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Total 49953 results found since Jan 2013.

Opioid Prescribing Habits of Emergency Department Providers in Response to an Educational Intervention
CONCLUSION: Overall, the educational intervention on the topic of opioid prescribing guidelines did not have the expected impact on amounts of opioids administered or prescribed during the study period. Total opioids utilized and opioids prescribed did not vary between the pre- and post-intervention groups overall, by subset diagnosis, or by provider. There was, however, an increase in utilization of non-opioid treatments that could be indicative of a partial response to the educational intervention. This study showed that long-term effects of education regarding recommended opioid utilization might be less effective than ...
Source: Pain Physician - September 22, 2023 Category: Anesthesiology Authors: Tory Makela Source Type: research

Patients with fibromyalgia in Finnish healthcare center - one-year follow up
CONCLUSION: With these results, we cannot conclude that ÖMPSQ predicts the patient's severity of symptoms. On the contrary, we can conclude that antidepressants and/or psychological therapy might reduce fibromyalgia symptoms for depressed patients with fibromyalgia. Patients with fibromyalgia might benefit from clinical evaluation and modifications to the treatment plan if necessary.PMID:37738389 | DOI:10.1080/02813432.2023.2259960
Source: Pain Physician - September 22, 2023 Category: Anesthesiology Authors: Tommi J ärvinen Aleksi Varinen Markku Sumanen Source Type: research

Genetic Disorders in Pediatric Rheumatology Clinic: When to Suspect, and Why?
Indian J Pediatr. 2023 Sep 22. doi: 10.1007/s12098-023-04845-w. Online ahead of print.ABSTRACTJust under a decade ago, most children with genetic disorders received a phenotypic diagnosis, often by atlas matching. With advances in genomics (decoding of human genome, easy availability of genetic testing, and reduction in cost of tests), genotypic diagnosis is now a reality. Genetic diseases can lead to non-inflammatory arthritis that can mimic juvenile idiopathic arthritis (JIA). A small but growing number (as newer genes are discovered) of genetic diseases are being diagnosed in children with a seemingly inflammatory muscu...
Source: Pain Physician - September 22, 2023 Category: Anesthesiology Authors: Naziya Perveen Maldar Raju Khubchandani Archana Khan Source Type: research

Gender-specific results of the Dresden children and adolescents headache program DreKiP
We examined gender differences in the outpatient multimodal Dresden Child and Adolescent Headache Program DreKiP.METHODS: We treated 140 patients with primary headache in a 15-hour structured group program. At baseline (T0) and six (T1) and twelve months (T2) after the end of the program, data on headache-related limitation of daily activities (PedMIDAS) as well as headache frequency, intensity, and pain-related disability (P-PDI) were collected. Retrospectively, these data were analyzed separately for girls and boys.RESULTS: For 91 patients (9-19 years, median = 15; 71.4 % female) data were available for at least two meas...
Source: Schmerz - September 22, 2023 Category: Anesthesiology Authors: Laura Zaranek Hanna Sobe Matthias Richter Anke H übler Reinhard Berner Maja von der Hagen Thea Koch Rainer Sabatowski Anna Klimova Gudrun Go ßrau Source Type: research

Arts Therapy and Its Implications in Chronic Pain Management: A Narrative Review
Pain Ther. 2023 Sep 21. doi: 10.1007/s40122-023-00542-w. Online ahead of print.ABSTRACTChronic nonmalignant pain is recognized as a complex, dynamic, phenomenological interplay between biological, psychological, and social factors that are individual to the person suffering from it. Therefore, its management and treatment ought to entail the individual's biopsychosocial aspects that are often addressed by collaborative, inter/multidisciplinary multimodal care, as there is no biologic treatment. In an effort to enhance inter/multidisciplinary multimodal care, a narrative review of arts therapy as a mind-body intervention an...
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Jaroslava Raudensk á Veronika Šteinerová Šárka Vodičková Martin Raudensk ý Marie Fulkov á Ivan Urits Omar Viswanath Giustino Varrassi Alena Jav ůrková Source Type: research

Continued challenges in pediatric anesthesia during COVID-19 in 2022: An international survey from the pediatric anesthesia COVID-19 collaborative
CONCLUSION: Our study found that COVID-19 has continued to impact pediatric anesthesiology. There are major discrepancies between what anesthesiologists believe are important for job satisfaction and faculty retention compared to implemented initiatives. Data from this survey provide insight for institutions and departments for addressing these challenges.PMID:37732382 | DOI:10.1111/pan.14762
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: John Zhong Victoria Bradford Allison M Fernandez Andrew Infosino Codruta N Soneru Steven J Staffa Vidya T Raman Joseph Cravero David Zurakowski Petra M Meier Pediatric Anesthesia COVID-19 Collaborative Source Type: research

Effects of Savoring Meditation on Positive Emotions and Pain-Related Brain Function: A Mechanistic Randomized Controlled Trial in People With Rheumatoid Arthritis
medRxiv. 2023 Sep 8:2023.09.07.23294949. doi: 10.1101/2023.09.07.23294949. Preprint.ABSTRACTPositive emotions are a promising target for intervention in chronic pain, but mixed findings across trials to date suggest that existing interventions may not be optimized to efficiently engage the target. The aim of the current mechanistic randomized controlled trial was to test the effects of a single skill positive emotion-enhancing intervention called Savoring Meditation on pain-related neural and behavioral targets in patients with rheumatoid arthritis (RA). Participants included 44 patients with a physician-confirmed diagnosi...
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Patrick H Finan Carly Hunt Michael L Keaser Katie Smith Sheera Lerman Clifton O Bingham Frederick Barrett Eric L Garland Fadel Zeidan David A Seminowicz Source Type: research

Ollier Disease: A Case Report and Review of Treatment Options
In this report, we describe the case of an 11-year-old female who presented to her physician with pain and swelling of her right ring and small fingers after playing in a swimming pool with no obvious mechanism of trauma. A routine, plain radiographic evaluation of her hand revealed the presence of multiple enchondromatosis. We hope to use this case to highlight the surgical management options for young patients with Ollier disease and discuss circumstances in which surgical management may not be indicated.PMID:37731444 | PMC:PMC10509006 | DOI:10.7759/cureus.43815
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Hunter D Kramer Michael J Valentine Nicholas Pettinelli James Kim Robert C Kramer Source Type: research

Urgent Juxtarenal Aortic Aneurysm Repair With Modified Off-the-shelf Endograft to Preserve Intercostal Arteries and Branch Incorporation by Transfemoral Access
CONCLUSION: t-Branch-modified endograft to limit aortic coverage is an alternative option in urgent cases to diminish the risk of spinal cord injury, and association of steerable sheaths with branch incorporation is leading complex aortic repairs to an even less invasive procedure.CLINICAL IMPACT: This paper highlights the possibility of performing complex endovascular aortic repair in an urgent setting with modification of an off-the-shelf multi branched endograft limiting intercostal arteries coverage, thereby diminishing the risk of spinal cord ischemia. This technical innovation provides an alternative for clinicians w...
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Marcelo Ferreira Matheus Mannarino Rodrigo Cunha Diego Ferreira Luis Fernando Capotorto Source Type: research

Factors associated with sarcopenia in Japanese patients with rheumatoid arthritis: results from the IORRA cohort study
Clin Rheumatol. 2023 Sep 21. doi: 10.1007/s10067-023-06779-2. Online ahead of print.ABSTRACTTo investigate the prevalence of and factors associated with sarcopenia in Japanese patients with rheumatoid arthritis (RA). We analyzed a cross-section of patients with RA participating in the Institute of Rheumatology Rheumatoid Arthritis cohort survey in 2021. Participants completed self-administered questionnaires, including a 5-item sarcopenia screening index (SARC-F). Patients with a SARC-F score of 4 or higher were categorized as having sarcopenia. Among 2416 Japanese patients with RA (2113 women and 303 men; mean age 63.9 ye...
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Masanori Nakayama Takefumi Furuya Eisuke Inoue Eiichi Tanaka Katsunori Ikari Hisashi Yamanaka Masayoshi Harigai Source Type: research

Arts Therapy and Its Implications in Chronic Pain Management: A Narrative Review
Pain Ther. 2023 Sep 21. doi: 10.1007/s40122-023-00542-w. Online ahead of print.ABSTRACTChronic nonmalignant pain is recognized as a complex, dynamic, phenomenological interplay between biological, psychological, and social factors that are individual to the person suffering from it. Therefore, its management and treatment ought to entail the individual's biopsychosocial aspects that are often addressed by collaborative, inter/multidisciplinary multimodal care, as there is no biologic treatment. In an effort to enhance inter/multidisciplinary multimodal care, a narrative review of arts therapy as a mind-body intervention an...
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Jaroslava Raudensk á Veronika Šteinerová Šárka Vodičková Martin Raudensk ý Marie Fulkov á Ivan Urits Omar Viswanath Giustino Varrassi Alena Jav ůrková Source Type: research

Continued challenges in pediatric anesthesia during COVID-19 in 2022: An international survey from the pediatric anesthesia COVID-19 collaborative
CONCLUSION: Our study found that COVID-19 has continued to impact pediatric anesthesiology. There are major discrepancies between what anesthesiologists believe are important for job satisfaction and faculty retention compared to implemented initiatives. Data from this survey provide insight for institutions and departments for addressing these challenges.PMID:37732382 | DOI:10.1111/pan.14762
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: John Zhong Victoria Bradford Allison M Fernandez Andrew Infosino Codruta N Soneru Steven J Staffa Vidya T Raman Joseph Cravero David Zurakowski Petra M Meier Pediatric Anesthesia COVID-19 Collaborative Source Type: research

Effects of Savoring Meditation on Positive Emotions and Pain-Related Brain Function: A Mechanistic Randomized Controlled Trial in People With Rheumatoid Arthritis
medRxiv. 2023 Sep 8:2023.09.07.23294949. doi: 10.1101/2023.09.07.23294949. Preprint.ABSTRACTPositive emotions are a promising target for intervention in chronic pain, but mixed findings across trials to date suggest that existing interventions may not be optimized to efficiently engage the target. The aim of the current mechanistic randomized controlled trial was to test the effects of a single skill positive emotion-enhancing intervention called Savoring Meditation on pain-related neural and behavioral targets in patients with rheumatoid arthritis (RA). Participants included 44 patients with a physician-confirmed diagnosi...
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Patrick H Finan Carly Hunt Michael L Keaser Katie Smith Sheera Lerman Clifton O Bingham Frederick Barrett Eric L Garland Fadel Zeidan David A Seminowicz Source Type: research

Comparison of the efficacy of genicular nerve phenol neurolysis and radiofrequency ablation for pain management in patients with knee osteoarthritis
CONCLUSIONS: : Neurolysis of the genicular nerves with both RFA and phenol is effective in the management of KOA pain. Phenol may be a good alternative to RFA. Further studies are needed on issues such as dose adjustment to prevent transient paresthesia response.PMID:37732409 | DOI:10.3344/kjp.23200
Source: Korean Journal of Pain - September 21, 2023 Category: Anesthesiology Authors: Gokhan Yildiz Gevher Rabia Genc Perdecioglu Damla Yuruk Ezgi Can Omer Taylan Akkaya Source Type: research

Muscimol as a treatment for nerve injury-related neuropathic pain: a systematic review and metaanalysis of preclinical studies
CONCLUSIONS: : Muscimol is effective in the amelioration of mechanical allodynia, mechanical hyperalgesia, and thermal hyperalgesia, exerting its analgesic effects 15 minutes after administration for up to at least 3 hours.PMID:37732408 | DOI:10.3344/kjp.23161
Source: Korean Journal of Pain - September 21, 2023 Category: Anesthesiology Authors: Hamzah Adel Ramawad Parsa Paridari Sajjad Jabermoradi Pantea Gharin Amirmohammad Toloui Saeed Safari Mahmoud Yousefifard Source Type: research