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

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

Therapeutic use of granulocyte colony-stimulating factor (G-CSF) in patients with febrile neutropenia: a comprehensive systematic review for clinical practice guidelines for the use of G-CSF 2022 from the Japan Society of Clinical Oncology
CONCLUSION: A weak recommendation is made that G-CSF treatment not be administered to patients with febrile neutropenia during cancer chemotherapy. G-CSF treatment can be considered for patients at high risk.PMID:38696053 | DOI:10.1007/s10147-024-02541-z (Source: Clinical Breast Cancer)
Source: Clinical Breast Cancer - May 2, 2024 Category: Cancer & Oncology Authors: Kenji Tsuchihashi Mamoru Ito Yuta Okumura Kenta Nio Yukinori Ozaki Hiroshi Nishio Eiki Ichihara Yuji Miura Makoto Endo Shingo Yano Dai Maruyama Tetsuhiro Yoshinami Nobuyuki Susumu Munetaka Takekuma Takashi Motohashi Nobuaki Ochi Toshio Kubo Keita Uchino T Source Type: research

Therapeutic use of granulocyte colony-stimulating factor (G-CSF) in patients with febrile neutropenia: a comprehensive systematic review for clinical practice guidelines for the use of G-CSF 2022 from the Japan Society of Clinical Oncology
CONCLUSION: A weak recommendation is made that G-CSF treatment not be administered to patients with febrile neutropenia during cancer chemotherapy. G-CSF treatment can be considered for patients at high risk.PMID:38696053 | DOI:10.1007/s10147-024-02541-z (Source: Clinical Genitourinary Cancer)
Source: Clinical Genitourinary Cancer - May 2, 2024 Category: Cancer & Oncology Authors: Kenji Tsuchihashi Mamoru Ito Yuta Okumura Kenta Nio Yukinori Ozaki Hiroshi Nishio Eiki Ichihara Yuji Miura Makoto Endo Shingo Yano Dai Maruyama Tetsuhiro Yoshinami Nobuyuki Susumu Munetaka Takekuma Takashi Motohashi Nobuaki Ochi Toshio Kubo Keita Uchino T Source Type: research

Cytarabine-induced peripheral neuropathy in a young patient with acute myeloid leukemia: a case report
CONCLUSION: Although rare, even a conventional dosage of cytarabine can cause peripheral neuropathy, and routine neuromuscular examinations can help in the early diagnosis and intervention to limit further progression and reverse the course of the disease.PMID:38694396 | PMC:PMC11060256 | DOI:10.1097/MS9.0000000000001937 (Source: Annals of Medicine)
Source: Annals of Medicine - May 2, 2024 Category: Internal Medicine Authors: Kshitiz Karki Sugat Adhikari Suraj Shrestha Jenish Bhandari Bidisha Baral Aastha Baral Source Type: research

Richter supraumbilical hernia managed with invagination: a case report
CONCLUSION: Diagnosis of Richter's hernia demands higher suspicion, particularly in patients with predisposing factors like a history of minimally invasive surgery. Prompt surgical intervention is crucial for reducing mortality and enhancing prognosis, with invagination alone being adequate if ischaemia is confined and mesh placement is unnecessary.PMID:38694393 | PMC:PMC11060237 | DOI:10.1097/MS9.0000000000001943 (Source: Annals of Medicine)
Source: Annals of Medicine - May 2, 2024 Category: Internal Medicine Authors: Santosh Dev Prajjwol Luitel Sujan Paudel Shishir Devkota Laxman Khadka Sanjeev Jha Barsha Dev Nischal Neupane Bikal Ghimire Source Type: research

Short-term cervical spinal cord stimulation for central post-stroke pain: a case report and literature review
CONCLUSION: A potential role of spinal cord stimulation in the treatment of post-stroke pain is proposed in combined with traditional medication or other neuromodulation strategies, to achieve better control of pain in the future.PMID:38694358 | PMC:PMC11060234 | DOI:10.1097/MS9.0000000000002025 (Source: Annals of Medicine)
Source: Annals of Medicine - May 2, 2024 Category: Internal Medicine Authors: Xu Zhang Xuebin Yan Yuzhao Huang Haocheng Zhou 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

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

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

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

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

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