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The McKenzie Method versus guideline-based advice in the treatment of sciatica: 24-month outcomes of a randomised clinical trial
CONCLUSIONS: Multiple sessions of McKenzie-based back exercises with a McKenzie-specific patient's educational book produced effects equal to guideline-based advice at long-term follow-up. However, the power of these results is diminished due to the small patient population and confounding factors.PMID:37605454 | DOI:10.1177/02692155231196393
Source: Clinical Rehabilitation - August 22, 2023 Category: Rehabilitation Authors: Sinikka Kilpikoski Arja H H äkkinen Jussi P Repo Kati Kyr ölä Juhani Multanen Markku Kankaanp ää Aki Vainionp ää Esa-Pekka Takala Hannu Kautiainen Jari Ylinen Source Type: research

180. Can preoperative narcotic education reduce opioid consumption in patients undergoing spine surgery?
Treatment modalities for back pain include NSAIDs, PT, steroid injections, and surgery. Unfortunately, the first 3 days after surgery are often accompanied with severe back pain, prompting surgeons to prescribe opioids. After lumbar spine surgery, it has been found that two-thirds of patients become long term opioid users (defined as>90 days).  The 2018 Neers Award study demonstrated a significant reduction in postoperative narcotic consumption through preoperative narcotic education in patients after rotator cuff repair.
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Anas Abbas, Araf Abbas, Shaya Shahsavarani, Ved Trivedi, Austen Katz, Alex Ngan, Rohit Verma Source Type: research

145. Optimizing mental health conditions prior to adult spinal deformity surgery: does preoperative optimization improve surgical outcomes?
Cognitive behavioral therapy (CBT) works to address risk factors through education about pain, modification of maladaptive beliefs, and increasing patient's self-efficacy. However, more studies are needed to address its impact on postoperative outcomes in adult spinal deformity correction.
Source: The Spine Journal - August 22, 2023 Category: Orthopaedics Authors: Pooja Dave, Jamshaid Mir, Ankita Das, Nathan Lorentz, Matthew Galetta, Jordan Lebovic, Peter Tretiakov, Andrew Schoenfeld, Oluwatobi Onafowokan, Peter Passias Source Type: research

Educational tools may turn into decision-making strategies in clinical practice – The case of primary percutaneous coronary intervention risk scores
Early and accurate risk stratification in patients with an acute coronary syndrome (ACS) in general, and an acute myocardial infarction (AMI) in particular, is of critical importance [1]. To this end, several clinical risk scores have been developed in order to improve risk factor characterization at admission and to select those patients that should be treated immediately with percutaneous coronary intervention (PCI) [2]. Some clinical risk scores have been developed specifically for use in patients presenting with acute chest pain to the emergency department such as the HEART (History, ECG, Age, Risk factors, and Troponi...
Source: International Journal of Cardiology - August 22, 2023 Category: Cardiology Authors: Francesco Pelliccia, Silvia Romiti, Flaminia Spunticchia, Alessandro Minati Tags: Editorial Source Type: research

Augmented Reality Reduces Preoperative Anxiety
MONDAY, Aug. 21, 2023 -- Use of augmented reality (AR) reduces preoperative anxiety but does not affect postoperative anxiety, pain levels, or narcotic use when compared with a standard education packet, according to a study published online Aug. 17...
Source: Drugs.com - Pharma News - August 21, 2023 Category: Pharmaceuticals Source Type: news

Nearly 900,000 Learn to Prevent Tooth Decay Through America ' s ToothFairy HERO Education Program
 The nationwide program is possible with support from Align Technology.Staff from Sonrisas Dental Health use the ToothFairy 101 ® Community Education Kit to teach youngsters at their school in San Mateo, CA about the importance of healthy dental hygiene habits. Sonrisas Dental Health receives free educational resources from America’s ToothFairy to help them serve more children in marginalized communities each year.(Charlotte, NC, August 15, 2023)  – More than 69 million people live in dental care health professional shortage areas, where on average only 31.75% of the population have their dental needs m...
Source: Dental Technology Blog - August 21, 2023 Category: Dentistry Source Type: news

Impact of Preoperative Video-Based Education on Anxiety Levels in Patients with Renal Stones Scheduled for Flexible Ureteroscopic Lithotripsy: A Comparative Study Using APAIS and STAI
CONCLUSIONS Delivering preoperative information through videos significantly diminishes anxiety levels in patients about to undergo retrograde intrarenal surgery compared to traditional verbal communication.PMID:37599431 | DOI:10.12659/MSM.941351
Source: Medical Science Monitor - August 21, 2023 Category: Research Authors: Mustafa Karalar Arif Demirbas Osman Gercek Kutay Topal Ibrahim Keles Source Type: research

Therapy by physician-pharmacist combination and economic returns for cancer pain management in China: a cost-effectiveness analysis
Conclusion: The participation of pharmacists in joint cancer pain clinic services led to improved pain management for patients, demonstrating a clear advantage in terms of cost-effectiveness.PMID:37601047 | PMC:PMC10436594 | DOI:10.3389/fphar.2023.1073939
Source: Pain Physician - August 21, 2023 Category: Anesthesiology Authors: Xikui Lu Lu Zhang Hangxing Huang Xiangping Wu Zhenting Wang Ling Huang Jingyang Li Huimin Yu Hongyan Zhang Jian Xiao Source Type: research

Slouching towards engagement: interactions between people using psychedelics naturalistically and their healthcare providers
DISCUSSION: Our results show that psychedelic use is generally disconnected from primary and psychiatric clinical care. This disconnection may result in safety issues, including inadequate screening for contraindicated conditions, lack of support during emergent adverse events, and drug interactions. Enhanced clinical education and orienting drug policy towards known harms and benefits of psychedelics is needed.PMID:37599880 | PMC:PMC10436225 | DOI:10.3389/fpsyt.2023.1224551
Source: Pain Physician - August 21, 2023 Category: Anesthesiology Authors: Kevin F Boehnke Kasey Cox Cody Weston Moss Herberholz Nicolas Glynos Nicholas Kolbman Christopher W Fields Julie Barron Daniel J Kruger Source Type: research

Therapy by physician-pharmacist combination and economic returns for cancer pain management in China: a cost-effectiveness analysis
Conclusion: The participation of pharmacists in joint cancer pain clinic services led to improved pain management for patients, demonstrating a clear advantage in terms of cost-effectiveness.PMID:37601047 | PMC:PMC10436594 | DOI:10.3389/fphar.2023.1073939
Source: Cancer Control - August 21, 2023 Category: Cancer & Oncology Authors: Xikui Lu Lu Zhang Hangxing Huang Xiangping Wu Zhenting Wang Ling Huang Jingyang Li Huimin Yu Hongyan Zhang Jian Xiao Source Type: research

What Are Underlying Risk Factors for Liver Abscesses?
This study specific excluded patients with ALA or candidemia. LA treatment is usually antibiotics and less invasive surgical techniques such as aspiration or percutaneous catheter drainage, but other treatment including resection is sometimes needed Overall mortality from LA has decreased from 15-40% to as low as 0.8% in the pediatric populations as noted above. Learning Point LA can occur solely because of exposure to infectious organisms but is also commonly associated with hepatobiliary pathology as well. In Northern India study, the “[m]ajority of …children had no predisposing factors for development of LA ...
Source: PediatricEducation.org - August 21, 2023 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Clinical characteristics of patients with hypermobile type Ehlers –Danlos syndrome (hEDS) and generalized hypermobility spectrum disorders (G-HSD): an online survey
AbstractTo examine the perspective of individuals with Hypermobile Ehlers –Danlos Syndrome (hEDS) and Generalized Hypermobility Spectrum Disorder (G-HSD), needed to help identify priorities and improve the lives of people living with these conditions. We conducted an online survey between November 2021 and January 2023. Participants were recruited through the Ehlers-Dan los Society’s Research Surveys website. We obtained 483 responses and 396 were analyzed. 80% of the survey’s respondents were individuals with hEDS, 90% were females, 30% were between 21 and 30, and 76% lived in North America, with 85% of the particip...
Source: Rheumatology International - August 20, 2023 Category: Rheumatology Source Type: research

Suprascapular Notch Cross-sectional Area Measured by Ultrasonography
Conditions:   Shoulder Pain;   Shoulder Impingement Syndrome Intervention:   Device: ultrasound Sponsor:   Bursa Yüksek İhtisas Education and Research Hospital Not yet recruiting
Source: ClinicalTrials.gov - August 18, 2023 Category: Research Source Type: clinical trials