Pain Management
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Calvarial tuberculosis: A report of eleven patients
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Conclusion</b> : A high index of suspicion and knowledge is required for early diagnosis of calvarial tuberculosis. Surgery and antituberculous therapy remains the mainstay of treatment. (Source: Neurology India)
Source: Neurology India - November 20, 2009 Category: Neurology Authors: Diyora Batuk, Kumar Rajiv, Modgi Rahul, Sharma Alok Source Type: journals
Health Sciences Group Quest to be Listed on the OTCBBEmail this article to a colleague.
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INDIAN HARBOUR BEACH, Fla., Nov. 19, 2009 (GLOBE NEWSWIRE) -- Health Sciences Group, Inc. (Pink Sheets:HESG) would like to announce that its lawyer Mr. Robert Young is aggressively seeking realtors in the Los Angeles area to open up Health Sciences offices. The company intends on pursuing with new consultant agreement under Marijuana Inc. a joint venture to market management services. "We are still in negotiations with Marijuana Inc. (MJNA) to complete a joint venture or merger or rolling up into a reporting OTCBB shell. We have all intentions of bringing on the best legal team possible and to make medical marijuana accept...
Source: Medical News (via PRIMEZONE) - November 19, 2009 Category: Pharmaceuticals Source Type: news
Calcific Tendinitis: A Pictorial ReviewEmail this article to a colleague.
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Abstract: Calcific tendinitis is caused by the pathologic deposition of calcium hydroxyapatite crystals in tendons and is a common cause of joint pain. The disease typically affects the shoulder and hip, with characteristic imaging findings; however, any joint can be involved. Occasionally, calcific tendinitis can mimic aggressive disorders, such as infection and neoplasm, especially on magnetic resonance imaging. Radiologists should be familiar with the imaging findings to distinguish calcific tendinitis from more aggressive processes. Image-guided percutaneous needle aspiration and steroid injection of calcific tendiniti...
Source: Canadian Association of Radiologists Journal - November 19, 2009 Category: Radiology Authors: Daniel S. Siegal, Jim S. Wu, Joel S. Newman, Jose L. del Cura, Mary G. Hochman Tags: Musculoskeletal Radiology Source Type: journals
Online mindfulness meditation therapy for stress managementEmail this article to a colleague.
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The single major cause of emotional suffering and stress in our lives comes from the accumulated habitual emotional reactions to life events that we acquire through unconscious learning. We become victims of recurrent negative thoughts and patterns of emotional reactivity that operate automatically in the mind, and that operate outside the sphere of conscious choice. We become prisoners of our habitual thinking and suffer accordingly. Therefore, it stands to reason that if we want to reduce our level of emotional stress and suffering, we must learn new strategies to counteract and neutralize our conditioned habitual reacti...
Source: Psychology Today Relationships Center - November 18, 2009 Category: Psychiatry & Psychology Authors: Peter Strong, Ph.D. Tags: Anxiety Cognition Depression Happiness Relationships Self-Help Stress Therapy Work coffee maker conscious choice core level correspondence driving seat emotional reactions emotional reactivity emotional stress emotions Source Type: consumer
Diagnosis and management of dengueEmail this article to a colleague.
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(Source: BMJ Online First)
Source: BMJ Online First - November 18, 2009 Category: Journals (General) Authors: Teixeira, M. G., Barreto, M. L Tags: Infectious diseases, Epidemiologic studies, Immunology (including allergy), Headache (including migraine), pain (neurology), Child health, Degenerative joint disease, Musculoskeletal syndromes CLINICAL REVIEW Source Type: journals
NeurogesX To Hold Conference Call To Discuss FDA Approval Of Qutenza(TM) (capsaicin) 8% Patch For Treatment Of Postherpetic Neuralgia (PHN)Email this article to a colleague.
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NeurogesX, Inc. (Nasdaq: NGSX) announces that it will hold a conference call at 8:30a.m. ET (5:30a.m. PT) to discuss the U.S. Food and Drug Administration (FDA) approval of Qutenza(TM) (capsaicin) 8% patch, the first and only product containing prescription strength capsaicin, for the management of neuropathic pain due to postherpetic neuralgia (PHN), the nerve pain which can follow shingles. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 18, 2009 Category: Consumer Health News Tags: pain / Anesthetics Source Type: news
NeurogesX To Hold Conference Call To Discuss FDA Approval Of Qutenza(TM) (capsaicin) 8% Patch For Treatment Of Postherpetic Neuralgia (PHN)Email this article to a colleague.
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NeurogesX, Inc. (Nasdaq: NGSX) announces that it will hold a conference call at 8:30a.m. ET (5:30a.m. PT) to discuss the U.S. Food and Drug Administration (FDA) approval of Qutenza(TM) (capsaicin) 8% patch, the first and only product containing prescription strength capsaicin, for the management of neuropathic pain due to postherpetic neuralgia (PHN), the nerve pain which can follow shingles. (Source: Pharma Industry News From Medical News Today)
Source: Pharma Industry News From Medical News Today - November 18, 2009 Category: Pharmaceuticals Tags: pain / Anesthetics Source Type: news
How do we define the condition ‘recurrent low back pain’? A systematic reviewEmail this article to a colleague.
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Abstract Recurrent low back pain (recurrent LBP) is a common condition, however, it is unclear if uniform definitions are used in studies
investigating the prevalence and management of this condition. The aim of this systematic review was to identify how recurrent
LBP is defined in the literature. A literature search was performed on MEDLINE, EMBASE, CINAHL, AMED, and PEDro. Studies were
considered eligible if they investigated a cohort of subjects with recurrent LBP or if they were measuring the prevalence
of recurrent LBP. Two independent reviewers assessed inclusion of studies and extracted definitions of...
Source: European Spine Journal - November 18, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals
Use of a combined oxygen/nitrous oxide/morphine chlorydrate protocol for analgesia in burned children requiring painful local careEmail this article to a colleague.
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We present the results of the use of a protocol of inhalational oxygen/nitrous oxide mixtures associated with oral opioids
on a prospective cohort of 33 children undergoing local care for acute but limited burned skin lesions.
Methods All the children were orally administered 0.4 mg/kg morphine chlorydrate, and nitrous oxide was administered as an equimolar
mixture (50% N2O, 50% O2) via a face mask during the procedure. Pain and comfort of the patient were evaluated by the use of a validated behavioural
score. After the end of the procedure, child and parent satisfactions were noted.
Result...
Source: Pediatric Surgery International - November 18, 2009 Category: Surgery Tags: Pediatric Surgery International Source Type: journals
Incidence of oral mucositis, its treatment and pain management in patients receiving cancer treatment at Radiation Oncology Departments in Spanish hospitals (MUCODOL Study)Email this article to a colleague.
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Conclusions Pain due to OM, a common complication of chemotherapy and radiation, limits nutritional intake and oral function. Analgesia
protocols need to be assessed to improve the quality of life of these patients.
Content Type Journal ArticleCategory Research ArticlesDOI 10.1007/s12094-009-0422-yAuthors
Ana Mañas, Hospital Universitario de La Paz Radiation Oncology Department Paseo de la Castellana. 261 ES-28046 Madrid SpainAmalia Palacios, Hospital Reina Sofía Radiation Oncology Department Córdoba SpainJorge Contreras, Hospital Carlos Haya Radiation Oncology Department Málaga SpainIsabel Sánche...
Source: Clinical and Translational Oncology - November 18, 2009 Category: Cancer & Oncology Tags: Clinical and Translational Oncology Source Type: journals
Acute non-displaced fractures of the scaphoid: earlier return to activities after operative treatment. A controlled multicenter cohort studyEmail this article to a colleague.
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Conclusion Operative treatment therefore primarily facilitates earlier return to previous activity level, as well as better functional
status, less pain and higher patient satisfaction, yet conservative treatment seems to be safer and associated with a lower
complication rate.
Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-1004-8Authors
Michael Schädel-Höpfner, University Hospital Department of Trauma and Hand Surgery Moorenstrasse 5 40225 Düsseldorf GermanyMarta Marent-Huber, AO Clinical Investigation and Documentation Stettbachstrasse 6 8600 Dübendorf SwitzerlandE...
Source: Archives of Orthopaedic and Trauma Surgery - November 18, 2009 Category: Orthopaedics Tags: Archives of Orthopaedic and Trauma Surgery Source Type: journals
A descriptive report of management strategies used by chiropractors, as reviewed by a single independent chiropractic consultant in the Australian workers compensation system.Email this article to a colleague.
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Conclusion:
It is essential chiropractic practitioners perform reasonably necessary treatment to reduce dependency on passive treatment, increase compliance to active care programs and reduce the progression to chronic pain states. It is recommended that common findings be integrated into further research to expedite and refine the management of patients with an occupational injury. (Source: Chiropractic & Osteopathy)
Source: Chiropractic & Osteopathy - November 18, 2009 Category: Complementary Medicine Authors: Henry PollardKatie de Luca Source Type: journals
Notalgia paresthesica successfully treated with narrow-band UVB: report of five casesEmail this article to a colleague.
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Conclusion Given the benefits achieved, we stress the interest of UVB narrow-band as a safe and well tolerated alternative treatment for notalgia paresthetica. (Source: Journal of the European Academy of Dermatology and Venereology)
Source: Journal of the European Academy of Dermatology and Venereology - November 18, 2009 Category: Dermatology Authors: L Pérez-Pérez, F Allegue, J-M Fabeiro, J-L Caeiro, A Zulaica Source Type: journals
Comparison of perceived health status among solid organ transplant candidatesEmail this article to a colleague.
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Conclusion: The EQ-5D seems to be a valuable tool to identify differences in health-related problems in the four different organ candidate groups. The results can be used to create intervention programs focusing on effective clinical management for these patients pre- and post-transplant. (Source: Clinical Transplantation)
Source: Clinical Transplantation - November 18, 2009 Category: Transplant Surgery Authors: Fabienne Dobbels, Christa Wernli-Fluri, Kris Denhaerynck, Michael Dickenmann, Yves Vanrenterghem, Lieven Dupont, Frederik Nevens, Johan Vanhaecke, Sabina De Geest Source Type: journals
High-Dose Capsaicin Patch ApprovedEmail this article to a colleague.
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The FDA has approved a dermal patch delivering 8% capsaicin, tradenamed Qutenza, for postherpetic neuralgia. (Source: MedPage Today Pain Management)
Source: MedPage Today Pain Management - November 17, 2009 Category: Anesthesiology Source Type: news
Managing fatigue following spinal cord injury: a qualitative exploration.Email this article to a colleague.
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CONCLUSIONS: This study identifies many of the necessary elements of a fatigue management programme to meet the specific needs of people with SCI; and ascertains important indicators of a successful programme from the perspectives of those who must live with the outcomes.
PMID: 19911479 [PubMed - in process] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - November 17, 2009 Category: Rehabilitation Authors: Hammell KW, Miller WC, Forwell SJ, Forman BE, Jacobsen BA Tags: Disabil Rehabil Source Type: journals
Spontaneous circumferential esophageal dissection in a young man with eosinophilic esophagitis [Case report - Esophagus]Email this article to a colleague.
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We describe an unusual case of a young man with eosinophilic esophagitis who presented complaining of acute retrosternal pain, fever and vomiting. After a thorough evaluation including CT-scan and esophagogram, circumferential esophageal dissection and mediastinal abscess without visible perforation was observed. Abscess resolution and oral nutrition reintroduction was achieved with non-surgical management. Corticoid therapy was initiated for esophagitis treatment. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Quiroga, J., Prim, J. M. G., Moldes, M., Ledo, R. Tags: Case report - Esophagus Source Type: journals
Malignant pleural effusion in the presence of trapped lung. Five-year experience of PleurX tunnelled catheters [Institutional report - Thoracic oncologic]Email this article to a colleague.
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We describe our five-year experience with the use of indwelling PleurX catheters in patients with malignant pleural effusions in the presence of confirmed trapped lung on radiological or VATS investigation. Patient health related quality of life was investigated by telephone questionnaire. The parameters analysed were symptomatic relief, mobility and ease of management following insertion. One hundred and sixteen patients underwent PleurX catheter insertion by a single operator, 48 questionnaires were completed. Of the 48 cases analysed, improvement in all three quality of life indices was recorded following catheter inser...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Efthymiou, C. A., Masudi, T., Charles Thorpe, J. A., Papagiannopoulos, K. Tags: Institutional report - Thoracic oncologic Source Type: journals
Xanodyne Announces FDA Approval Of Lysteda(TM) (Tranexamic Acid) For Treatment Of Women With Heavy Menstrual BleedingEmail this article to a colleague.
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Xanodyne Pharmaceuticals, Inc., an integrated specialty pharmaceutical company with both development and commercial capabilities focused on women's healthcare and pain management, announced today that Lysteda(TM) (tranexamic acid) oral tablets has received U.S. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 17, 2009 Category: Consumer Health News Tags: Women's Health / Gynecology Source Type: news
Xanodyne Announces FDA Approval Of Lysteda(TM) (Tranexamic Acid) For Treatment Of Women With Heavy Menstrual BleedingEmail this article to a colleague.
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Xanodyne Pharmaceuticals, Inc., an integrated specialty pharmaceutical company with both development and commercial capabilities focused on women's healthcare and pain management, announced today that Lysteda(TM) (tranexamic acid) oral tablets has received U.S. Food and Drug Administration (FDA) approval for treatment of women suffering from cyclic heavy menstrual bleeding (HMB), also known as menorrhagia. (Source: Women's Health / OBGYN News From Medical News Today)
Source: Women's Health / OBGYN News From Medical News Today - November 17, 2009 Category: OBGYN Tags: Women's Health / Gynecology Source Type: news
Myoguide EMG Amplifier/Stimulator from Intronix TechEmail this article to a colleague.
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This week at Medica 2009 in Düsseldorf, a Canadian firm Intronix Technologies Corp is unveiling a new electrophysiological amplifier designed to identify where to place neuromodulator injections for muscle disorders, pain management, and cosmetic applications. The Myoguide is essentially a single-channel EMG amplifier with stimulator that sports a signal display with analysis and EMG audio, so a clinician can locate areas of hyperactive muscle fibers for treatment.
Published features of the product:
Ability to see and hear EMG signals, display real time analyzed EMG, and stimulation location capability. There are nu...
Source: Medgadget Anesthesiology - November 17, 2009 Category: Anesthesiology Tags: Neurology Source Type: info
CKS topic review: Sciatica (lumbar radiculopathy)Email this article to a colleague.
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Source: CKS
Area: Evidence > Guidelines
This Topic Review from the Clinical Knowledge Service (CKS) covers the symptomatic management of sciatica (lumbar radiculopathy) in primary care. It focuses on the diagnostic and pharmacologic interventions that are available for primary healthcare practitioners in the NHS to recommend or prescribe. (Source: NeLM - Pain control)
Source: NeLM - Pain control - November 17, 2009 Category: Anesthesiology Source Type: organizations
CKS topic review: Low back painEmail this article to a colleague.
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Source: CKS
Area: Evidence > Guidelines
This Topic Review from the Clinical Knowledge Service (CKS) covers the management of acute and chronic low back pain. It covers:
. the management in primary care of non-specific low back pain without radiculopathy (sciatica) that has lasted less than about 6 weeks, and . the management in primary care of non-specific low back pain without radiculopathy (sciatica) that has lasted more than about 6 weeks. (Source: NeLM - Pain control)
Source: NeLM - Pain control - November 17, 2009 Category: Anesthesiology Source Type: organizations
Rupture of Middle Fossa Arachnoid Cyst Simulating New-Onset Migraine With AuraEmail this article to a colleague.
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We present the first report of symptomatic migraine with aura caused by the spontaneous rupture of a middle fossa arachnoid cyst into the subdural space. Brain imaging enabled an accurate diagnosis and, subsequently, adequate surgical management. (Source: Headache: The Journal of Head and Face Pain)
Source: Headache: The Journal of Head and Face Pain - November 17, 2009 Category: Neurology Authors: Raquel Gil-Gouveia, José Miguens, Domingos Coiteiro Source Type: journals
Quantification of a Methadone Metabolite (EDDP) in Urine: Assessment of Compliance.Email this article to a colleague.
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Conclusion For the first time, urine analyses may be used to monitor methadone over- or under-use in a clinical setting, regardless of the state of patient hydration or the manipulation of a sample by addition of another substance, such as bleach, soap, or even methadone, which could render an appropriate sample inappropriate or an inappropriate sample appropriate. A similar approach may prove useful for other drug treatments, allowing for more accurate monitoring of commonly abused prescription medications.
PMID: 19920164 [PubMed - as supplied by publisher] (Source: Clin Med Res)
Source: Clin Med Res - November 17, 2009 Category: Research Authors: Larson ME, Richards TM Tags: Clin Med Res Source Type: journals
Pain Management from Basics to Clinical PracticeEmail this article to a colleague.
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(Source: British Journal of Anaesthesia)
Source: British Journal of Anaesthesia - November 16, 2009 Category: Anesthesiology Authors: Power, I. Tags: Book Reviews Source Type: journals
Cancer Pain (Clinical Pain Management)Email this article to a colleague.
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(Source: British Journal of Anaesthesia)
Source: British Journal of Anaesthesia - November 16, 2009 Category: Anesthesiology Authors: Colvin, L. A. Tags: Book Reviews Source Type: journals
Xanodyne Announces FDA Approval of Lysteda (Tranexamic Acid) for Treatment of Women with Heavy Menstrual BleedingEmail this article to a colleague.
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NEWPORT, Ky., Nov. 16 /PRNewswire/ -- Xanodyne Pharmaceuticals,
Inc., an integrated specialty pharmaceutical company with both
development and commercial capabilities focused on women's
healthcare and pain management, announced today that... (Source: Drugs.com - New Drug Approvals)
Source: Drugs.com - New Drug Approvals - November 16, 2009 Category: Drugs & Pharmacology Source Type: news
Unique challenges for appropriate management of a 16-year-old girl with superior mesenteric artery syndrome as a result of anorexia nervosa: a case reportEmail this article to a colleague.
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Conclusion:
This case illustrates important points regarding the pathogenesis of superior mesenteric artery syndrome in the setting of anorexia, and it highlights the complexities that arise when managing an adolescent with both medical and psychiatric needs, as well as outlining a viable solution. While superior mesenteric artery syndrome is an uncommon cause of small bowel obstruction, the general pediatrician and child psychiatrist should be aware of this complication of anorexia nervosa. (Source: BioMed Central)
Source: BioMed Central - November 16, 2009 Category: Journals (General) Authors: Philip VerhoefAngelika Rampal Source Type: journals
Protocol for the ProFHER (PROximal Fracture of the Humerus: Evaluation by Randomisation) trial: a pragmatic multi-centre randomised controlled trial of surgical versus non-surgical treatment for proximal fracture of the humerus in adultsEmail this article to a colleague.
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This article presents the protocol for a multi-centre randomised controlled trial. It gives extensive details of, and the basis for, the chosen methods, and describes the key measures taken to avoid bias and to ensure validity.Trial RegistrationCurrent Controlled Trials ISRCTN50850043 (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - November 16, 2009 Category: Orthopaedics Authors: Helen HandollStephen BrealeyAmar RanganDavid TorgersonLaura DennisAlison ArmstrongLing-Hsiang ChuangBen CrossJo DumvilleSarah GardnerLorna GoodchildSharon HamiltonCatherine HewittRajan MadhokNicola MaffulliLucy MicklewrightValerie WadsworthAngus WallaceJo Source Type: journals
Significance of Clinical Evaluation of the Metacarpophalangeal Joint in Relation to Synovial/Bone Pathology in Rheumatoid and Psoriatic Arthritis Detected by Magnetic Resonance Imaging.Email this article to a colleague.
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CONCLUSION: In inflammatory arthritis, disease activity in MCP joints can be reliably assessed at the bedside by examining for joint-line tenderness (TJC) and visual inspection for swelling. Clinical assessment may have to be complemented by other methods for evaluating disease activity in the joint, such as MRI, particularly in patients with PsA.
PMID: 19918033 [PubMed - as supplied by publisher] (Source: J Rheumatol)
Source: J Rheumatol - November 16, 2009 Category: Rheumatology Authors: Stone MA, White LM, Gladman DD, Inman RD, Chaya S, Lax M, Salonen D, Weber DA, Guthrie JA, Pomeroy E, Podbielski D, Keystone EC Tags: J Rheumatol Source Type: journals
Fair PlayEmail this article to a colleague.
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Recently, while finishing up delivering a talk in Silicon Valley, I found myself struck by a deep sense of dread. I hadn't brought enough copies of hand out materials for the unexpectedly large group. This meant that at any moment a small mob of otherwise friendly people might turn against me, driven to expressing mild rage from a sense of unfairness. It was enough to put me on edge for some time until I labeled what was going on.Fairness is the fifth and final domain of threat or reward I have written up in a series of posts, the others being Status, Certainty, Autonomy and Relatedness. These five ideas together make up t...
Source: Psychology Today Work Center - November 15, 2009 Category: Psychiatry & Psychology Authors: David Rock Tags: Neuroscience Social Life Work autonomy being ethical deep sense dread enormous sums ethics fair fair play fairness fairness issues injustice large group mundane situations pain and pleasure political clashes relatedness Source Type: consumer
Management of temporomandibular disorder associated with bruxismEmail this article to a colleague.
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Bedi S, Sharma AJournal of Indian Society of Pedodontics and Preventive Dentistry 2009 27(4):253-255Bruxism is the non-functional clenching or grinding of the teeth that may occur during sleep or, less commonly in the daytime in 5-20% of adults and about 30% of 56 year old children. Although research on bruxism is extensive, its etiology remains debatable. There is some literature to suggest that bruxism is correlated with temporomandibular disorders (TMDs) and malocclusion. The aim of this article is to present the course of this condition in a case of bruxism coupled with TMD with special emphasis on the im...
Source: Journal of Indian Society of Pedodontics and Preventive Dentistry - November 14, 2009 Category: Dentistry Authors: Bedi S, Sharma A Source Type: journals
NICE clinical guidelines. Low back pain: The early management of persistent non-specific back painEmail this article to a colleague.
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In May 2009 the National Institute for Health and Clinical Excellence (NICE) published a guideline to improve the early management of low back pain. NICE clinical guidelines recommend the care that is suitable for most patients with an identified condition in the National Health Service (NHS) for England and Wales. The development of the guideline involved assessing the clinical and cost effectiveness of treatments and management strategies for non-specific low back pain of between 6 weeks and 12 months duration. They are based on the best available research evidence and expert consensus. The back pain guidelines are good ...
Source: International Journal of Osteopathic Medicine - November 14, 2009 Category: Complementary Medicine Authors: Steven Vogel Tags: Editorial Source Type: journals
The Namibian conservation safari that keeps both animals and tourists happyEmail this article to a colleague.
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Sleeping under the stars, meeting villagers and monitoring wildlife on foot ... this Namibian conservation project gives a glimpse of an Africa rarely seen on safariAfter dark we sit around the campfire listening to the sounds of the Namibian bush. An owl calls, then comes the pulsating thrum of a nightjar, plus all the insects and the unidentifiable rustlings of the leaf litter. In this dry season the mopane trees are almost leafless, but occasional flashes of lightning promise rain. Our guides, François de Wet and Neil Bone, are reminiscing about bush camps and the time their friend Dave got dragged away inside his slee...
Source: Guardian Unlimited Science - November 14, 2009 Category: Science Authors: Kevin Rushby Tags: Namibia Safaris Africa Green travel Animal behaviour Animal research Animal welfare The Guardian Features Source Type: news
Long-term vaginal ring pessary use: discontinuation rates and adverse events.Email this article to a colleague.
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CONCLUSIONS: We were surprised to find a 56% complication rate in pessary users. Our study shows that, over time, the majority of women chose to discontinue using pessaries. Women should be informed of these data when deciding on the management of their pelvic organ prolapse.
PMID: 19906018 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - November 13, 2009 Category: OBGYN Authors: Sarma S, Ying T, Moore KH Tags: BJOG Source Type: journals
A Proposed Methodology to Select Radioisotopes for Use in Radionuclide Therapy [METHODOLOGIC PERSPECTIVES]Email this article to a colleague.
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SUMMARY:
The American Journal of Neuroradiology has played a seminal role in the history of vertebral augmentation (VA). Because VA is increasingly being included in the multidisciplinary management of malignant vertebral compression fractures (VCFs), combined therapeutic approaches that include strategies to treat metastatic disease along with the fracture have become appealing options for patients. To that end, we recently investigated the dosimetric feasibility of treating malignant VCFs with radionuclide therapy. The goal would be to provide local control of the systemic disease beyond the pain relief and structural su...
Source: American Journal of Neuroradiology - November 13, 2009 Category: Radiology Authors: Cuaron, J.J., Hirsch, J.A., Medich, D.C., Rosenstein, B.S., Martel, C.B., Hirsch, A.E. Tags: METHODOLOGIC PERSPECTIVES Source Type: journals
Cape Verde: Emergency team responding to country’s first ever dengue fever outbreak, the biggest reported in AfricaEmail this article to a colleague.
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The Cape Verde Ministry of Health has reported 13,187 suspected cases of dengue fever in four islands within the archipelago between Oct. 1 and Nov. 9. The outbreak is the first ever reported in Cape Verde, located off the coast of Senegal, and is the biggest reported in Africa. The number of cases has increased sharply since the beginning of November, reaching 1,000 cases per day. Ninety-three cases of dengue hemorrhagic fever have been reported and six people have already died.
The international response to the dengue fever outbreak has been positive, with public health experts and international medical teams now provi...
Source: MSF News - November 13, 2009 Category: Global & Universal Tags: NEWS Source Type: organizations
Acupuncture for osteoarthritis pain: A randomized controlled trial evaluating the relative effects of real acupuncture and two placebos with respect to patient empathy, empowerment, and the practitioner on treatment outcomeEmail this article to a colleague.
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This study also suggests we are able to deliver convincing acupuncture placebos/controls and that a ‘placebo’ needle (SN) appears as clinically effective as MES. This implies that an enhanced placebo response is not associated with acupuncture needling. This suggests we should consider that the most important factor influencing treatment outcome for pain may be related to the therapist and not the procedure they employ. This hypothesis will require further investigation across a number of different interventions but may be important for pain management. (Source: European Journal of Integrative Medicine)
Source: European Journal of Integrative Medicine - November 13, 2009 Category: Complementary Medicine Authors: G. Lewith, P. White, P. Little, P. Prescott, V. Irwin, C. Hill Source Type: journals
An exploratory double-blind randomised placebo controlled trial in rheumatoid arthritis to evaluate whether the effects of homeopathy are attributable to the consultation process, or the homeopathic remedyEmail this article to a colleague.
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Conclusion: The primary outcomes are negative. The secondary outcomes show that the homeopathic consultation mediates moderate clinically relevant benefit in relatively stable RA and that the addition of individualised remedy to consultation provides further clinical benefit for patient's subjective experience of their RA. These findings appear robust and warrant further exploration in a cost-effectiveness study (Source: European Journal of Integrative Medicine)
Source: European Journal of Integrative Medicine - November 13, 2009 Category: Complementary Medicine Authors: S. Brien, L. Lachance, P. Prescott, G. Lewith Source Type: journals
Adalimumab in the management of palmoplantar psoriasis.Email this article to a colleague.
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Palmoplantar pustular psoriasis (PPP) is an uncommon form of chronic psoriasis. Characterized by sterile, intraepidermal pustules located on the palms and soles, it is highly resistant to treatment. Our patient presented with palmar inflammation and throbbing joint pain in his hands, as well as erythematous, pustular, and micaceous scaling skin on his right foot, legs, elbows, and hands. Approximately 4 percent of his body surface area was involved and he was diagnosed with PPP after skin biopsy. After conventional therapy failed, the patient underwent treatment with adalimumab and the majority of his symptoms resolved...
Source: Dermatol Online J - November 13, 2009 Category: Dermatology Authors: Ghate JV, Alspaugh CD Tags: Dermatol Online J Source Type: journals
High-flow Priapism Due to a Malignant Glomus Tumor (Glomangiosarcoma) of the Corpus CavernosumEmail this article to a colleague.
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Conclusion. This case supports the use of corporal body blood gas analysis in difficult cases to discriminate high- and low-flow priapism and penile MRI when clinical history, physical examination, and aspiration are not contributory. Masson-Lecomte A, Rocher L, Ferlicot S, Benoît G, and Droupy S. High-flow priapism due to a malignant glomus tumor (glomangiosarcoma) of the corpus cavernosum. J Sex Med **;**:**[ndash]**. (Source: The Journal of Sexual Medicine)
Source: The Journal of Sexual Medicine - November 13, 2009 Category: Sexual Medicine Authors: Alexandra Masson-Lecomte, Laurence Rocher, Sophie Ferlicot, Gérard Benoît, Stéphane Droupy Source Type: journals
Evaluation of the breathworks mindfulness-based pain management programme: effects on well-being and multiple measures of mindfulnessEmail this article to a colleague.
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Two studies of a mindfulness training programme are presented. Study 1 reports on a pilot investigation of the impact on well-being of the Breathworks mindfulness-based pain management programme. Significant positive change was found on self-report measures of depression, outlook, catastrophizing and pain self-efficacy in the Intervention Group, but not the Comparison Group. Particularly large effects were found for pain acceptance. These results support the short-term efficacy of the Breathworks programme and reinforce the importance of acceptance for positive outcome with chronic pain patients. Study 2 investigated alter...
Source: Clinical Psychology - November 13, 2009 Category: Psychiatry & Psychology Authors: Bryany Cusens, Geoffrey B. Duggan, Kirsty Thorne, Vidyamala Burch Source Type: journals
Use of Methadone in Chronic Pain Management--A Video Lecture from CSAT/SAMHSAEmail this article to a colleague.
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An important video lecture on prescribing methadone for chronic pain, from the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration Medscape Internal Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 12, 2009 Category: Consumer Health News Tags: Internal Medicine Source Type: news
Incorporating Extrinsic Goals Into Decision and Cost-Effectiveness AnalysesEmail this article to a colleague.
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It has not been widely recognized that medical patients as individuals may have goals that are not easily expressed in terms of quality-adjusted life years (QALYs). The QALY model deals with ongoing goals such as reducing pain or maintaining mobility, but goals such as completing an important project or seeing a child graduate from college occur at unique points in time and do not lend themselves to easy expression in terms of QALYs. Such extrinsic goals have been posited as explanations for preferences inconsistent with the QALY model, such as unwillingness to trade away time or accept gambles. In this article, the author...
Source: Medical Decision Making - November 12, 2009 Category: Health Management Authors: Hazen, G. B., Schwartz, A. Tags: Articles Source Type: journals
The Psychiatrist's Role in Identifying and Treating FibromyalgiaEmail this article to a colleague.
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Bill H. McCarberg, MD, founding director of the chronic pain management program at Kaiser Permanente, Escondido, California, discusses the need for collaboration between psychiatrists and primary care providers to identify and treat patients with fibromyalgia. (Source: Psychiatric Times)
Source: Psychiatric Times - November 12, 2009 Category: Psychiatry Source Type: info
Health News of the DayEmail this article to a colleague.
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is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:U.S. primary care visit duration increased from 18 to 20.8 minutes from 1997 to 2005 http://bit.ly/AIP07Study Shows Just an Hour of Meditation Training Brings Results in Pain Management http://bit.ly/2zzJ7oWorkers exposed to high levels of bisphenol A (BPA) were 4-7 times more likely to report sexual function problems http://bit.ly/tNyxi"Should physicians pay for their own CME to avoid ethical entanglements?" http://bit.ly/4...
Source: Clinical Cases and Images - November 12, 2009 Category: Journals (General) Tags: Health News of the Day Source Type: info
Room for improvement: nurses' and physicians' views of a post-operative pain management programEmail this article to a colleague.
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The practice of post-operative pain therapy continues to be a problem. We conducted a survey among nurses and physicians about their views of an established post-operative pain management program. A questionnaire was sent to all nurses and physicians of nine surgical wards (general, trauma, cardio-thoracic and oromaxillofacial surgery and gynecology). Questions were developed from qualitative interviews with staff. Patient data were derived from a post-operative pain registry. Seventy-eight physicians and nurses answered; the overall response rate was 23%. Post-operative pain therapy had high personal priority on an 11-poi...
Source: Acta Anaesthesiologica Scandinavica - November 12, 2009 Category: Anesthesiology Authors: C. S. HARTOG, J. ROTHAUG, A. GOETTERMANN, A. ZIMMER, W. MEISSNER Source Type: journals
A Randomized, Double-Blind, Placebo-Controlled Trial of Epidural Morphine Analgesia After Vaginal Delivery.Email this article to a colleague.
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Conclusion: There was a 78% reduction in analgesic requirements in women given epidural morphine after vaginal delivery compared with placebo for both primiparous and multiparous patients. Women who receive epidural labor analgesia for vaginal deliveries and stay in the hospital for 24 h after delivery may benefit from postpartum administration of epidural morphine.
PMID: 19910627 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Macarthur A, Imarengiaye C, Tureanu L, Downey K Tags: Anesth Analg Source Type: journals
Acute Lung Injury and Acute Respiratory Distress SyndromeEmail this article to a colleague.
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This article provides an overview of acute lung injury and presents the best available evidence for its management. Continuing Education in Anaesthesia, Critical Care & Pain (Source: Medscape Pharmacist Headlines)
Source: Medscape Pharmacist Headlines - November 11, 2009 Category: Drugs & Pharmacology Tags: Critical Care Source Type: info
