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Pain questioner patients

Barbara J Stussman, Richard L Nahin, Marta Čeko
Background and aims Despite the enormous body of literature spanning more than 50 years describing results of pain experiments, very few have used qualitative methods to explore subjects' thoughts while scoring experimental painful stimuli, and none in the available literature have used qualitative interviews to do so. The current study examined how participants in experimental pain research delineate pain ratings to better understand the unique influences of the experimental setting on pain scores. An additional aim was to highlight how individuals with fibromyalgia and healthy volunteers are differently influenced by characteristics of the experimental setting...
August 11, 2018: Scandinavian Journal of Pain
Benjamin Khechen, Brittany E Haws, Dil V Patel, Mundeep S Bawa, Islam M Elboghdady, Eric H Lamoutte, Sailee S Karmarkar, Kern Singh
STUDY DESIGN: Retrospective cohort. OBJECTIVE: This study aims to determine the validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) in minimally invasive lumbar discectomy (MIS LD) patients. SUMMARY OF BACKGROUND DATA: PROMIS was designed to allow for assessment of clinical outcomes in fewer questions than previous outcome measures with the goal of reducing non-compliance associated with longer, time-consuming surveys...
August 7, 2018: Spine
Magdalena Hoffmann, Anna K Holl, Harald Burgsteiner, Philipp Eller, Thomas R Pieber, Karin Amrein
A patient's admission to an intensive care unit (ICU) has a significant impact on family members and other relatives. In order for them to be able to cope with such a stressful situation, the availability of appropriate understandable and accessible information is crucial. The information asymmetry between relatives and medical professionals may adversely affect satisfaction of relatives and their risk of subsequent anxiety, depression and stress symptoms. The aim of this study was therefore to understand which topics are most important to the relatives of ICU patients and to quantify the perceptions of medical professionals regarding the information needs of relatives...
August 9, 2018: Wiener Klinische Wochenschrift
C Welte-Jzyk, D B Pfau, A Hartmann, M Daubländer
BACKGROUND: The purpose of this study was to characterize patients with chronic temporomandibular disorders (TMD) in terms of existing hyperalgesia against cold, heat and pressure. METHODS: The extent of hyperalgesia for pressure and thermal sensation in TMD patients was determined by the use of the painDETECT questionnaire ("Is cold or heat in this area occasionally painful?" "Does slight pressure in this area, e.g., with a finger, trigger pain?") and experimental somatosensory testing against thermal and pressure stimuli (Quantitative Sensory Testing; QST)...
August 9, 2018: BMC Oral Health
João Amaral, Catarina Sanches, Duarte Marques, José Vaz Patto, Filipe Barcelos, António Mata
AIMS: The objective of this study was to perform the Portuguese transcultural adaptation of the original Brazilian version of the Oral Health Impact Profile-14 (OHIP-14) while evaluating the association between hyposalivation and quality of life in a Sjögren´s Syndrome population. METHODS: The original Brazilian version of the Oral Health Impact Profile-14 was culturally adapted following the guidelines for cross-cultural adaptation of health-related quality of life measures...
April 2018: Acta Reumatológica Portuguesa
Hibah Osman, Sudip Shrestha, Sarah Temin, Zipporah V Ali, Rumalie A Corvera, Henry D Ddungu, Liliana De Lima, Maria Del Pilar Estevez-Diz, Frank D Ferris, Nahla Gafer, Harmala K Gupta, Susan Horton, Graciela Jacob, Ruinuo Jia, Frank L Lu, Daniela Mosoiu, Christina Puchalski, Carole Seigel, Olaitan Soyannwo, James F Cleary
Purpose The purpose of this new resource-stratified guideline is to provide expert guidance to clinicians and policymakers on implementing palliative care of patients with cancer and their caregivers in resource-constrained settings and is intended to complement the Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update of 2016. Methods ASCO convened a multidisciplinary, multinational panel of experts in medical oncology, family medicine, radiation oncology, hematology/oncology, palliative and/or hospice care, pain and/or symptom management, patient advocacy, public health, and health economics...
July 2018: Journal of Global Oncology
Huei-Min Chiang, Sofia Tranaeus, Karin Sunnegårdh-Grönberg
OBJECTIVE: In the western world, increased oral health has resulted in a skewed occurrence of caries disease where relatively few individuals now account for most caries disease. This study examines how adults with recurrent caries activity experience caries disease and treatment. MATERIALS AND METHODS: The study is based on qualitative data from individual interviews, which were subjected to qualitative content analysis. The interviews were semi-structured and thematic and an interview guide was used that consisted of two main areas with open ended questions...
August 7, 2018: Acta Odontologica Scandinavica
Patrick Welsch, Kathrin Bernardy, Sheena Derry, R Andrew Moore, Winfried Häuser
BACKGROUND: Fibromyalgia is a clinically defined chronic condition of unknown etiology characterised by chronic widespread pain, sleep disturbance, cognitive dysfunction, and fatigue. Many patients report high disability levels and poor quality of life. Drug therapy aims to reduce key symptoms, especially pain, and improve quality of life. The tetracyclic antidepressant, mirtazapine, may help by increasing serotonin and noradrenaline in the central nervous system (CNS). OBJECTIVES: To assess the efficacy, tolerability and safety of the tetracyclic antidepressant, mirtazapine, compared with placebo or other active drug(s) in the treatment of fibromyalgia in adults...
August 6, 2018: Cochrane Database of Systematic Reviews
Yvette S Zeng, Connie Wang, Kristina E Ward, Anne L Hume
CONTEXT: The aim of palliative care is to improve quality of life for patients with serious illnesses by treating their symptoms and adverse effects. Hospice care also aims for this for patients with a life expectancy of six months or less. When conventional therapies do not provide adequate symptom management or produce their own adverse effects, patients, families and caregivers may prefer complementary or alternative approaches in their care. OBJECTIVES: To evaluate the available evidence on the use of complementary or alternative medicine (CAM) in hospice and palliative care and to summarize their potential benefits...
August 1, 2018: Journal of Pain and Symptom Management
Raphael Twerenbold, Johannes Tobias Neumann, Nils Arne Sörensen, Francisco Ojeda, Mahir Karakas, Jasper Boeddinghaus, Thomas Nestelberger, Patrick Badertscher, Maria Rubini Giménez, Christian Puelacher, Karin Wildi, Nikola Kozhuharov, Dominik Breitenbuecher, Ewelina Biskup, Jeanne du Fay de Lavallaz, Dayana Flores, Desiree Wussler, Òscar Miró, F Javier Martín Sánchez, Beata Morawiec, Jiri Parenica, Nicolas Geigy, Dagmar I Keller, Tanja Zeller, Tobias Reichlin, Stefan Blankenberg, Dirk Westermann, Christian Mueller
BACKGROUND: The safety of the European Society of Cardiology (ESC) 0/1-h algorithm for rapid rule-out and rule-in of non-ST-segment elevation myocardial infarction (NSTEMI) using high-sensitivity cardiac troponin (hs-cTn) has been questioned. OBJECTIVES: This study aimed to validate the diagnostic performance of the 0/1-h algorithm in a large multicenter study. METHODS: The authors prospectively enrolled unselected patients in 6 countries presenting to the emergency department with symptoms suggestive of NSTEMI...
August 7, 2018: Journal of the American College of Cardiology
Sana Chams, Skye El Sayegh, Mulham Hamdon, Sarwan Kumar, Vesna Tegeltija
BACKGROUND: Acute pancreatitis is an acute inflammation of the pancreas that varies in severity from mild to life threatening usually requiring hospitalization. The true incidence of drug-induced pancreatitis (DIP) is indeterminate due to the inadequate documentation of case reports of DIP. Here we present the case of amoxicillin/clavulanic acid-induced pancreatitis in a previously healthy male after excluding all other causes of pancreatitis. CASE PRESENTATION: A 58-year-old Caucasian man presenting for acute sharp abdominal pain with associated nausea and heaves...
August 2, 2018: BMC Gastroenterology
Raimon Sanmartí, Jesús Tornero, Javier Narváez, Alejandro Muñoz, Elena Garmendia, Ana M Ortiz, Miguel Angel Abad, Patricia Moya, María Lourdes Mateo, Delia Reina, Juan Salvatierra-Ossorio, Sergio Rodriguez, Natalia Palmou-Fontana, Ana Ruibal-Escribano, Jaime Calvo-Alén
OBJECTIVES: 1) To systematically and critically review the evidence on the characteristics, efficacy and safety of glucocorticoids (CS) in rheumatoid arthritis (RA); 2) to generate practical recommendations. METHODS: A systematic literature review was performed through a sensitive bibliographic search strategy in Medline, Embase and the Cochrane Library. We selected randomized clinical trials that analyzed the efficacy and/or safety of CS in patients with RA. Two reviewers performed the first selection by title and abstract...
July 26, 2018: Reumatología Clinica
Chinni Suneelkumar, Anirudhan Subha, Dorasani Gogala
INTRODUCTION: This study addressed the following population, intervention, comparator, outcome, timing, study design and setting question: in patients with preoperative pain who undergo single-visit nonsurgical endodontic treatment, what is the comparative efficacy of corticosteroids compared with other analgesics or placebo in reducing postoperative pain and the incidence of adverse events. METHODS: Database/electronic searches were conducted using the PubMed/MEDLINE, Scopus, and Cochrane databases to identify published articles using included key words in various combinations...
July 24, 2018: Journal of Endodontics
Masakazu Ohuchi, Masaki Fukunaga, Kunihiko Nagakari, Daisuke Azuma, Shintaro Kohama, Jun Nomoto, Kazuhiro Sakamoto
PURPOSE: The question as to whether laparoscopic surgery should be applied for inguinal hernia after radical prostatectomy remains a debate due to surgical difficulty arising from adhesions in the prevesical space. We report the surgical technique used in our department, its outcomes, and its safety and effectiveness compared with the surgical outcomes of primary transabdominal preperitoneal inguinal hernia repair (TAPP) cases. METHODS AND MATERIALS: From February 2013 to January 2017, 30 patients with inguinal hernia were treated with TAPP after radical prostatectomy...
July 25, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Xiaofeng Chen, Weijun Guo, Qian Li, Zhicong Ou, Zehui Lao, Yi Liu, Chenguha Zhu, Zhuangxun Han, Xueyuan Chu, Dongling Cai
BACKGROUND: Several meta-analyses have been performed to compare unilateral percutaneous kyphoplasty (PKP) and bilateral PKP in the treatment of osteoporotic vertebral compression fractures (OVCFs), but inconsistencies in the results have led to questions as to which technique is preferable. OBJECTIVE: This study was designed to clarify the benefits and disadvantages of unilateral PKP versus bilateral PKP as found in numerous discordant meta-analyses and thereby present surgical treatment recommendations for OVCFs considering the current best evidence...
July 2018: Pain Physician
Lindsay Carlton, Joseph R Maccio, Joseph G Maccio, Andrew Braga, Elizabeth Tomanio, Anastasia Belikov
Background: Pain at the ankle-foot complex is a common musculoskeletal condition that can lead to dysfunction. Mechanical Diagnosis and Therapy (MDT) is an orthopedic classification and treatment system based on mechanical and symptomatic response to repeated and sustained movement. There has been no investigation of the association between MDT and patients diagnosed with ankle-foot complex pain. Case description: This report presents four patients with a primary complaint of pain in the ankle-foot complex...
July 2018: Journal of Manual & Manipulative Therapy
Miriam Calao, Jodie L Wilson, Lynda Spelman, Laurent Billot, Diana Rubel, Alan D Watts, Gregor B E Jemec
BACKGROUND: Hidradenitis Suppurativa (HS) is a painful, chronic inflammatory skin disease. Global estimates of prevalence vary between 0.03% and 4% of the population. Our main aim was to determine HS prevalence in the Australian adult population focussing on the demographics, management pathways and diagnosis rate of individuals living with HS. METHODS: In this population-based cross-sectional study, 17,050 individuals representative of the Australian adult population were asked through face-to-face household interviews to answer a previously validated HS screening questionnaire with high diagnostic power...
2018: PloS One
Tara McGrath, Samina Ali, Nadia Dow, Sarah Aziz, Molly Pilarski, Amy L Drendel
Background: Measures of satisfaction are essential to understanding patient experience, in general, and particularly with pain management. Objectives: (A) To identify the words children commonly use to communicate satisfaction, in general, and for pain management and (B) to determine if this vocabulary matches their caregivers. Methods: A study of child-caregiver pairs seen at a paediatric emergency department (PED) from July to November 2014 was conducted...
July 2018: Paediatrics & Child Health
Elahe Sadat Saeedifar, Robabe Memarian, Samira Fatahi, Fatemeh Ghelichkhani
Background and aim: Self-care is an important tool in controlling pain in patients with rheumatoid arthritis. The aim of this study was to determine the use of the Orem self-care model on pain relief in patients with rheumatoid arthritis. Methods: This was a clinical trial performed on 60 patients with rheumatoid arthritis who referred to a rheumatology clinic in Karaj during 2013-2015 (30 patients in the control group and 30 patients in the intervention group), convenience sampling was done and subjects were divided into two groups randomly...
June 2018: Electronic Physician
Jennifer I Etcheson, Chukwuweike U Gwam, Nicole E George, Alexander T Caughran, Michael A Mont, Ronald E Delanois
BACKGROUND: With legislative efforts aimed at optimizing value of care, surgeons performing total knee arthroplasty (TKA) are faced with increased responsibility of optimizing patient perception of care. However, pain after TKA may negatively influence patient perception of care, as measured by Press Ganey (PG) patient satisfaction surveys. While opioid-based medications are best suited for acute pain alleviation, awareness of a growing opioid epidemic has spurred efforts to reduce its administration...
June 30, 2018: Journal of Arthroplasty
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