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https://www.readbyqxmd.com/read/29906234/radionuclide-bone-spect-ct-in-the-evaluation-of-knee-pain-comparing-two-phase-bone-scintigraphy-spect-and-spect-ct
#1
Suat-Jin Lu, Fahim Ul Hassan, Sanjay Vijayanathan, Gopinath Gnanasegaran
OBJECTIVE: To assess the role of SPECT/CT in the evaluation of knee pain as well as comparing bone scintigraphy (BS), SPECT and SPECT/CT, and assessing the incremental value of SPECT/CT. METHODS: BS, SPECT and SPECT/CT of patients with knee pain (39 patients, 65 knees, 105 lesions) were directly compared for lesion detection, localisation and characterisation using lesion-based, knee-based and patient-based analyses in this retrospective study. RESULTS: Lesion detection: BS (91...
June 15, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29905987/risk-factors-of-the-clostridium-difficile-infection-in-patients-with-chronic-kidney-disease
#2
Łukasz Lis, Patryk Jerzak, Andrzej Konieczny, Michał Sroka, Barbara Noceń-Rychlewska, Paweł Podgórski, Wojciech Witkiewicz, Zbigniew Hruby
BACKGROUND: Clostridium difficile (C. difficile) is a Gram-positive bacillus responsible for diarrhea and colitis, mainly among hospitalized patients. It is a leading cause of nosocomial infections. OBJECTIVES: The main goal of the study was to assess the risk factors of the C. difficile infection in patients with chronic kidney disease (CKD). MATERIAL AND METHODS: We evaluated the medical records of all patients treated at the Department of Nephrology and Renal Transplantation of the Research and Development Center in the Provincial Specialist Hospital in Wrocław, Poland, between February 2009 and May 2012, who developed diarrhea, abdominal pain and/or fever within 72 h after admission...
June 15, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/29905649/multivariate-pattern-classification-of-brain-white-matter-connectivity-predicts-classic-trigeminal-neuralgia
#3
Jidan Zhong, David Qixiang Chen, Peter S P Hung, Dave J Hayes, Kevin E Liang, Karen D Davis, Mojgan Hodaie
Trigeminal neuralgia (TN) is a severe form of chronic facial neuropathic pain. Increasing interest in the neuroimaging of pain has highlighted changes in the root entry zone in TN, but also group level CNS grey and white matter abnormalities. Group differences in neuroimaging data are frequently evaluated with univariate statistics, however this approach is limited because it is based on single, or clusters of, voxels. In contrast, multivariate pattern analyses consider all the model's neuroanatomical features to capture a specific distributed spatial pattern...
June 13, 2018: Pain
https://www.readbyqxmd.com/read/29905618/repeated-measures-designs-and-analysis-of-longitudinal-data-if-at-first-you-do-not-succeed-try-try-again
#4
Patrick Schober, Thomas R Vetter
Anesthesia, critical care, perioperative, and pain research often involves study designs in which the same outcome variable is repeatedly measured or observed over time on the same patients. Such repeatedly measured data are referred to as longitudinal data, and longitudinal study designs are commonly used to investigate changes in an outcome over time and to compare these changes among treatment groups. From a statistical perspective, longitudinal studies usually increase the precision of estimated treatment effects, thus increasing the power to detect such effects...
June 12, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29904466/spontaneous-rectus-sheath-hematoma-the-utility-of-ct-angiography
#5
Antonio Pierro, Savino Cilla, Pietro Modugno, Enrico Maria Centritto, Carlo Maria De Filippo, Giuseppina Sallustio
We described the utility of computed tomography (CT) angiography in detection of bleeding vessels for a rapid percutaneous arterial embolization of the spontaneous rectus sheath hematoma. A 70-year-old woman comes to our attention with acute abdominal pain and a low hemoglobin level. An unenhanced CT was performed demonstrating a large rectus sheath hematoma. A conservative management was initially established. Despite this therapy, the abdominal pain increased together with a further decrease of hemoglobin values...
April 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29904426/antinociceptive-effects-of-dezocine-on-complete-freund-s-adjuvant-induced-inflammatory-pain-in-rats
#6
Zhenhai Ye, Maoxian Zhang, Ning Ding, Peng Gao, Yunpeng Hei, Yun Wang, Wei Gao, Qingshan Ye
Inflammatory pain is known to severely impact the life quality of patients. Notably, dezocine is widely used for the treatment of pain. Therefore, the current study aimed to examine the effects of dezocine on a complete Freund's adjuvant (CFA)-induced inflammatory pain model in rats and to investigate the possible underlying molecular mechanisms. Rats were randomly divided into three groups, including the control, CFA and dezocine+CFA groups, and then subcutaneously injected with 100 µl saline, subcutaneously injected with 100 µl CFA or pretreated with 1 ml dezocine (0...
June 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29903598/trial-protocol-cognitive-functional-therapy-compared-with-combined-manual-therapy-and-motor-control-exercise-for-people-with-non-specific-chronic-low-back-pain-protocol-for-a-randomised-controlled-trial
#7
Fabiana Terra Cunha Belache, Cíntia Pereira de Souza, Jessica Fernandez, Julia Castro, Paula Dos Santos Ferreira, Elizana Rodrigues de Sousa Rosa, Nathalia Cristina Gimenez de Araújo, Felipe José Jandre Reis, Renato Santos de Almeida, Leandro Alberto Calazans Nogueira, Luís Cláudio Lemos Correia, Ney Meziat-Filho
INTRODUCTION: Chronic low back pain is a public health problem, and there is strong evidence that it is associated with a complex interaction of biopsychosocial factors. Cognitive functional therapy is an intervention that deals with potentially modifiable multidimensional aspects of pain (eg, provocative cognitive, movement and lifestyle behaviours). There is evidence (from a single randomised, controlled trial) that cognitive functional therapy is better than combined manual therapy and motor control exercise...
June 11, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29902447/randomized-controlled-trial-of-belladonna-and-opiate-suppository-during-intravesical-onabotulinum-toxin-a-injection
#8
Edgar L Leclaire, Jennifer Duong, Rachel M Wykes, Kevin E Miller, Tessa L Winterton, Milan Bimali
BACKGROUND: Intravesical injection with onabotulinum toxin A (BTX-A) injection can be performed in-office under local anesthesia. Rectally administered pain medication presents a potentially feasible and previously uninvestigated adjunct to office-based anesthesia protocols. OBJECTIVES: The primary aim of this study was to determine whether adding a belladonna and opiate (BO) suppository to standard lidocaine instillation resulted in reduction of bladder injection pain during BTX-A injection procedure...
June 11, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29901630/three-primary-synchronous-malignancies-of-the-uterus-cervix-and-fallopian-tube-a-case-report
#9
Liang Song, Qingli Li, Kaixuan Yang, Rutie Yin, Danqing Wang
RATIONALE: Multiple primary malignancies can occur in the same organ or in multiple organs or systems. Likewise, they can occur simultaneously or successively. Based on the timing of the diagnosis, they are classified as multiple synchronous (i.e., concurrent) or metachronous (i.e., successive) primary malignancies. The vast majority of patients have multiple metachronous malignant tumors; multiple synchronous tumors are rare. PATIENT CONCERNS: A 63-year-old woman presented with the chief complaint of vaginal fluid discharge for 3 months and abdominal pain for 1 month...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29900994/comparison-of-effects-of-leukocyte-rich-and-leukocyte-poor-platelet-rich-plasma-on-pain-and-functionality-in-patients-with-lateral-epicondylitis
#10
Melek Yerlikaya, Havva Talay Çaliş, Serap Tomruk Sütbeyaz, Hatice Sayan, Nurdan Ibiş, Ali Koç, Çiğdem Karakükçü
Objectives: This study aims to compare the effect of leukocyte concentration in platelet-rich plasma (PRP) on pain, functionality and post-injection local inflammatory reactions in patients with lateral epicondylitis. Patients and methods: The study included 90 patients (26 males, 64 females; mean age 38.6 years; range 18 to 75 years) with lateral epicondylitis- related pain visual analog scale (VAS) score of ≥5 for more than three months. Patients were randomly assigned into three groups...
March 2018: Archives of rheumatology
https://www.readbyqxmd.com/read/29900703/intraoperative-blood-vessel-detection-and-quantification-a-monte-carlo-study
#11
Amal Chaturvedi, Shetha A Shukair, Mayank Vijayvergia, Paul Le Rolland, Jonathan W Gunn, Hariharan Subramanian
With better surgical outcomes, quicker recovery times, decreased postoperative pain, and reduced scarring at the surgical site, the application of minimally invasive surgery (MIS) has gained a lot of prominence in the last 30 years. This change in surgical practice has taken away the ability of a surgeon to palpate for the presence of a blood vessel as would occur in an open procedure. They instead must rely on a laparoscopic video camera feed that unfortunately cannot detect the presence of a blood vessel hidden beneath tissue...
June 2018: Journal of Biomedical Optics
https://www.readbyqxmd.com/read/29900479/the-synergistic-use-of-coronary-artery-calcium-imaging-and-noninvasive-myocardial-perfusion-imaging-for-detecting-subclinical-atherosclerosis-and-myocardial-ischemia
#12
REVIEW
Alan Rozanski, Daniel S Berman
PURPOSE OF REVIEW: This review aims to assess the synergistic use of coronary artery calcium (CAC) scanning and stress-rest SPECT myocardial perfusion imaging (MPI) for the workup of patients with suspected coronary artery disease (CAD). RECENT FINDINGS: The CAC score bears a proportional relationship to both the frequency of obstructive CAD and inducible ischemia. Consequently, the test can be used to improve the Bayesian assessment of pre-test CAD likelihood and assist in triaging patients for stress testing...
June 13, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/29898583/disability-after-major-abdominal-surgery-determinants-of-recovery-of-walking-ability-in-elderly-patients
#13
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/29895289/intravenous-morphine-versus-intravenous-paracetamol-after-cardiac-surgery-in-neonates-and-infants-a-study-protocol-for-a-randomized-controlled-trial
#14
Gerdien A Zeilmaker-Roest, Joost van Rosmalen, Monique van Dijk, Erik Koomen, Nicolaas J G Jansen, Martin C J Kneyber, Sofie Maebe, Greet van den Berghe, Dirk Vlasselaers, Ad J J C Bogers, Dick Tibboel, Enno D Wildschut
BACKGROUND: Morphine is worldwide the analgesic of first choice after cardiac surgery in children. Morphine has unwanted hemodynamic and respiratory side effects. Therefore, post-cardiac surgery patients may potentially benefit from a non-opioid drug for pain relief. A previous study has shown that intravenous (IV) paracetamol is effective and opioid-sparing in children after major non-cardiac surgery. The aim of the study is to test the hypothesis that intermittent IV paracetamol administration in children after cardiac surgery will result in a reduction of at least 30% of the cumulative morphine requirement...
June 13, 2018: Trials
https://www.readbyqxmd.com/read/29893752/the-prognostic-and-diagnostic-value-of-18f-fdg-pet-ct-for-assessment-of-symptomatic-osteoarthritis
#15
Brian J Nguyen, Ashley Burt, Randall L Baldassare, Edward Smitaman, Maud Morshedi, Steven Kao, Eric Y Chang, Sebastian Obrzut
OBJECTIVE: The objective of this study was to assess the clinical significance of increased fluorine-18-fluorodeoxyglucose (F-FDG) uptake on PET/CT in joints for evaluation of symptomatic osteoarthritis (OA) and prediction of progression. PATIENTS AND METHODS: In this prospective study, shoulder, hip, and knee joints were imaged in 65 patients undergoing routine F-FDG PET/CT imaging. Patients completed the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire to assess joint pain, stiffness, and physical function...
July 2018: Nuclear Medicine Communications
https://www.readbyqxmd.com/read/29893705/pattern-of-vascular-involvement-in-egyptian-patients-with-budd-chiari-syndrome-relation-to-etiology-and-impact-on-clinical-presentation
#16
Mohammad A Sakr, Sara M Abdelhakam, Hany M Dabbous, Ahmed S Abdelmoaty, Hend E Ebada, Wael M Al-Banna, Mohamed S Ghazy, Mohamed E Aboelmaaty, Ahmed K Eldorry
INTRODUCTION AND AIM: Budd-Chiari syndrome (BCS) is caused by hepatic venous outflow obstruction. This work aims to analyze the pattern of vascular involvement in Egyptian patients with BCS, demonstrates its relation to etiology and shows its impact on clinical presentation. MATERIAL AND METHODS: The current retrospective study was conducted at The Tropical Medicine Department, Ain Shams University on one hundred Egyptian patients with confirmed diagnosis of primary BCS who were presented to the Budd-Chiari Study Group (BCSG) from April 2014 to May 2016 by collecting clinical, laboratory and radiological data from their medical records...
July 2018: Annals of Hepatology
https://www.readbyqxmd.com/read/29892247/interoceptive-awareness-skills-for-emotion-regulation-theory-and-approach-of-mindful-awareness-in-body-oriented-therapy-mabt
#17
Cynthia J Price, Carole Hooven
Emotion regulation involves a coherent relationship with the self, specifically effective communication between body, mind, and feelings. Effective emotion regulation involves the ability to accurately detect and evaluate cues related to physiological reactions to stressful events, accompanied by appropriate regulation strategies that temper and influence the emotional response. There is compelling evidence demonstrating links between poor or disrupted awareness of sensory information, or interoceptive awareness, and difficulties with emotion regulation...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29890988/automatic-hand-phantom-map-generation-and-detection-using-decomposition-support-vector-machines
#18
Huaiqi Huang, Claudio Bruschini, Christian Antfolk, Christian Enz, Tao Li, Jörn Justiz, Volker M Koch
BACKGROUND: There is a need for providing sensory feedback for myoelectric prosthesis users. Providing tactile feedback can improve object manipulation abilities, enhance the perceptual embodiment of myoelectric prostheses and help reduce phantom limb pain. Many amputees have referred sensation from their missing hand on their residual limbs (phantom maps). This skin area can serve as a target for providing amputees with non-invasive tactile sensory feedback. One of the challenges of providing sensory feedback on the phantom map is to define the accurate boundary of each phantom digit because the phantom map distribution varies from person to person...
June 11, 2018: Biomedical Engineering Online
https://www.readbyqxmd.com/read/29890922/controlled-release-of-celecoxib-inhibits-inflammation-bone-cysts-and-osteophyte-formation-in-a-preclinical-model-of-osteoarthritis
#19
A R Tellegen, I Rudnik-Jansen, B Pouran, H M de Visser, H H Weinans, R E Thomas, M J L Kik, G C M Grinwis, J C Thies, N Woike, G Mihov, P J Emans, B P Meij, L B Creemers, M A Tryfonidou
Major hallmarks of osteoarthritis (OA) are cartilage degeneration, inflammation and osteophyte formation. COX-2 inhibitors counteract inflammation-related pain, but their prolonged oral use entails the risk for side effects. Local and prolonged administration in biocompatible and degradable drug delivery biomaterials could offer an efficient and safe treatment for the long-term management of OA symptoms. Therefore, we evaluated the disease-modifying effects and the optimal dose of polyesteramide microspheres delivering the COX-2 inhibitor celecoxib in a rat OA model...
November 2018: Drug Delivery
https://www.readbyqxmd.com/read/29890355/combined-laparoscopic-and-vaginal-cervicovaginal-reconstruction-using-acellular-porcine-small-intestinal-submucosa-sis-graft-in-a-patient-with-mayer-rokitansky-k%C3%A3-ster-hauser-syndrome-u5ac4v4
#20
Xuyin Zhang, Yan Ding, Keqin Hua, Songping Liu, Nan Jia
OBJECTIVE: To introduce a creation that combines laparoscopic and Wharton-Sheares-George cervicovaginal reconstruction using SIS graft in a patient with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome who had a rudimentary cavity (U5aC4V4). DESIGN: Video article introducing a new surgical technique. SETTING: University hospital. PATIENT(S): A 24-year-old patient had primary amenorrhea and irregular lower abdominal pain for 9 years...
June 8, 2018: Journal of Minimally Invasive Gynecology
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