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Pain General

Comparative differences in musculoskeletal pain consultation and analgesic prescription for people with dementia: a UK-wide matched cohort study.

Apr 29, 2021

Painful musculoskeletal conditions are common in older adults; however, pain identification, assessment, and management are reported to be suboptimal for people with dementia. Adequate pain management...

Barriers and facilitators to older adults' use of nonpharmacologic approaches for chronic pain: a person-focused model.

Apr 29, 2021

In the context of the opioid epidemic and the growing population of older adults living with chronic pain, clinicians are increasingly recommending nonpharmacologic approaches to patients as complemen...

In Vivo electrophysiological mechanisms underlying cervical epidural stimulation in adult rats.

Apr 26, 2021

To electrophysiologically determine the predominant neural structures activated with cervical epidural stimulation (ES), well-established electrophysiological protocols (single-pulse, paired-pulse, an...

Efficacy and safety of pharmacological, physical, and psychological interventions for the management of chronic pain in children: a WHO systematic review and meta-analysis.

Apr 26, 2021

Chronic pain in childhood is an international public health problem. We conducted a systematic review and meta-analysis to provide a summary of the published evidence of pharmacological, physical, and...

Developing a Flexible National Wastewater Surveillance System for COVID-19 and Beyond.

Apr 22, 2021

Wastewater testing offers a cost-effective strategy for measuring population disease prevalence and health behaviors. For COVID-19, wastewater surveillance addresses testing gaps and provides an early...

Pain is the Primary Factor Associated with Satisfaction with Symptoms for New Patients Presenting to the Orthopaedic Clinic.

Apr 22, 2021

The purpose of the current study was to: (1) determine the percentage of new orthopaedic patients reporting their symptoms to be acceptable at presentation, as measured by the Patient Acceptable Sympt...

Single-position surgery versus lateral-then-prone-position circumferential lumbar interbody fusion: a systematic literature review.

Apr 22, 2021

to compare the outcomes of single position (SP) circumferential lumbar interbody fusion in lateral decubitus versus dual position (DP) fusion.A systematic literature review was performed in accordance...

Gender differences in activity-limiting pain trajectories over a 17-year period in the Mexican Health and Aging Study.

Apr 22, 2021

Pain increases with age, disproportionately affects women, and is a major contributor to decreased quality of life. Because pain is dynamic, trajectories are important to consider. Few studies have ex...

Spinal cord stimulation for the management of painful diabetic neuropathy: a systematic review and meta-analysis of individual patient and aggregate data.

Apr 22, 2021

Spinal cord stimulation (SCS) has been suggested as a treatment option for patients with painful diabetic neuropathy (PDN). We conducted a systematic review and undertook a meta-analysis on individual...

Effect of Poloxamer 188 vs Placebo on Painful Vaso-Occlusive Episodes in Children and Adults With Sickle Cell Disease: A Randomized Clinical Trial.

Apr 22, 2021

Although effective agents are available to prevent painful vaso-occlusive episodes of sickle cell disease (SCD), there are no disease-modifying therapies for ongoing painful vaso-occlusive episodes; t...

Enhanced Recovery after Surgery: Benefits for the Fetal Surgery Patient.

Apr 15, 2021

The fetoscopic approach to the prenatal closure of a neural tube defect (NTD) may offer similar advantages to the newborn compared to prenatal open closure of a NTD, with a reduction in maternal risks...

Longitudinal Opioid Surveillance Project Involving Toxicologic Analysis of Postmortem Specimens from 9 Counties in Michigan Suggests the Discovery of New High-Intensity Drug Trafficking Areas.

Apr 15, 2021

Acetyl fentanyl (AF) is a Schedule I fentanyl analog that has been increasingly seen in heroin and fentanyl polydrug toxicity overdoses in Michigan (MI). Drug users are often unaware of the presence o...

Efficacy of Adductor Canal Blocks in Total Knee Arthroplasty.

Apr 15, 2021

Total knee arthroplasty (TKA) is associated with significant postoperative pain. The population receiving TKA is generally elderly and often have multiple comorbidities that can present a challenge to...

The burden attributable to headache disorders in children and adolescents in Lithuania: estimates from a national schools-based study.

Apr 15, 2021

We recently showed headache to be common in children (aged 7-11 years) and adolescents (aged 12-17) in Lithuania. Here we provide evidence from the same study of the headache-attributable burden.Fol...

Contributions of aversive environmental stress to migraine chronification: Research update of migraine pathophysiology.

Apr 15, 2021

Clinical studies have suggested that internal and/or external aversive cues may produce a negative affective-motivational component whereby maladaptive responses (plasticity) of dural afferent neurons...

Drug interactions and risks associated with the use of triptans, ditans and monoclonal antibodies in migraine.

Apr 15, 2021

The aim of this study was to review current evidence concerning potential risks and interactions associated with concomitant use of drugs indicated for the abortive treatment of migraine, namely tript...

Living with systemic lupus erythematosus in 2020: a European patient survey.

Apr 15, 2021

The aim of this study was to analyse the 2020 burden of Systemic Lupus Erythematosus (SLE) in Europe, from the patients' perspective.In May 2020, Lupus Europe, the European umbrella patient associatio...

Effects of a Self-directed Web-Based Strengthening Exercise and Physical Activity Program Supported by Automated Text Messages for People With Knee Osteoarthritis: A Randomized Clinical Trial.

Apr 15, 2021

Exercise therapies are advocated in osteoarthritis (OA) clinical guidelines. However, challenges to accessing exercise may be limiting widespread uptake.To evaluate the effects of a self-directed web-...

Tofacitinib in the Treatment of Moderate-to-Severe Rheumatoid Arthritis in China: A Cost-Effectiveness Analysis Based on a Mapping Algorithm Derived from a Chinese Population.

Apr 12, 2021

To estimate the cost-effectiveness of tofacitinib for patients with moderate-to-severe rheumatoid arthritis (RA) who failed conventional synthetic disease-modifying antirheumatic drugs from the Chines...

COVID-19: A Tsunami Is Building

Apr 09, 2021

Disclaimer: The thoughts and ideas in this post are Dr. Tuchler's alone and do not represent Kaiser Permanente’s positions, strategies, or opinions.   A tsunami is building. Even a...

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