132,832 results match your criteria pain age


True aneurysms of foot arteries: A case report of a young patient.

Ann Vasc Surg 2021 Apr 7. Epub 2021 Apr 7.

The Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Japan.

Background: Reports of true aneurysms of the lower leg are rare. Among them, cases involving young patients are all the more rare, and there are many unexplored aspects to this pathological condition.

Case Presentation: This is a case of a 30-year-old woman who was referred by an orthopedic surgeon with a chief complaint of severe pain during walking and landing. Read More

View Article and Full-Text PDF

Prevalence of musculoskeletal chest pain in the emergency department: a systematic review and meta-analysis.

Scand J Pain 2021 Apr 12. Epub 2021 Apr 12.

Department of Biostatistics, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India.

Objectives: Our objective was to systematically review and meta-analyse relevant studies to determine the prevalence of musculoskeletal chest pain in the emergency department.

Methods: This review was constructed while confirming to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. PubMed, Cochrane Library, SCOPUS, Science Direct, and OVID were systematically searched from their inception to January 19, 2020, to identify observational studies, where the prevalence of musculoskeletal causes of chest pain was reported in isolation or in combination with other causes or could be calculated from the available data. Read More

View Article and Full-Text PDF

The challenge of recognizing severe pain and autonomic abnormalities for early diagnosis of CRPS.

Scand J Pain 2021 Apr 12. Epub 2021 Apr 12.

Section of Clinical Neurophysiology, Department of Neurology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.

Objectives: Complex regional pain syndrome (CRPS) is a disabling usually post-traumatic pain condition. International guidelines emphasize early diagnosis for treatment and improved outcome. Early intense and persistent pain along with features of autonomic dysfunction in the first week's post-injury are early warning signs for development of CRPS. Read More

View Article and Full-Text PDF

Single-port robotic-assisted simple prostatectomy is associated with decreased post-operative narcotic use in a propensity score matched analysis.

J Robot Surg 2021 Apr 10. Epub 2021 Apr 10.

Department of Urology, University of Texas Southwestern, 2001 Inwood Dr., WCB3, Suite 4.878, Dallas, TX, 75390 MC 9110, USA.

Robotic-assisted simple prostatectomy (RASP) has proven to be an effective minimally invasive option for benign prostatic enlargement (BPE) in recent years. Single-site surgery is theorized to reduce post-operative pain beyond traditional minimally invasive approaches. We sought to assess whether use of a single-port robotic platform decreases post-operative opioid use in patients undergoing robotic-assisted simple prostatectomy (RASP). Read More

View Article and Full-Text PDF

Value of influenza vaccines in cancer patients during the coronavirus (COVID-19) pandemic: a cross-sectional study.

Support Care Cancer 2021 Apr 10. Epub 2021 Apr 10.

Department of Biostatics and Epidemiology, Shahid Sadoughi University of Medical Science, Yazd, Iran.

Background: According to the recommendation of the Centers for Disease Control and Prevention (CDC), getting influenza vaccines during the coronavirus (COVID-19) pandemics is especially important for people with certain underlying medical conditions, like cancer. Due to the similarities between the symptoms of influenza and COVID-19, receiving the flu vaccine in suspicious cases can be helpful because it will make it easier to request a medical test and diagnosis. In this study, the value of influenza vaccination in the cancer population was investigated. Read More

View Article and Full-Text PDF

A longitudinal study exploring the evolution of pain during pregnancy and after delivery: does worry matter?

Arch Womens Ment Health 2021 Apr 10. Epub 2021 Apr 10.

Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain.

The aim of this study is to evaluate the evolution of pain through pregnancy until after delivery, as well as to explore the mediating role of pregnancy worries in this evolution of pain. We conducted a longitudinal cohort study. The convenience sample was evaluated on four separate occasions: in the first trimester of pregnancy (pain), during the third trimester (pain and worry), during labor (pain), and after birth (< 24 h; pain). Read More

View Article and Full-Text PDF

Ultrasound-guided percutaneous needle tenotomy using Tenex system for refractory lateral epicondylitis; short and long-term effectiveness and contributing factors.

Skeletal Radiol 2021 Apr 10. Epub 2021 Apr 10.

Department of Radiology, Musculoskeletal Imaging and Intervention, University of Virginia Health System, Charlottesville, VA, USA.

Background: Ultrasound-guided percutaneous needle tenotomy (USPNT) has been proposed as an alternative treatment to surgical intervention for lateral epicondylitis (LE). The Tenex system (Tenex Health Inc., Lake Forest, CA, USA) for USPNT is an ultrasonic device involving a needle which oscillates at high frequency to debride and aspirate diseased tendon under ultrasound image guidance. Read More

View Article and Full-Text PDF

[Possibilities and limits of conservative treatment for osteoarthritis : Sport advice, training therapy, orthotics and cartilage therapeutics].

Orthopade 2021 Apr 9. Epub 2021 Apr 9.

Zentrum für Regenerative Medizin, Donau-Universität Krems, Dr. Karl-Dorrek-Straße 30, 3500, Krems, Österreich.

Background: Osteoarthritis (OA)-the progressive degeneration of synovial joints-is a worldwide problem that affects society, is associated with age and is the dominant reason for pain and immobility of the locomotor system. In the population, 70% of people over the age of 70 show some signs of OA. Overall, up to 25% of the total population is affected, due to the general aging of the population itself, and this is an increasing tendency. Read More

View Article and Full-Text PDF

Gender-specific analysis for the association between trunk muscle mass and spinal pathologies.

Sci Rep 2021 Apr 9;11(1):7816. Epub 2021 Apr 9.

Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.

We investigated the relationship between trunk muscle mass and spinal pathologies by gender. This multicenter cross-sectional study included patients aged ≥ 30 years who visited a spinal outpatient clinic. Trunk and appendicular muscle mass were measured using bioelectrical impedance analysis. Read More

View Article and Full-Text PDF

Invasive placebos in research on peripheral nerve blocks: a follow-up study.

Reg Anesth Pain Med 2021 Apr 9. Epub 2021 Apr 9.

Children's Anaesthesia, Women's and Children's Hospital Adelaide, North Adelaide, South Australia, Australia.

Introduction: The Serious Harm and Morbidity "SHAM" grading system has previously been proposed to categorize the risks associated with the use of invasive placebos in peripheral nerve block research. SHAM grades range from 0 (no potential complications, eg, using standard analgesia techniques as a comparator) through to 4 (risk of major complications, eg, performing a sub-Tenon's block and injecting normal saline). A study in 2011 found that 52% of studies of peripheral nerve blocks had SHAM grades of 3 or more. Read More

View Article and Full-Text PDF

Diagnostic accuracy of the HEART Pathway and EDACS-ADP when combined with a 0-hour/1-hour hs-cTnT protocol for assessment of acute chest pain patients.

Emerg Med J 2021 Apr 9. Epub 2021 Apr 9.

Department of Emergency Medicine, Skåne University Hospital Lund, Lund University, Lund, Sweden.

Background/aim: In ED chest pain patients, a 0-hour/1-hour protocol based on high sensitivity cardiac troponin T (hs-cTnT) tests combined with clinical risk stratification in diagnosing acute coronary syndrome is recommended. Two of the most promising risk stratification tools are the History, ECG, Age, Risk Factors and Troponin (HEART) and Emergency Department Assessment of Chest Pain (EDAC) scores. Few studies have assessed the diagnostic accuracy of the 0-hour/1-hour hs-cTnT protocol when combined with HEART score, and none with EDACS. Read More

View Article and Full-Text PDF

Cardiac Autonomic Dysfunction and Risk of Sudden Unexpected Death in Epilepsy.

Neurology 2021 Apr 9. Epub 2021 Apr 9.

: INSERM CIC-IT 1403, Lille University Medical Center, Lille, France.

Objective: We aimed to test whether patients who died from sudden unexpected death in epilepsy (SUDEP) had an abnormal cardiac autonomic response to sympathetic stimulation by hyperventilation.

Methods: We conducted a retrospective, observational, case-control study of a group of patients who died from SUDEP and controls who were matched with the patients for epilepsy type, drug resistance, sex, age at electroencephalogram recording, age at onset of epilepsy, and duration of epilepsy. We analyzed the heart rate (HR) and heart rate variability (HRV) at rest, during and after hyperventilation performed during the patient's last electroencephalogram recording before SUDEP. Read More

View Article and Full-Text PDF

Maternal finger-prick allogenic blood for persistent corneal epithelial defects.

BMJ Case Rep 2021 Apr 9;14(4). Epub 2021 Apr 9.

Department of Ophthalmology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

This is a case of a 17-year-old patient with aniridia-related keratopathy and persistent epithelial defect (PED) treated successfully using maternal finger-prick blood (FPB). Maternal allogenic FPB treatment was initiated to the patient who was non-compliant with the use of autologous FPB. The PED was successfully managed with maternal FPB treatment with rapid and complete closure of the epithelial defect. Read More

View Article and Full-Text PDF

Variation in opioid utilization among neonates with gastroschisis.

J Pediatr Surg 2021 Mar 26. Epub 2021 Mar 26.

Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 5.250, Houston, TX 77030, United States; Center for Surgical Trials and Evidence-based Practice (C-STEP), McGovern Medical School at the University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 5.256, Houston, TX 77030, United States; Children's Memorial Hermann Hospital, 6411 Fannin Street, Houston, TX 77030, United States.

Purpose: Repetitive painful stimuli and early exposure to opioids places neonates at risk for neurocognitive delays. We aimed to understand opioid utilization for neonates with gastroschisis.

Methods: We performed a retrospective review of infants with gastroschisis at a tertiary children's hospital (2017-2019). Read More

View Article and Full-Text PDF

Postoperative Opioid Prescription and Use After Outpatient Vascular Access Surgery.

J Surg Res 2021 Apr 6;264:173-178. Epub 2021 Apr 6.

Michigan Opioid Prescribing and Engagement Network, Ann Arbor, Michigan; Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan.

Background: Larger opioid prescriptions are associated with increased consumption without improvements in pain, and the majority of opioids prescribed go unused. We examined postoperative opioid prescription and use in patients undergoing vascular access surgery, where preoperative opioid exposure is common.

Methods: A retrospective analysis was conducted in adult CKD patients who underwent outpatient vascular access surgery. Read More

View Article and Full-Text PDF

Influences on emergency department attendance among frail older people with deteriorating health: a multicentre prospective cohort study.

Public Health 2021 Apr 6;194:4-10. Epub 2021 Apr 6.

Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College, London, United Kingdom. Electronic address: https://twitter.com/ij_higginson.

Objectives: To examine the patterns and influences on repeated emergency department attendance among frail older people with deteriorating health.

Study Design: Multicentre prospective cohort study (International Access Rights and Empowerment II study) with convergent mixed methods design.

Methods: Eligible patients were aged ≥65 years, with Clinical Frailty Score ≥5, and ≥1 hospital admission or ≥2 acute attendances in the previous 6 months. Read More

View Article and Full-Text PDF

Adverse Events Associated With Therapeutic Endoscopic Retrograde Pancreatography.

Pancreas 2021 Mar;50(3):378-385

From the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, CO.

Objectives: Data regarding the safety of endoscopic retrograde pancreatography (ERP) are limited compared with biliary endoscopic retrograde cholangiopancreatography. The aim of this study was to determine adverse events (AEs) associated with therapeutic ERP.

Methods: This single-center retrospective study examined consecutive therapeutic ERPs with the primary intention of cannulating the pancreatic duct. Read More

View Article and Full-Text PDF

Opioid Use Increases the Risk of Delirium in Critically Ill Adults Independently of Pain.

Am J Respir Crit Care Med 2021 Apr 9. Epub 2021 Apr 9.

University Medical Center, Utrecht University, Department of Intensive Care Medicine, Utrecht, Netherlands.

Rationale: It is unclear whether opioid use increases the risk of ICU delirium. Prior studies have not accounted for confounding including daily severity of illness, pain and competing events that may preclude delirium detection.

Objectives: To evaluate the association between ICU opioid exposure, opioid dose, and delirium occurrence. Read More

View Article and Full-Text PDF

Smoking History and Clinical Features of Cluster Headache: Results from the Korean Cluster Headache Registry.

J Clin Neurol 2021 Apr;17(2):229-235

Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.

Background And Purpose: Epidemiologic data suggest that cluster headache (CH) is significantly associated with cigarette smoking. The aim of this study was to determine differences in features between patients with a smoking history and those who are never-smokers, using data from a prospective multicenter registry.

Methods: Data used in this study were obtained from the Korean Cluster Headache Registry that collected data from consecutive patients diagnosed with CH. Read More

View Article and Full-Text PDF

The story vs the storyteller: Factors associated with the effectiveness of brief video-recorded patient stories for promoting opioid tapering.

Health Expect 2021 Apr 9. Epub 2021 Apr 9.

Department of Public Health Sciences, University of California, Davis, Davis, CA, USA.

Background: Narrative communication is often more persuasive for promoting health behaviour change than communication using facts and figures; the extent to which narrative persuasiveness is due to patients' identification with the storyteller vs engagement with the story is unclear.

Objective: To examine the relative impacts of patient engagement, age concordance and gender concordance on perceived persuasiveness of video-recorded narrative clips about opioid tapering.

Methods: Patient raters watched and rated 48 brief video-recorded clips featuring 1 of 7 different storytellers describing their experiences with opioid tapering. Read More

View Article and Full-Text PDF

Clinical profile and evolution of patients with juvenile-onset Behçet's syndrome over a 25-year period: insights from the AIDA network.

Intern Emerg Med 2021 Apr 9. Epub 2021 Apr 9.

Research Center of Systemic Auto Inflammatory Diseases, Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Rheumatology Unit, Policlinico "Le Scotte", Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale Bracci 16, 53100, Siena, Italy.

Behçet's syndrome (BS) represents an understudied topic in pediatrics: the main aims of our study were to characterize demographic and clinical features of a cohort of BS patients with juvenile-onset managed in three tertiary referral centers in Italy, evaluate their evolution in the long-term, and detect any potential differences with BS patients having an adult-onset. Medical records of 64 juvenile-onset and 332 adult-onset BS followed-up over a 2-year period were retrospectively analyzed and compared. Mean age ± SD of first symptom-appearance was 10. Read More

View Article and Full-Text PDF

Deep learning approach to predict pain progression in knee osteoarthritis.

Skeletal Radiol 2021 Apr 9. Epub 2021 Apr 9.

Department of Radiology, New York University, New York, NY, USA.

Objective: To develop and evaluate deep learning (DL) risk assessment models for predicting pain progression in subjects with or at risk of knee osteoarthritis (OA).

Materials And Methods: The incidence and progression cohorts of the Osteoarthritis Initiative, a multi-center longitudinal study involving 9348 knees in 4674 subjects with or at risk of knee OA that began in 2004 and is ongoing, were used to conduct this retrospective analysis. A subset of knees without and with pain progression (defined as a 9-point or greater increase in pain score between baseline and two or more follow-up time points over the first 48 months) was randomly stratified into training (4200 knees with a mean age of 61. Read More

View Article and Full-Text PDF

Pharmaceutical Opioid Use Patterns and Indicators of Extramedical Use and Harm in Adults With Chronic Noncancer Pain, 2012-2018.

JAMA Netw Open 2021 Apr 1;4(4):e213059. Epub 2021 Apr 1.

National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.

Importance: Despite concern about harms related to long-term prescribed opioid use among individuals with chronic noncancer pain (CNCP), no study has examined whether the same patients engage in a risky pattern of use consistently for the long term.

Objective: To examine the prevalence, incidence, persistence, and cessation of a range of opioid behaviors, indicators of extramedical use, and harm among individuals who are prescribed opioids.

Design, Setting, And Participants: This 5-year prospective cohort study in communities across Australia included 1514 adults who were prescribed opioids for CNCP. Read More

View Article and Full-Text PDF

Which Risk Factors Are Associated with Pain and Patient-reported Function in Patients with a Rotator Cuff Tear?

Clin Orthop Relat Res 2021 Apr 8. Epub 2021 Apr 8.

N. G. Lemaster, N. Heebner, Department of Rehabilitation Science, University of Kentucky, Lexington, KY, USA.

Background: Patient-reported measures guide physicians in clinical decision making and therefore it is critical to determine what clinical factors are associated with these scores. Psychological and physical factors are commonly studied separately in patients with rotator cuff tears to determine their influence on outcomes. It is well established that psychological distress and scapular motion change in the presence of a symptomatic rotator cuff tear. Read More

View Article and Full-Text PDF

Clinician Facial Expression of Emotion Corresponds with Patient Mindset.

Clin Orthop Relat Res 2021 Apr 7. Epub 2021 Apr 7.

Y. Versluijs, M. G. Moore, D. Ring, P. Jayakumar, Department of Surgery and Perioperative Care, Dell Medical School, the University of Texas at Austin, Austin, TX, USA.

Background: Mental health has a notable and perhaps underappreciated relationship with symptom intensity related to musculoskeletal pathophysiology. Tools for increasing awareness of mental health opportunities may help musculoskeletal specialists identify and address psychological distress and unhealthy misconceptions with greater confidence. One such type of technology-software that identifies emotions by analyzing facial expressions-could be developed as a clinician-awareness tool. Read More

View Article and Full-Text PDF

Unraveling a cephalalgic quagmire from a cavern to a cave.

J Postgrad Med 2021 Apr 8. Epub 2021 Apr 8.

Department of Neurosurgery, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India.

Headache in women in their late forties can be primary or secondary. We report a 48-year-old female with chronic slowly progressive left temporal headache for 1 year. She also had ipsilateral eye pain and facial numbness for 1 month, with restricted abduction in the left eye and diplopia. Read More

View Article and Full-Text PDF

[Age-related differences in the management and outcome of acute coronary syndrome under the chest pain center model: a multicenter retrospective study].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2021 Mar;33(3):318-323

Department of Cardiology, Third People's Hospital of Chengdu Affiliated to Southwest Jiaotong University, Chengdu 610031, Sichuan, China. Corresponding author: Cai Lin, Email:

Objective: To assess the age-related differences in the management strategies and outcomes of patients with acute coronary syndrome (ACS) under the chest pain center model.

Methods: Clinical data of 2 833 patients with ACS were enrolled in the retrospective observational registry between January 2017 and June 2019 at 11 hospitals with chest pain centers in Chengdu. The patients were divided into four groups according to their ages: < 55 years old group (n = 569), 55-64 years old group (n = 556), 65-74 years old group (n = 804), ≥ 75 years old group (n = 904). Read More

View Article and Full-Text PDF

[The Second Short Form of the McGill Pain Questionnaire as the useful additional tool for differential diagnostics of migraine and cervicogenic headache].

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(3):70-76

Pirogov Russian National Research Medical University, Moscow, Russia.

Objective: To study the effectiveness of the Second Short Form of the McGill Pain Questionnaire (SF-MPQ-2) as an instrument for assessment and comparison of quantitative characteristics of pain in patients with chronic musculoskeletal impairment of the cervical spine and nonspecific neck pain accompanied by chronic migraine or cervicogenic headache (CeH).

Material And Methods: Forty-nine patients, aged from 19 to 60 years (mean age 42.8±10. Read More

View Article and Full-Text PDF

[Clinical study of age-related sensory innervation of the anterior hard palate].

Hua Xi Kou Qiang Yi Xue Za Zhi 2021 Apr;39(2):170-174

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

Objectives: The present study aimed to explore the innervation of the anterior hard palatine and its relationship with individual development stage. Specifically, the effects of anesthesia on patients of different ages were observed, and neurodevelopment in the maxillofacial region was invesitgated. References that are helpful in selecting local anesthesia were provided. Read More

View Article and Full-Text PDF

THORACIC SYMPATHECTOMY: SEDATION EXPERIENCE.

Rev Port Cir Cardiotorac Vasc 2021 Apr 8;28(1):31-33. Epub 2021 Apr 8.

Cardiothoracic Surgery, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.

Introduction/Study Goals: Thoracic sympathectomy is considered to be the most effective treatment for hyperhidrosis, a procedure traditionally performed under general anesthesia. Nowadays it's a minimally invasive procedure, which makes it possible to perform under sedation with local anesthesia. The goal in this study was to assess the efficacy and safety of this anesthetic technique in video-assisted thoracic sympathectomy. Read More

View Article and Full-Text PDF