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Background: Around a third of patients with cancer report moderate to severe pain and with the development of metastases, the incidence of pain increases to 40% to 60% of patients, and in far advanced disease, 60% to 90% of patients report significant pain. Majority of health professionals found in Ethiopia do not know how to ho.. Read More
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Prevalence Of Stigmatization And Poor Self-Esteem In Chronic Pain Patients
Objective: Stigma and poor self-esteem (defined as the internalized cognitive, emotional, and behavioural impact of others’ negative attitudes on a person) are associated with many chronic health conditions and have indirect but strongly negative implications for clinical prognosis. We sought to estimate the prevalence of .. Read More
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Background: Burn injuries are associated with a variety of symptoms including pain, pruritis, anxiety and fatigue. Current pharmacotherapy is able to alleviate one or more of these symptoms, but typically requires different drugs for each symptom. An ideal therapy would be one in which several of these symptoms could be assuaged.. Read More
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Objective: Case reports of a patient suffering from biceps brachii spasticity and pain accompanied by limited range of motion in flexion and extension. Clinical features: Patient presented with right arm pain at the glenohumeral area and the elbow. Patient was assessed and treated accordingly. There was glenohumeral pain and mu.. Read More
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Treatment Of Lateral Epicondylitis With Pulsed Radiofrequency: Comparative Study Of Two Procedures
Objectives: Lateral epicondylitis (tennis elbow) is a tendinosis of the forearm extensor muscles; it has a clear occupational profile. Epicondylitis usually improves with conservative treatment but some 10% of cases require more invasive therapies, such as shock waves, infiltration with steroids or growth factors. Although its m.. Read More
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Introduction: None of treatments reported for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) has shown considerable improvement in patient´s daily life. Our objective is to determine the efficacy of hyperbaric oxygen therapy (HBOT) in the maintenance of response after sacral pulsed radiofrequency (PRF) in patie.. Read More
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Return To Work As A Treatment Objective For Patients With Chronic Pain?
Evidence-based clinical guidelines emphasize early return- to-work as a critical treatment objective in the management of recent onset pain conditions. However, something changes when a pain condition becomes chronic. For chronic pain conditions, return-to-work is rarely put forward as a primary treatment objective. Consequently.. Read More
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Intra Uterine Fetal Death And Some Related Factors: A Silent Tragedy In Southeastern Iran
Objective: To determine the incidence, and some causes of intra uterine fetal death (IUFD). Methods: This was a prospective observational study of all stillbirths over a 2 years from April 2011 to April 2013 at the Imam Ali University Teaching Hospital of zahedan,Iran The variables studied were the following: demographic charac.. Read More
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Complex Regional Pain Syndrome (CRPS) remains one of the most challenging conditions in the field of pain management in general and in the upper extremity in particular. The varied manifestations of phases, symptoms and signs of CRPS have created florid grounds for trials of a number of treatment modalities. While some of these .. Read More
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Newer Methods Of Tonsillectomy As Compared To Conventional Dissection Method
Tonsillectomy is old surgical procedure that has evolved to a more safe method that has lesser complications with little or no morbidity and mortality. Aim; this was comparative study which compared the old dissection tonsillectomy method and the newer method of tonsillectomy (ultrasonic scalpel and Laser tonsillectomy method). .. Read More
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Background: Poor attitude and lack of knowledge about pain has long been demonstrated to encumber the manner in which professionals and their patients respond to the varied dimensions of pain management. Objective: The aim of the current study was to assess the level of knowledge and attitudes regarding pain management of the 2.. Read More
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Hyper-Acute Toxic Delirium In A Patient Using Transdermal Fentanyl
The unpredictable, recurrent, intense, and frequently persistent nature of pain associated with sickle cell disease poses a difficult challenge in terms of management. The long-term treatment of non-malignant pain with opioids has traditionally been a matter of debate globally due to the perceived fears of addiction, toxicity an.. Read More
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Evaluation Of Quality Of Life And Pregnancy Outcome In Overweight Pregnant Women In Zahedan
Objective To evaluate of quality of life and pregnancy complications in overweight pregnant women in Zahedan. Study design We studied 440 pregnant women (220 normal weights and 220 overweight) who completed by the SF-36 questionnaire Iranian version during at the first and the third trimester of pregnancy. Finally, pregnancy .. Read More
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Chronic Pelvic Pain (CPP) could be defined as the presence of non-cyclic pain of 6 months duration or longer that localizes to the pelvis and is severe enough to cause functional disability and require medical or surgical treatment. Among women who undergo laparoscopy for CPP, endometriosis results in approximately 1/3 of the ca.. Read More
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Background Illness perceptions have received increasing attention in the treatment of a range of illnesses and medical conditions, however, the instruments available have not been evaluated on sub-acute and chronic low back pain patients. This study aims to evaluate the Brief IPQ in the prevailing patient group. Methods The Br.. Read More
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Depressive Disorders And Pain: A Joint Model Of Diagnosis And Treatment
Pain is a complex construct that is linked to neurobiological factors, mostly related to sensory pain dimensions and evaluated by somatosensory cortical and thalamic areas. But a painful stimulus is also modulated by emotional and cognitive factors, related to the emotional limbic processing of pain and to cortico-frontal evalua.. Read More
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Background Intrathecal baclofen (ITB) infusion has been increasingly used in patients with intractable spasticity. Prior to the implantation of the permanent pump, a trial is usually conducted to document efficacy. Intrathecal bolus injection of baclofen, followed by serial evaluations to confirm the improvement of spasticity, .. Read More
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Pain - Free Hospital: Recommendations for the Acute Pain Management in Poland
This paper aims to present Polish recommendations for the acute pain management which have been created and introduced within the last few years. Introduction of the accompanying national project “Pain-free hospital” was a success, with many dedicated hospitals that have joined the project. It provides assistance in .. Read More
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Impact of A118G Polymorphism on the Mu Opioid Receptor Function in Pain
Mu Opioid Receptor (MOR) activation by exogenous or endogenous agonists causes reduction of pain threshold after a noxious stimulus, relieving pain sensation. MOR is encoded by OPRM1 gene and its messenger RNA suffers extensible modifications by alternative splicing and single nucleotide polymorphisms (SNPs). A118G (N40D) is the.. Read More
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Ketamine Effectiveness in Cancer Pain Management: Evidence-based Practice
Ketamine is a drug used for the induction and maintenance of general anesthesia. Despite the evidence of epidural ketamine in pain management in the oncology settings, there is still a gap in the clinical setting regarding the effectiveness of using ketamine in the management of cancer related pain. The purpose of this study is .. Read More
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