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https://www.readbyqxmd.com/read/29929153/pain-and-anxiety-and-their-relationship-with-medication-doses-in-the-intensive-care-unit
#1
Sunyoung Park, Se Hee Na, Jooyoung Oh, Jong Seok Lee, Seung-Taek Oh, Jae-Jin Kim, Jin Young Park
PURPOSE: Pain and anxiety are understudied despite their importance to the general medical condition. The aim of the present study was to examine the effects of pain and anxiety and their relationship to the doses of opioids and anxiolytics administered in intensive care unit (ICU) patients. METHODS: The subjects included 1349 conscious, critically ill patients admitted to an ICU. Psychiatrists evaluated the patients daily for pain and anxiety. Data regarding the doses of opioids and benzodiazepines administered were gathered...
June 2, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29929030/comparative-utility-of-dynamic-and-static-imaging-in-the-management-of-lumbar-spondylolisthesis
#2
Vibhu Krishnan Viswanathan, Jeff Hatef, Sina Aghili, Amy Minnema, H Francis Farhadi
OBJECTIVE: Segmental instability is traditionally investigated with flexion and extension (F/E) X-rays. We sought to determine whether motion between upright and supine (U/S) views can serve as an alternative sensitive diagnostic tool that predicts similar outcomes. METHODS: Ambispective collection of data was performed for 222 consecutive patients that underwent transforaminal lumbar interbody fusion (TLIF). Patients were divided into either Group 1 (≥3 mm spondylolisthesis difference between F/E X-rays) or Group 2 (≥3 mm spondylolisthesis difference between U/S imaging and otherwise not meeting Group 1 criteria)...
June 18, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29928886/chronic-sleep-restriction-increases-pain-sensitivity-over-time-in-a-periaqueductal-gray-and-nucleus-accumbens-dependent-manner
#3
Natalia Fantin Sardi, Mayla Ketlyn Lazzarim, Vinicius Augusto Guilhen, Renata Scuzziatto Marcílio, Priscila Shizue Natume, Thainá Caldeiras Watanabe, Marcelo de Meira Santos Lima, Glaucia Tobaldini, Luana Fischer
Painful conditions and sleep disturbances are major public health problems worldwide and one directly affects the other. Sleep loss increases pain prevalence and severity; while pain disturbs sleep. However, the underlying mechanisms are largely unknown. Here we asked whether chronic sleep restriction for 6 h daily progressively increases pain sensitivity and if this increase is reversed after two days of free sleep. Also, whether the pronociceptive effect of chronic sleep restriction depends on the periaqueductal grey and on the nucleus accumbens, two key regions involved in the modulation of pain and sleep-wake cycle...
June 18, 2018: Neuropharmacology
https://www.readbyqxmd.com/read/29928755/prophylactic-abdominal-drainage-for-pancreatic-surgery
#4
REVIEW
Wei Zhang, Sirong He, Yao Cheng, Jie Xia, Mingliang Lai, Nansheng Cheng, Zuojin Liu
BACKGROUND: The use of surgical drains has been considered mandatory after pancreatic surgery. The role of prophylactic abdominal drainage to reduce postoperative complications after pancreatic surgery is controversial. OBJECTIVES: To assess the benefits and harms of routine abdominal drainage after pancreatic surgery, compare the effects of different types of surgical drains, and evaluate the optimal time for drain removal. SEARCH METHODS: For the last version of this review, we searched CENTRAL (2016, Issue 8), and MEDLINE, Embase, Science Citation Index Expanded, and Chinese Biomedical Literature Database (CBM) to 28 August 2016)...
June 21, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29928537/the-association-of-workplace-psychosocial-factors-and-musculoskeletal-pain-among-korean-emotional-laborers
#5
Kiook Baek, Seonhee Yang, Miyoung Lee, Insung Chung
Background: Many studies have reported negative psychological or physical effects of emotional labor. Relationship between work-related musculoskeletal disorder and psychosocial factors has been reported. To manage organizational and psychosocial factors of musculoskeletal disorder with work place intervention among emotional laborers, the factors contributing to musculoskeletal pain must be identified and clarified. Methods: Data from the fourth Korean Working Conditions Survey was analyzed...
June 2018: Safety and Health At Work
https://www.readbyqxmd.com/read/29928200/chronic-prurigo-an-unusual-presentation-of-hodgkin-lymphoma
#6
Shireen Dumont, Marc Péchère, Laurence Toutous Trellu
Background: Prurigo nodularis is a condition of unknown origin defined by papulonodular eruption and intense pruritus. Hodgkin lymphoma often presents nonspecific initial symptoms. An association between systemic malignancy and cutaneous manifestations has long been documented. We report a case of prurigo nodularis as a first presentation of Hodgkin lymphoma. Case: A 35-year-old woman presented with a 2-year history of pruritus. Previously diagnosed with bedbugs, the pruritus persisted even after insect eradication, with the appearance of papulonodular lesions consistent with chronic prurigo...
May 2018: Case Reports in Dermatology
https://www.readbyqxmd.com/read/29928188/rare-incidence-of-acute-liver-injury-with-potassium-para-aminobenzoate-introduction
#7
Layth Al Attar, Wiliam Kilgore
Acute liver injury is an alarming condition, as it may lead to a devastating outcome. Of the many causes of acute liver injury, review of medications is crucial to identifying the cause of the injury. Some commonly used medications may unpredictably be the underlying cause of liver injury. We present a case of Peyronie's disease treated with potassium para-aminobenzoate that developed acute liver injury. After starting the new treatment, the patient complained of right upper quadrant pain. He was found to have elevated liver enzymes...
May 2018: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29928081/is-multiple-session-of-intralesional-bleomycin-mandatory-for-complete-resolution-of-macrocystic-lymphatic-malformation
#8
Vijai Datta Upadhyaya, Ankur Bhatnagar, Basant Kumar, Zafar Neyaz, J S Kishore, Eti Sthapak
Background: Intralesional bleomycin scelro-therapy has become a favored line of treatment for macrocystic lymphatic malformations. However the need for multiple sessions is a drawback associated with this treatment modality. Our aim is to document whether multiple session of intra- lesional sclero-therapy is necessary for complete resolution of cystic lymphatic malformation. Method: Intralesional bleomycin under Ultrasound guidance was used for macrocystic lymphangioma at concentration of 3mg/ml but not exceeding the total dose (1mg/kg) body weight for single session or cumulative dose of 5mg/kg...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29927872/nutritional-considerations-in-pediatric-pancreatitis-a-position-paper-from-the-nasphan-pancreas-committee-and-esphan-cystic-fibrosis-pancreas-working-group
#9
Maisam Abu-El-Haija, Aliye Uc, Steven L Werlin, Alvin Jay Freeman, Miglena Georgieva, Danijela Jojkić-Pavkov, Daina Kalnins, Brigitte Kochavi, Bart G P Koot, Stephanie Van Biervliet, Jaroslaw Walkowiak, Michael Wilschanski, Veronique D Morinville
OBJECTIVES: Wide variations exist in how physicians manage the nutritional aspects of children affected by acute pancreatitis (AP), acute recurrent pancreatitis (ARP), and chronic (CP) pancreatitis. Better consensus for optimal management is needed. METHODS: This consensus statement on nutrition in pediatric pancreatic diseases was developed through a joint ESPGHAN-NASPGHAN working group that performed an evidence-based search of the literature on nutrition in AP, ARP, and CP with a focus on pediatrics...
July 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29927846/low-dose-ketamine-for-acute-pain-management-a-timely-nudge-toward-multimodal-analgesia
#10
Jose L Zeballos, Philipp Lirk, James P Rathmell
No abstract text is available yet for this article.
July 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29927837/-concepts-and-artistry-in-the-treatment-of-scapho-lunate-ligament-injuries
#11
Kate E Elzinga, Sirichai Kamnerdnakta, Kevin C Chung
Scapho-lunate ligament injuries are highly challenging injuries to treat. Great uncertainly remains in determining which operative procedures are most effective. Furthermore, there is no consensus on whether surgical intervention changes the natural course of SL injuries. We present our assessment of SL injuries and the senior author's preferred surgical techniques. Surgical videos are included. Operative procedures are selected based on the patient's timing and pattern of injury, degree of associated carpal changes and arthritis, and goals...
June 12, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29927768/an-update-on-the-basic-and-clinical-science-of-ketamine-analgesia
#12
Lisa V Doan, Jing Wang
OBJECTIVE: In the context of the current opioid epidemic, there has been a renewed interest in the use of ketamine as an analgesic agent. METHODS: We have reviewed ketamine analgesia. RESULTS: Ketamine is well-known as an antagonist for N-methyl-D-aspartate receptors. In addition, it can regulate the function of opioid receptors and sodium channels. Ketamine also increases signaling through α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors...
June 20, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29927640/does-anterior-cruciate-ligament-reconstruction-improve-functional-and-radiographic-outcomes-over-nonoperative-management-5-years-after-injury
#13
Elizabeth Wellsandt, Matthew J Failla, Michael J Axe, Lynn Snyder-Mackler
BACKGROUND: Current practice patterns for the management of anterior cruciate ligament (ACL) injury favor surgical reconstruction. However, long-term outcomes may not differ between patients completing operative and nonoperative treatment of ACL injury. Differences in outcomes between operative and nonoperative treatment of patients in the United States is largely unknown, as are outcomes in long-term strength and performance measures. PURPOSE: To determine if differences exist in 5-year functional and radiographic outcomes between patients completing operative and nonoperative treatment of ACL injury when both groups complete a progressive criterion-based rehabilitation protocol...
June 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29927617/the-importance-of-comprehensive-cam-correction-radiographic-parameters-are-predictive-of-patient-reported-outcome-measures-at-2-years-after-hip-arthroscopy
#14
Drew A Lansdown, Kyle Kunze, Gift Ukwuani, Brian R Waterman, Shane J Nho
BACKGROUND: The specific influence of preoperative and postoperative radiographic measurements on patient-reported outcome measures after hip arthroscopy for femoroacetabular impingement (FAI) remains unclear. PURPOSE: To investigate the relationship between radiographic measurements and 2-year outcomes after hip arthroscopy for the treatment of FAI. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A clinical registry of patients undergoing primary hip arthroscopy for FAI between January 1, 2012, and December 31, 2014, was queried...
June 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29927049/an-updated-systematic-review-and-meta-analysis-clinical-outcome-of-single-incision-slings-excluding-tvt-secur-versus-standard-slings-in-surgical-management-of-stress-incontinence
#15
REVIEW
Aram Kim, Min Seo Kim, Young-Jin Park, Woo Suk Choi, Hyoung Keun Park, Sung Hyun Paick, Myung-Soo Choo, Hyeong Gon Kim
OBJECTIVES: To assess and compare the long-term efficacy and safety of single-incision mini-slings (SIMS) except tension-free vaginal tape (TVT)-Secur with standard midurethral slings (SMUS) for female stress urinary incontinence through an updated systematic review and meta-analysis of randomized controlled trials (RCTs) comparing these 2 surgical methods. MATERIALS AND METHODS: A literature review of all RCTs comparing SIMS (Mini-Arc, Contasure-Needleless, Ophira, Tissue Fixation System, and Ajust) except TVT-Secur with SMUS was performed...
June 21, 2018: BJU International
https://www.readbyqxmd.com/read/29926951/periodontitis-consensus-report-of-workgroup-2-of-the-2017-world-workshop-on-the-classification-of-periodontal-and-peri-implant-diseases-and-conditions
#16
Panos N Papapanou, Mariano Sanz, Nurcan Buduneli, Thomas Dietrich, Magda Feres, Daniel H Fine, Thomas F Flemmig, Raul Garcia, William V Giannobile, Filippo Graziani, Henry Greenwell, David Herrera, Richard T Kao, Moritz Kebschull, Denis F Kinane, Keith L Kirkwood, Thomas Kocher, Kenneth S Kornman, Purnima S Kumar, Bruno G Loos, Eli Machtei, Huanxin Meng, Andrea Mombelli, Ian Needleman, Steven Offenbacher, Gregory J Seymour, Ricardo Teles, Maurizio S Tonetti
A new periodontitis classification scheme has been adopted, in which forms of the disease previously recognized as "chronic" or "aggressive" are now grouped under a single category ("periodontitis") and are further characterized based on a multi-dimensional staging and grading system. Staging is largely dependent upon the severity of disease at presentation as well as on the complexity of disease management, while grading provides supplemental information about biological features of the disease including a history-based analysis of the rate of periodontitis progression; assessment of the risk for further progression; analysis of possible poor outcomes of treatment; and assessment of the risk that the disease or its treatment may negatively affect the general health of the patient...
June 2018: Journal of Periodontology
https://www.readbyqxmd.com/read/29926942/acute-periodontal-lesions-periodontal-abscesses-and-necrotizing-periodontal-diseases-and-endo-periodontal-lesions
#17
David Herrera, Belén Retamal-Valdes, Bettina Alonso, Magda Feres
OBJECTIVE: To critically evaluate the existing literature on acute lesions occurring in the periodontium (periodontal abscesses [PA], necrotizing periodontal diseases [NPD], and endo-periodontal lesions [EPL]) to determine the weight of evidence for the existence of specific clinical conditions that may be grouped together according to common features. The ultimate goal is to support an objective classification system. IMPORTANCE: Although PA, NPD, and EPL occur with relatively low frequency, these lesions are of clinical relevance, because they require immediate management and might severely compromise the prognosis of the tooth...
June 2018: Journal of Periodontology
https://www.readbyqxmd.com/read/29926915/the-characteristics-of-women-recommended-a-laparoscopy-for-chronic-pelvic-pain-at-a-tertiary-institution
#18
Kelly L Mirowska-Allen, Megan Sewell, Samantha Mooney, Peter Maher, Damian J Ianno, Sonia R Grover
BACKGROUND: Clinician and patient factors impact on the management of chronic pelvic pain (CPP) with medical, surgical or combined approaches possible, although none have proven superior. AIMS: To understand the characteristics of women offered laparoscopic pelvic surgery for CPP. MATERIALS AND METHODS: We performed an observational study of women referred with CPP. They were asked to complete a study questionnaire regarding their symptoms, medical history, quality of life and pain catastrophisation...
June 21, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29926751/lichen-sclerosus-accompanied-by-urethral-squamous-cell-carcinoma-a-retrospective-study-from-a-urethral-referral-center
#19
Hailin Guo, Xufeng Peng, Chongrui Jin, Lin Wang, Fang Chen, Yinglong Sa
To evaluate the characteristics of lichen sclerosus (LS) accompanied by urethral squamous cell carcinoma (USCC) and to raise urologists' awareness about the early management of LS, a retrospective analysis was performed on the clinical features, diagnosis, treatment, and prognosis of 18 male genital LS accompanied by USCC patients who were referred to Shanghai Sixth People's Hospital between June 2000 and August 2014. All of the patients had a long-term history of LS, urethral strictures, and urethral dilatation...
June 1, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/29926560/-advanced-nurse-triage-for-emergency-department
#20
J Jobé, A Ghuysen, V D'Orio
To cope with overcrowding, a consequence of their constant growth, emergency departments have implemented operational strategies based on triage systems. Despite its interest, nurse triage has been limited by several hindrances, and new strategies are emerging. Among those, advanced nurse triage, allowing a nurse to initiate the diagnostic process just after categorization of the patient, seems to be promising. A study on advanced nurse triage for patients presenting with chest pain has been conducted in the emergency department of the CHU of Liège...
May 2018: Revue Médicale de Liège
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