particularly for advanced gastric cancer, is needed to confirm these findings.PMID:38693890 | DOI:10.1080/00015458.2024.2348256 (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 2, 2024 Category: Surgery Authors: Li Zhang Jingli Cui Mingzhi Cai Bin Li Gang Ma Xuejun Wang Yong Liu Jingyu Deng Rupeng Zhang Han Liang Jilong Yang Source Type: research

Effectiveness of implementing a standardized perioperative pain management protocol in children undergoing tonsillectomy: A quality improvement project
CONCLUSION: The quality improvement project highlighted notable improvements in the intervention group for whom a standardized perioperative pain management protocol was used, including reduced opioid medication administration, lower incidence of respiratory interventions, and high adherence to the pain management protocol. These findings underscore the effectiveness and feasibility of standardized protocols in enhancing patient outcomes.PMID:38695104 | DOI:10.1111/pan.14917 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - May 2, 2024 Category: Anesthesiology Authors: Lauren Freedman Anna Varughese Binu Koirala Vinciya Pandian Source Type: research

Knowledge of female genital schistosomiasis and urinary schistosomiasis among final-year midwifery students in the Volta Region of Ghana
CONCLUSION: Awareness of FGS was limited among the study participants. The high prevalence of knowledge of some FGS symptoms related to the genitalia needs cautious interpretation. Health care training institutions must make deliberate efforts to highlight FGS in the training of midwives as the condition has diagnostic and management implications for some sexual and reproductive health conditions.PMID:38696499 | DOI:10.1371/journal.pone.0302554 (Source: Pain Physician)
Source: Pain Physician - May 2, 2024 Category: Anesthesiology Authors: Wisdom Klutse Azanu Joseph Osarfo Gideon Appiah Yvonne Sefadzi Godonu Gifty Dufie Ampofo Verner Orish Michael Amoh Evans Kofi Agbeno Emmanuel Senanu Komla Morhe Margaret Gyapong Source Type: research

Prolonged Opioid Use Is Associated With Poor Pain Alleviation After Orthopaedic Surgery
CONCLUSION: Our findings demonstrated an overall high rate of COU. The known risk factors of COU were evident in our study population, particularly the modifiable risk factor of acute postsurgical PPA. Better management of postsurgical pain in orthopaedic patients may lead to a decrease in the rates of COU in this group.PMID:38696825 | DOI:10.5435/JAAOS-D-24-00044 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - May 2, 2024 Category: Orthopaedics Authors: Meir T Marmor Stephanie Hu Varun Mahadevan Alexander Floren Belen Perez Solans Rada Savic Source Type: research

Preliminary evaluation of an indwelling epidural catheter for repeat methylprednisolone administration in canine lumbosacral stenosis
CONCLUSION: Placement of an ECAPS is a feasible technique and a viable option to permit repeated epidural injections of steroids in dogs with degenerative lumbosacral stenosis that is managed conservatively. Further studies are required to evaluate complication rates.PMID:38694734 | PMC:PMC11017932 (Source: The Canadian Veterinary Journal)
Source: The Canadian Veterinary Journal - May 2, 2024 Category: Veterinary Research Authors: Marie-Philippe Bussi ères Stefania Grasso Philip Jull Source Type: research

Overview of long COVID in Brazil: a preliminary analysis of a survey to think about health policies
Cad Saude Publica. 2024 Apr 29;40(4):e00094623. doi: 10.1590/0102-311XPT094623. eCollection 2024.ABSTRACTCharacterized by symptoms that remain or appear for the first time within three months of SARS-CoV-2 infection, long COVID can manifest itself in different ways, including in non-hospitalized or asymptomatic cases. Thus, this study offers an overview of long COVID in Brazil, especially of its diagnosis, symptoms, and challenges for new health management. Data from a study that investigated long COVID in people affected by COVID-19 were used. These original data stem from a survey with adult Brazilians (aged 18 years or ...
Source: Cadernos de Saude Publica - May 2, 2024 Category: International Medicine & Public Health Authors: Karina Barros Calife Batista Michelle Vieira Fernandez Lorena Guadalupe Barberia Erica Tatiane da Silva Vaneide Daciane Pedi B árbara Maia Lima Madeira Pontes Gui Araujo Rafael da Silveira Moreira Marcos Pedrosa Mariana Pastorello Verotti Claudio Maierov Source Type: research

Acupuncture for pediatric chronic pain: a systematic review
CONCLUSION: The analyzed studies showed important clinical results such as the reduction of pain intensity, and improvement in school attendance and social life. However, there are many limitations in study design and sample size. Therefore, there is weak evidence to support the use of acupuncture in the context of pediatric chronic pain, but the positive results reinforce the need for further investigation of the topic with the conduct of larger and well-designed studies, to obtain more data and greater scientific conviction of the findings.PMID:38697213 | DOI:10.1016/j.jped.2024.03.013 (Source: Jornal de Pediatria)
Source: Jornal de Pediatria - May 2, 2024 Category: Pediatrics Authors: Jo ão Roberto Bissoto Jos é Udevanier Rebouças da Silva Júnior Gabrielle Pignol Alvares Fl ávia H Santos Claudio Arnaldo Len Source Type: research

Effects of additional exercise therapy after a successful vascular intervention for people with symptomatic peripheral arterial disease
CONCLUSIONS: There is very uncertain evidence that additional exercise therapy after successful lower limb revascularisation may improve absolute maximal walking distance at the end of follow-up compared to standard care. Evidence is also very uncertain about the effects of exercise on pain-free walking distance, six-minute walk test distance, quality of life, ankle-brachial index, mortality, and reintervention rates. Although it is not possible to confirm the effectiveness of supervised exercise compared to standard care for all outcomes, studies did not report any harm to participants from this intervention after lower l...
Source: Cochrane Database of Systematic Reviews - May 2, 2024 Category: General Medicine Authors: Gabriel Cucato Paulo Pl Longano Daniel Perren Raphael M Ritti-Dias John M Saxton Source Type: research