... correlate with pelvic pain in ovarian endometriosis [1013] Angiogenesis is under the control of numerous inducers, including the vascular endothelial growth factor (VEGF) family and inhibitors, ... as thrombospondin-1 (TSP-1) [9] The aim of our study was to further investigate thrombospondin-1 serum levels in asymptomatic patients and women with pelvic pain to determine whether this antiangiogenic ... antiprostaglandins and requiring bed rest) and/or dyspareunia and/or chronic pelvic pain (n = 26) The degree of pain was established using a visual analogue scale, VAS scale [14] All patients provided informed...
Ngày tải lên: 20/06/2014, 07:20
... assay and the quantitative cardiac troponin T test in diagnosing AMI in the ED according to the time of onset of chest pain To verify whether there was any improvement in the diagnostic indices ... chest pain (categorical) as in the inclusion criteria, including the timing of onset (numerical) of chest pain The dependent variables included the qualitative (positive or negative) outcome of the ... lower than TnT in the remaining groups, a finding that was not in keeping with previous studies [33] However, the AUC for Cardio Detect did increase over time before declining after the 24-h period...
Ngày tải lên: 20/06/2014, 23:20
Báo cáo y học: " Randomized clinical trial of bedside ultrasound among patients with abdominal pain in the emergency " doc
... and no increased mortality related to examination with surgeon-performed US in patients presenting in the ED with abdominal pain The immediate patient satisfaction is slightly higher in the US ... lower in the short term Therefore, taking into consideration other benefits, we believe that implementation of bedside US in the ED improves management of the patients Competing interests The authors ... screening the entire abdomen The two groups were subsequently managed according to clinical routine as decided by the study surgeon Before leaving the ED the patients were asked to anonymously indicate...
Ngày tải lên: 13/08/2014, 23:21
Báo cáo y học: "Management of chest pain: exploring the views and experiences of chiropractors and medical practitioners in a focus group interview"
... process involved examining themes for commonality, classifying them for uniformity, and then reaching agreement on the final list of six key themes Once the themes were set and subordinate concepts ... addressed within the time allotted for the focus group meeting, the facilitator's role during the focus groups session was intentionally minimalized in order to enhance the authenticity of the observations ... managing chest pain from the point of entry, they must acquire and demonstrate competence in diagnosing the complaint Chest pain can have a multitude of etiologies, involves an inherently high...
Ngày tải lên: 25/10/2012, 10:06
Tài liệu Evaluation of the Low Back Pain Practice Guideline Implementation in the Army Medical Department pdf
... guideline (VHA/DoD, 1999) The Practice Guideline for Low Back Pain The principal emphasis of the DoD/VA low back pain practice guideline is on acute low back pain, which is defined as low back pain ... clinical practices This report presents the findings from our evaluation of the implementation of the practice guideline for low back pain in the Great Plains Region demonstration These findings ... back pain (defined by the guideline as xvi Evaluation of the Low Back Pain Practice Guideline Implementation chronic low back pain) .2 To the extent that MTFs had been treating acute low back pain...
Ngày tải lên: 18/02/2014, 17:20
Tài liệu The high price of pain: the economic impact of persistent pain in Australia pdf
... biological These factors would not usually cause the initial (acute) pain but they may act to maintain or modulate it In other words, to some extent they may be a consequence of injury and pain and they, ... they, in turn, may come to influence how much the pain affects the person and interferes with his/her life The high price of pain Biopsychosocial models of pain represent ways of trying to link the ... entity’ (Siddall and Cousins, 2004) In other words, the processes of chronic pain become the principal problem 2.1.2 Nociceptive Pain Pain in response to tissue damage (injury) or noxious stimulation...
Ngày tải lên: 20/02/2014, 20:20
WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses docx
... with SCD in clinics, day hospitals and inpatient settings (51) 2.4 Defining criteria and selecting a pain measurement tool in clinical settings In a clinical setting, the selection of pain scales ... from providing basic pain care (66) Managing pain starts with recognizing and assessing pain Therefore, planning pain assessment as an integral element of pain management at all levels of the health ... like pain; • sharp or shooting The pain may be persisting or recurrent Neuropathic pain • central is perceived within neuropathic pain the innervation due to spinal cord territory of the injury...
Ngày tải lên: 07/03/2014, 04:20
Integrative Pain Medicine The Science and Practice of Complementary and Alternative Medicine in Pain Management docx
... Bradykinin Bradykinin is a plasma protein produced in the liver It circulates in a blocked state termed kininogen Unblocking kininogen by the action of the enzyme kallikrein produces bradykinin ... Activation Summary Clinical Considerations The Spinal Cord and Pain Ascending Pathways for Pain Cerebral Representation of Pain The Brainstem and Descending Pain Modulation Systems Pain as an Allostatic ... pain by the central nervous system; this typically is due to the activation of powerful inhibitory systems in the spinal cord and brainstem Conversely, pain can be perceived in the brain in the...
Ngày tải lên: 29/03/2014, 07:21
Neuropathic pain - The pharmacological management of neuropathic pain in adults in non-specialist settings pot
... ‘other reported pain outcomes’ The ‘other reported pain outcomes’ included mean pain relief score, mean pain intensity score, mean change in pain relief score from baseline, mean change in pain ... 50%, Global, mean pain relief score, mean change in pain intensity score, mean change in pain relief score, AEs Mean pain relief score, mean pain intensity score, mean change in pain relief score, ... NICE clinical guideline 96 – Neuropathic pain 18 NICE clinical guideline 96 – Neuropathic pain 19 NICE clinical guideline 96 – Neuropathic pain 20 NICE clinical guideline 96 – Neuropathic pain 21...
Ngày tải lên: 31/03/2014, 13:20
báo cáo hóa học: "Bayesian aggregation versus majority vote in the characterization of non-specific arm pain based on quantitative needle electromyography" pot
... MUPT The SMUP is determined by using the firing times of the main spike of each individual MUP firing within a MUPT and relating these to the potential observed at a surface electrode overlying the ... target class; in the case of Table these are MUPTs, in the remaining tables these are muscles The value at the foot of the “Per-class accuracy” column is simply the product of all of the per-class ... differences between the individuals with and without NSAP; in fact the groups were very similar other than the fact that the individuals with forearm pain scored higher on measures of pain and disability,...
Ngày tải lên: 19/06/2014, 08:20
Báo cáo hóa học: "Assessment of nutritional knowledge in female athletes susceptible to the Female Athlete Triad syndrome" pot
... training for the athletes was defined as the total number of hours training per week For the control population, amount of physical activity was defined as the total number of hours per week including ... coming year, and iii) training for ≥ hr/wk-1, considered frequent training [17] As previous research showed that participation in certain sports (e.g gymastics, running) increases the risk of the ... either disordered eating or low bone mineral density Initially these results may be of little concern, however it is important to consider that the Triad occurs on a continuum Bearing in mind the...
Ngày tải lên: 20/06/2014, 00:20
báo cáo hóa học:" The value of SPECT in the detection of stress injury to the pars interarticularis in patients with low back pain" doc
... Treatment often includes rest from aggravating activities, non steroidal anti-inflammatory medication, bracing and physical therapy emphasizing hamstring stretching and core strengthening The length ... interarticularis injury, a spectrum of disease ranging from bone stress to spondylolysis and spondylolisthesis, is the most common identifiable cause of ongoing low back pain in adolescent athletes In the ... be the cause of the low back pain and MRI may be helpful in identifying other causes of back pain [6,26] Complete bony union offers the best long term prognosis Some patients attain a fibrous union...
Ngày tải lên: 20/06/2014, 04:20
báo cáo hóa học:" Medial pelvic migration of the lag screw in a short gamma nail after hip fracture fixation: a case report and review of the literature" potx
... dynamization of the nail in the setting of an unstable fracture pattern, there was toggling of the nail within the intrameduallary canal which led to the medial migration of the Lag Screw with ... osteoporotic bone [17] Intra-operatively during the revision surgery, the Lag Screw was felt to be well fixed into the acetabulum even in the setting of medial migration into the pelvis The patient was ... among the elderly [13,14] There are many different fixation devices developed for the management of these fractures, with majority of them belonging to either the intrameduallary or the sliding...
Ngày tải lên: 20/06/2014, 04:20
báo cáo hóa học:" Revision of failed hip resurfacing to total hip arthroplasty rapidly relieves pain and improves function in the early post operative period" pdf
... in the bearing couple when revising for this indication While it is too early to comment on the clinical outcomes of these prostheses, the main determinants of success in these patients are pain ... http://www.josr-online.com/content/5/1/88 Table Indications for revision Diagnosis Number of patients Infection Groin pain Unexplained pain after sport Pain with clicking Pain with effusion 10 ... Table Indications for revision included pain localized to the groin (24%), pain not resolving after extended bouts of sport activity (8%), pain with clicking (8%), pain with an effusion (40%), dislocation...
Ngày tải lên: 20/06/2014, 04:20
báo cáo hóa học:" Medial pelvic migration of the lag screw in a short gamma nail after hip fracture fixation: a case report and review of the literature" pot
... dynamization of the nail in the setting of an unstable fracture pattern, there was toggling of the nail within the intrameduallary canal which led to the medial migration of the Lag Screw with ... osteoporotic bone [17] Intra-operatively during the revision surgery, the Lag Screw was felt to be well fixed into the acetabulum even in the setting of medial migration into the pelvis The patient was ... among the elderly [13,14] There are many different fixation devices developed for the management of these fractures, with majority of them belonging to either the intrameduallary or the sliding...
Ngày tải lên: 20/06/2014, 07:20
báo cáo hóa học:" Revision of failed hip resurfacing to total hip arthroplasty rapidly relieves pain and improves function in the early post operative period" pptx
... in the bearing couple when revising for this indication While it is too early to comment on the clinical outcomes of these prostheses, the main determinants of success in these patients are pain ... http://www.josr-online.com/content/5/1/88 Table Indications for revision Diagnosis Number of patients Infection Groin pain Unexplained pain after sport Pain with clicking Pain with effusion 10 ... Table Indications for revision included pain localized to the groin (24%), pain not resolving after extended bouts of sport activity (8%), pain with clicking (8%), pain with an effusion (40%), dislocation...
Ngày tải lên: 20/06/2014, 07:20
báo cáo hóa học:" Oxford unicompartmental knee arthroplasty: medial pain and functional outcome in the medium term" pptx
... recorded together with the degree of overhang of the prosthesis in millimeters and the presence or absence of posterior osteophyte Each prosthesis was then scored radiographically by summing the degree ... (18/22 complaining of medial pain) had outcomes which were ‘moderate’ to ‘good’ Is it possible that the presence of medial knee pain is irrelevant to the outcome of these knees? Certainly we not ... be done by extending our indications and ignoring the presence of patellofemoral arthritis (if not clinically symptomatic) as suggested in the new guidelines by the Oxford group The vast majority...
Ngày tải lên: 20/06/2014, 07:20
báo cáo hóa học:" Quality of life and pain in premenopausal women with major depressive disorder: The POWER Study" pdf
... used [15] The BPI-SF inquires as to the location and intensity of pain during daily life The BPI-SF utilizes a rating scale of (no pain) to 10 (worst pain possible) and is administered by the evaluator ... sample size unless otherwise specified The clinical characteristics of the subjects' current pain were assessed The Brief Pain Inventory – Short Form (BPISF) [14] and the Initial Pain Assessment Tool ... groups in the Hassles Scale (Figure 1) and only Table 3: Pain location and intensity Location of pain head/neck no pain legs back arms generalized Brief Pain Inventory Intensity of current pain Controls...
Ngày tải lên: 20/06/2014, 15:20
báo cáo hóa học:" Pain in cancer. An outcome research project to evaluate the epidemiology, the quality and the effects of pain treatment in cancer patients" pptx
... Pain 2000, 88:287-294 Farrar JT, Young JP Jr, LaMoreaux L, Werth JL, Poole RM: Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale Pain ... conducted in advanced cancer patients suffering from severe pain (step in the WHO's pain ladder), comparing any alternative opioids to oral morphine [7-10] The general picture that derives from the ... drug (750) during the longitudinal evaluation period Overall, considering the inception and the longitudinal evaluation, the entire duration of the study is estimated around months At the moment,...
Ngày tải lên: 20/06/2014, 15:20
HIGH-YIELD FACTS IN - Pelvic Pain ppsx
... placed in the vagina to expose the uterine cervix (no digital exams or lubricants in the vagina prior to the Pap) Cells are scraped from the ectocervix with a spatula, then from the endocervix using ... bowel IVB—distant invasion, including intraabdominal and/or inguinal lymph nodes 10% 5-year survival Endometrial Cancer I—only uterine involvement GRADING Grading is determined by the tumor histology: ... Mittelschmerz is pelvic pain associated with ovulation Pelvic Pain HIGH-YIELD FACTS Laparoscopy is the final, conclusive step in diagnosing pelvic pain, but it should only be done...
Ngày tải lên: 05/08/2014, 16:20