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https://www.readbyqxmd.com/read/29912090/rupture-of-the-corpus-cavernosum-in-a-pediatric-patient
#1
Blake C Gruenberg, David Mortel, Amanda Bogie
Pediatric penile pain is an uncommon complaint and is associated with a wide differential diagnosis including infectious, inflammatory, traumatic, and idiopathic conditions. Penile fractures, anatomically known as rupture of the corpus cavernosum, are almost exclusively reported in sexually mature patients and usually involve forceful manipulation during sexual activity. Rupture of the corpus cavernosum is a true urologic emergency. Failure to recognize and treat rupture of the corpus cavernosum has been associated with residual penile angulation, persistent hematoma, abscess, erectile dysfunction, and fibrosis...
June 14, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29911969/home-based-palliative-care-program-relieves-chronic-pain-in-kerala-india-success-realized-through-patient-family-narratives
#2
Aparna Sai Ajjarapu, Ann Broderick
An estimated 1.5 billion people across the globe live with chronic pain, and an estimated 61 million people worldwide experience unrelieved serious health-related suffering. One-sixth of the global population lives in India, where approximately 10 million people endure unrelieved serious health-related suffering. The state of Kerala is home to Pallium India, one of the most sophisticated palliative care programs in the country. This private organization in Trivandrum provides palliative and hospice care to underresourced populations and emphasizes holistic pain treatment...
June 14, 2018: Permanente Journal
https://www.readbyqxmd.com/read/29911573/managing-post-thoracotomy-pain-epidural-or-systemic-analgesia-and-extended-care-a-randomized-study-with-an-as-usual-control-group
#3
Elina Tiippana, Kaisa Nelskylä, Eija Nilsson, Eero Sihvo, Matti Kataja, Eija Kalso
Background and aims Thoracotomies can cause severe pain, which persists in 21-67% of patients. We investigated whether NSAID + intravenous patient-controlled analgesia (IV-PCA) with morphine is an efficacious alternative to thoracic epidural analgesia (TEA). We also wanted to find out whether an extended controlled pain management protocol within a clinical study can decrease the incidence of persistent post-thoracotomy pain. Methods Thirty thoracotomy patients were randomized into 3 intervention groups with 10 patients in each...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29909389/delayed-presentation-of-iatrogenic-splenic-injury-21-days-after-laparoscopic-donor-left-nephrectomy
#4
Kelvin Yafan Wang, Omar Abbassi, Ali Warsi
We report the case of a 46-year-old woman who had presented with left-sided abdominal pain 21 days after undergoing a left-sided laparoscopic nephrectomy for donation. Initial haemoglobin and haematocrit levels were within normal range, and vital signs on admission were unremarkable. Significant intra-abdominal pathology was not suspected; however, inpatient CT scan of the abdomen showed a posterolateral subcapsular splenic haematoma with free abdominal fluid. Initial trial of conservative management was not successful as the patient became hypotensive on the third day of admission with a sudden decrease in haemoglobin and haematocrit...
June 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29905913/development-of-low-cost-locally-sourced-two-component-compression-bandages-in-western-kenya
#5
Aileen Y Chang, Edith C Tonui, Douglas Momanyi, Alex R Mills, Paul Wasike, Rakhi Karwa, Toby A Maurer, Sonak D Pastakia
INTRODUCTION: Compression therapy is well-established standard of care for chronic leg ulcers from venous disease and lymphedema. Chronic leg ulcers and lymphedema have a significant impact on quality of life, driven by pain, foul odor, and restricted mobility. Provision of layered compression therapy in resource-limited settings, as in Western Kenya and other regions of sub-Saharan Africa, is a major challenge due to several barriers: availability, affordability, and access to healthcare facilities...
June 15, 2018: Dermatology and Therapy
https://www.readbyqxmd.com/read/29902472/home-based-exercise-enhances-health-related-quality-of-life-in-persons-with-spinal-cord-injury-a-randomized-controlled-trial
#6
Tom E Nightingale, Peter C Rouse, Jean-Philippe Walhin, Dylan Thompson, James L J Bilzon
OBJECTIVE: To assess the influence of a home-based exercise intervention on indices of health-related quality of life (HRQOL) in persons with spinal cord injury (SCI). DESIGN: This was a randomized controlled trial (HOMEX-SCI; ISRCTN57096451). After baseline laboratory testing and a week of free-living physical activity monitoring, eligible participants were randomly assigned (2:1 allocation ratio) to a home-based moderate-intensity upper-body exercise intervention (INT, n = 13), or a lifestyle maintenance control group (CON, n = 8), for 6 weeks...
June 11, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29898583/disability-after-major-abdominal-surgery-determinants-of-recovery-of-walking-ability-in-elderly-patients
#7
Lucia Petrucci, Serena Monteleone, Susanna Ricotti, Erica Giromini, Mariangela Gullace, Emilia Ambrosini, Giorgio Ferriero, Elena Dalla Toffola
BACKGROUND: Increased life expectancy and improved surgical techniques have led to a sharp rise in healthcare resource consumption by older patients. In these patients early recovery of walking ability after abdominal surgery may shorten length of hospital stay and reduce overall healthcare costs, but it is important to understand what factors determine this recovery. AIM: To assess preoperative and postoperative determinants of walking ability recovery after major abdominal surgery in older patients...
June 11, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29896336/pneumorrhachis-with-spontaneous-pneumomediastinum-should-it-raise-special-concerns
#8
Dina Valiyakath, Thuraya Al Busaidi, Salma Al Shamsi, Yaqoob Al Sawafi
Spontaneous pneumomediastinum (SPM) is a rare and benign condition predominantly seen in young males. Patients present with non-specific pleuritic chest pain, cough, and dyspnea. Hence, it is difficult to diagnose in the acute setting until other serious differential diagnoses involving the integrity of the aerodigestive tract have been excluded. This results in over investigation and overtreatment until a diagnosis has been confirmed. We report a case of a 21-year-old Omani female who presented with a complaint of cough...
May 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/29893435/dyspnea-and-self-management-strategies-in-patients-admitted-to-the-emergency-department-a-study-of-patients-experiences
#9
Karoline Stentoft Rybjerg Larsen, Annemette Krintel Petersen, Marianne Lisby, Marie Veje Knudsen
AIMS AND OBJECTIVE: To explore patients' experiences of acute dyspnea, physical functioning, and perspectives on course of illness prior to admission to the emergency department. BACKGROUND: Many emergency admissions are considered unnecessary and avoidable. In this perspective, it seems relevant to gain insight into the patients' perspective on acute dyspnea and the need for emergency admission. However, only few studies have investigated reasons for emergency admission from a patient perspective...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29892989/change-in-quality-of-life-after-a-multidisciplinary-intervention-for-people-with-dementia-a-cluster-randomized-controlled-trial
#10
Maartje S Klapwijk, Monique A A Caljouw, Marjoleine J C Pieper, Hein Putter, Jenny T van der Steen, Wilco P Achterberg
OBJECTIVE: The objective of this study was to examine whether implementation of a stepwise multicomponent intervention (STA OP!) for challenging behavior and pain affects quality of life (QoL) of nursing home residents with moderate to severe dementia after 3 and 6 months. METHODS: A cluster randomized controlled trial was conducted in 12 nursing homes. Both control (n = 140) and intervention group (=148) received training, the intervention group was also treated using the STA OP! INTERVENTION: At baseline, 3 and 6 months QoL was assessed using the 6 QUALIDEM domains applicable to moderate and severe dementia...
June 11, 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29889874/investigating-the-loss-of-work-productivity-due-to-symptomatic-leiomyoma
#11
Klara Hasselrot, Mia Lindeberg, Peter Konings, Helena Kopp Kallner
INTRODUCTION: Leiomyoma affects up to 50% of fertile women, leading to morbidity such as bleeding or pain. The effect of symptomatic leiomyoma on the productivity of employed women is understudied. The present study investigates productivity loss in a Swedish setting in women with symptomatic leiomyoma compared to healthy women. MATERIAL AND METHODS: Women seeking care for leiomyoma and heavy menstrual bleeding (HMB) were recruited at nine Swedish sites. Healthy controls with self-perceived mild to normal menstruation were recruited at routine visits...
2018: PloS One
https://www.readbyqxmd.com/read/29888800/expanding-opportunities-in-the-post-acute-long-term-care-pa-ltc-setting-bringing-medication-safety-to-the-next-level
#12
Nicole J Brandt, Chad Worz, Sharon F Clackum
Skilled nursing facilities and nursing homes are a care setting that offers increasing opportunities for pharmacists to be leaders when addressing the new updated Centers for Medicare and Medicaid Services requirements coupled with the enhanced quality measures reporting. Additionally, the complexity of the medication-related needs and comorbidities of the patients served in long-term care facilities promotes pharmacists practicing to the top of their license. Medication stewardship needs to be an interdisciplinary team activity led by the pharmacist...
June 11, 2018: Pharmacotherapy
https://www.readbyqxmd.com/read/29888007/feasibility-safety-and-preliminary-effectiveness-of-a-home-based-self-managed-high-intensity-interval-training-program-offered-to-long-term-manual-wheelchair-users
#13
Cindy Gauthier, Rachel Brosseau, Audrey L Hicks, Dany H Gagnon
Objectives: To investigate and compare the feasibility, safety, and preliminary effectiveness of home-based self-managed manual wheelchair high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) programs. Methods: Eleven manual wheelchair users were randomly assigned to the HIIT ( n = 6) or the MICT group ( n = 5). Both six-week programs consisted of three 40-minute propulsion training sessions per week. The HIIT group alternated between 30 s high-intensity intervals and 60 s low-intensity intervals, whereas the MICT group maintained a constant moderate intensity...
2018: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/29886848/subjective-sleep-quality-and-its-etiology-in-the-emergency-department
#14
Jean-Marc Chauny, Jean Paquet, Julie Carrier, Gilles Lavigne, Martin Marquis, Alexis Cournoyer, Christiane Manzini, Raoul Daoust
CLINICIAN'S CAPSULE What is known about the topic? Most hospital settings do not provide an optimal environment for sleep. What did this study ask? Assessed the subjective quality of nighttime sleep and its affecting factors in the emergency department (ED). What did this study find? Subjective sleep quality was lower in the ED, as compared with home sleep, and was affected by stress, noise, pain, and stretcher comfort. Why does this study matter to clinicians? ED sleep is not optimal but can be improved, as the factors disturbing it are potentially modifiable...
June 11, 2018: CJEM
https://www.readbyqxmd.com/read/29885656/prevalence-of-pain-and-its-associated-factors-among-the-oldest-olds-in-different-care-settings-results-of-the-agequalide-study
#15
Tina Mallon, Annette Ernst, Christian Brettschneider, Hans-Helmut König, Tobias Luck, Susanne Röhr, Siegfried Weyerer, Jochen Werle, Edelgard Mösch, Dagmar Weeg, Angela Fuchs, Michael Pentzek, Luca Kleineidam, Kathrin Heser, Steffi Riedel-Heller, Wolfgang Maier, Birgitt Wiese, Martin Scherer
BACKGROUND: The prevalence of pain is very common in the oldest age group. Managing pain successfully is a key topic in primary care, especially within the ageing population. Different care settings might have an impact on the prevalence of pain and everyday life. METHODS: Participants from the German longitudinal cohort study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large Sample of Oldest-old Primary Care Patients (85+) (AgeQualiDe) were asked to rate their severity of pain as well as the impairment with daily activities...
June 9, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29884541/major-depression-and-subthreshold-depression-among-older-adults-receiving-home-care
#16
Xiaoling Xiang, Amanda Leggett, Joseph A Himle, Helen C Kales
OBJECTIVE: This study aims to estimate the prevalence and correlates of major and subthreshold depression and the extent of treatment utilization in older adults receiving home care. METHODS: The study sample included 811 community-dwelling adults aged 60 and over who received paid home care during the 2008-2014 waves of the Health and Retirement Study. Depression was assessed using short forms of the Composite International Diagnostic Interview and the Center for Epidemiologic Studies Depression Scale...
May 8, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29879847/the-sano-study-justification-and-detailed-description-of-a-multidisciplinary-biopsychosocial-rehabilitation-programme-in-patients-with-chronic-low-back-pain
#17
Anne Mette Schmidt, Helle Terkildsen Maindal, Trine Bay Laurberg, Berit Schiøttz-Christensen, Charlotte Ibsen, Kirstine Bak Gulstad, Thomas Maribo
OBJECTIVE: To justify and describe an integrated rehabilitation programme for patients with chronic low back pain prior to evaluation in a randomized controlled trial. METHOD: The Template for Intervention Description and Replication (TIDieR) checklist was used as a structural framework for the description of the integrated rehabilitation programme. As a part of the description, the Medical Research Council guidance, 'Developing and evaluating complex interventions', was used as a framework to justify the integrated rehabilitation programme...
June 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29875913/-peculiarities-of-anesthesia-for-the-surgical-treatment-of-pheochromocytoma-about-a-case
#18
Amadou Magagi, Harissou Adamou, Ibrahim Amadou Magagi, Maazou Halidou, Oumarou Habou, Hassane Moussa Diongolé, Maman Sani Rabiou, Mahaman Boukari Baoua
This study decribes the treatment of a 37-year old female patient, with a history of poorly treated arterial hypertension (AH), referred to surgical consultation with right lower back pain, vertigo, headache, sweating and palpitations. During hospitalization, blood pressure (BP) ranged between 130/80 mm Hg and 190/120 mm Hg. The remainder of the clinical examination was normal. Thoracoabdominal scanner showed adrenal mass measuring 55x45x65 mm compressing the inferior vena cava and the right renal vein. The assay of urinary vanilmandelic acid (VMA) was 11...
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29872919/-parkinson-s-disease-alzheimer-s-disease-and-oncological-diseases-in-residential-geriatric-care-pain-frequency-and-selected-healthcare-features-in-comparison
#19
REVIEW
P Kutschar, K Lex, J Osterbrink, S Lorenzl
BACKGROUND: Adequate pain management and palliative care structures are of significant importance in residential nursing homes. Whilst professional pain treatment and palliative care measures are frequently implemented for residents with oncological diseases, this is often not the case for residents with neurological disorders. Such a potential undertreatment is even more challenging when the means of interaction and communication with affected persons are aggravated by impairments in cognitive function...
June 5, 2018: Der Schmerz
https://www.readbyqxmd.com/read/29872283/pain-as-a-challenge-in-nursing-home-residents-with-behavioral-and-psychological-symptoms-of-dementia
#20
Tomasz Nowak, Agnieszka Neumann-Podczaska, Ewa Deskur-Śmielecka, Arkadiusz Styszyński, Katarzyna Wieczorowska-Tobis
Introduction: In patients with dementia, observational scales are recommended for use in the assessment of pain. Unfortunately, their application is rare, and as a consequence pain is frequently underdiagnosed and undertreated in these types of subjects. Thus, the aim of the study was to assess analgesic treatment in nursing home residents with cognitive impairment and to delineate the relationship between pain and behavioral and psychological symptoms of dementia. Patients and methods: The research was conducted in 2 nursing home facilities in Wielkopolska, Poland...
2018: Clinical Interventions in Aging
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