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Risk factors for self-harm ideation among persons treated with opioids for chronic low back pain - Jamison RN, Edwards RR, Brown R, Barrett BP, Burzinski CA, Lennon RP, Nakamura Y, Schiefelbein T, Garland EL, Zgierska AE.
OBJECTIVES: Chronic pain is a significant health concern that adversely affects all aspects of life, including emotional well-being. Opioids are prescribed for the management of refractory, severe chronic pain although they have been associated with advers...
Source: SafetyLit - September 19, 2023 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Healthcare IT Regulations – What Needs to Be Added and What Needs to Be Removed
There are a lot of rules and regulations in place in the world of healthcare. These are put into place in order to protect patients and organizations. However, the world of healthcare is constantly changing and evolving as we come up with new ideas and solutions. Have the regulations done the same though? Or are there areas that are missing regulations? Or are there areas in healthcare where past regulations are now too restrictive and are holding us back? In search of answers to these questions, we reached out to our incredibly beautiful Healthcare IT Today Community to see what areas they would add, remove, or update re...
Source: EMR and HIPAA - September 19, 2023 Category: Information Technology Authors: Grayson Miller Tags: Administration Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System LTPAC Regulations 1upHealth 4medica Amanda Heidemann Andrea Mazzoccoli Andrew Norden MD Bill Charnetski Cheryl Cheng Commur Source Type: blogs

A Ruptured Cystic Echinococcosis in the Gallbladder and Intra/Extrahepatic Biliary Tract, Radiological and Surgical Imaging Findings
Turkiye Parazitol Derg. 2023 Sep 18;47(3):200-203. doi: 10.4274/tpd.galenos.2023.65265.ABSTRACTCystic echinococcosis is a common parasitic infestation that can still cause serious complications in endemic areas. Intrabiliary rupture is a well-defined complication, but rupture into the gallbladder is rare. The disease may present with cholecystitis and cholangitis. Clinicians and radiologists working in the emergency room will find the management of the disease much easier if they become familiar with the clinical and radiological findings of the cyst. In this article, a 28-year-old male admitted to the emergency department...
Source: Turkish Society for Parasitology - September 19, 2023 Category: Parasitology Authors: Saim T ürkoğlu Abdurrahman Ekici Leyla Turgut Çoban İlyas Dündar Ozan Okyay Esra G ürbüz Source Type: research

The HELLP syndrome: clinical issues and surgical management. A Case Experience
CONCLUSION: Short interval between diagnosis and management may enhance the feto-maternal survival rate and prevent further morbidity or mortality. The choice of laparotomy and hepatic packing has proved to be a viable option in patients with unstable vital signs and is feasible even in limited resource settings.KEY WORDS: HELLP syndrome, Liver hematoma rupture, Packing.PMID:37724665
Source: Annali Italiani di Chirurgia - September 19, 2023 Category: Surgery Authors: Giuseppe Massimiliano De Luca Viviana Danese Lucia Franzoso Alessandro De Luca Francesco Luca De Luca Antonella Tromba Miriam Farinelli Paolo Barbieri Alessandro Perrone Giovanni Landolfo Source Type: research

Surgical treatment of congenital scoliosis
Oper Orthop Traumatol. 2023 Sep 19. doi: 10.1007/s00064-023-00827-5. Online ahead of print.ABSTRACTOBJECTIVE: Early correction of congenital scoliosis including short fusion, while minimizing both mobility restrictions and growth impairment.INDICATIONS: Congenital scoliosis with marked deformity, proven progression, significant compensatory curves, and/or impairment of trunk balance. Furthermore, in case of compression of neural structures or pain due to secondary degeneration.CONTRAINDICATIONS: No absolute contraindication.SURGICAL TECHNIQUE: Posterior approach to the apex of the deformity. In the growing spine the perios...
Source: Operative Orthopadie und Traumatologie - September 19, 2023 Category: Orthopaedics Authors: Michael Ruf Source Type: research

Small bowel obstruction due to congenital adhesion bands in the virgin abdomen. There is more than meets the eye
CONCLUSION: Adhesive SBO due to congenital bands is a rare condition, particularly in adults, with potentially lifethreatening complications. With the aim of prompt diagnosis and treatment, a high index of suspicion and awareness should be maintained even in patients without previous medical or surgical history.KEY WORDS: Small bowel obstruction, Congenital adhesion bands, Virgin abdomen.PMID:37724652
Source: Annali Italiani di Chirurgia - September 19, 2023 Category: Surgery Authors: Athanasia Mitsala Konstantinos Romanidis Michail Pitiakoudis Source Type: research

Effectiveness of integrated approach of yoga therapy versus usual care in management on chronic low back pain patients: A randomized controlled pilot study
CONCLUSION: IAYT therapy helped in addressing the psychological components of pain and improved quality of life patients with chronic low back pain compared with usual care.PMID:37724772 | DOI:10.1111/papr.13296
Source: Cancer Control - September 19, 2023 Category: Cancer & Oncology Authors: Spoorthi Poojari Deepanshu Dhiman Babita Ghai Deepali Mathur Kashinath Metri Ketan Kataria Akshay Anand Source Type: research

Transient left bundle branch block associated with very high coronary artery calcium: a case report
We present a case of very high CAC in a 64-year-old woman with hypertension, type 2 diabetes, and hyperlipidemia presenting with dyspnea. Initial electrocardiogram (ECG) demonstrated normal conduction with a heart rate of 76 beats/min, but new T-wave inversions in V1-V4 and a high-sensitivity troponin-I (hsTnI) value of 6 ng/L (normal < 6 ng/L). Repeat ECG in the emergency department showed normal sinus rhythm (heart rate of 80 beats/min); however, it subsequently demonstrated a left bundle branch block (LBBB) with a repeat hsTnI of 7 ng/L. Stress testing with pharmacologic single-photon emission computerized tomography...
Source: Atherosclerosis - September 19, 2023 Category: Cardiology Authors: Alexander C Razavi Sindhu Prabakaran Mariem Sawan Lakshmi Tummala Ifeoma Onuorah Sagar B Amin Marly van Assen Carlo N De Cecco Arshed A Quyyumi Seamus P Whelton Laurence S Sperling Francois G Rollin Source Type: research

Women's experiences of primary dysmenorrhea symptoms: a systematic review of qualitative evidence and meta-aggregation
Women Health. 2023 Sep 14;63(8):658-668. doi: 10.1080/03630242.2023.2255289. Epub 2023 Sep 19.ABSTRACTPrimary dysmenorrhea (PD) has a significant impact on women's lives, especially among young women who miss school and work due to painful periods. Experiences and how women manage PD have been explored to some extent, but the evidence has not been systematically collated and reviewed to allow health professionals to better understand women's experiences of and perceptions about PD. Hence, we aim to synthesize the qualitative evidence related to women's experiences of PD and associated symptoms. For this purpose, seven data...
Source: Women and Health - September 19, 2023 Category: Primary Care Authors: Ana Moreno G ómez Ping Guo Ana Isabel de la Llave Rinc ón Nikolaos Efstathiou Source Type: research

Repair of Distal Fibula Fractures with Minimally Invasive Intramedullary Nailing in the Elderly
J Am Podiatr Med Assoc. 2023 Jul-Aug;113(4):22-121. doi: 10.7547/22-121.ABSTRACTAnkle fractures have been well documented and are common, especially in the elderly, behind hip and distal radius fractures. Open reduction and internal fixation (ORIF) is the standard of treatment for displaced and unstable ankle fractures. Traditionally, ankle fractures in the elderly population have been treated with nonoperative methods; however, nonoperative methods have been associated with increased mortality. Thus, there has been a shift toward operative management for the elderly and less healthy patients. However, these patients often...
Source: Journal of the American Podiatric Medical Association - September 19, 2023 Category: Podiatry Authors: Rayven Bridges Angelica Saulabiu Source Type: research

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