Database : MEDLINE
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[PMID]: 29099518
[Au] Autor:Reed CT; Cruse AR; Jackson JD
[Ad] Address:University of Mississippi Medical Center, Department of Dermatology, Jackson, MS, USA. Email: caitreed11@gmail.com.
[Ti] Title:Diffuse skin rash, altered mental status · Dx?
[So] Source:J Fam Pract;66(11):E7-E9, 2017 Nov.
[Is] ISSN:1533-7294
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:A 74-YEAR-OLD CAUCASIAN MAN presented to the hospital with intractable back and chest pain, a diffuse skin rash, and altered mental status. He said that 2 days ago, he'd gone to a different local hospital for treatment of back pain and a headache that had begun 3 days earlier. He was treated with intravenous hydromorphone and sent home with a prescription for meperidine. He said that several hours after being treated with the hydromorphone, the rash developed on his head and then spread to his trunk and upper extremities. WHAT IS YOUR DIAGNOSIS? HOW WOULD YOU TREAT THIS PATIENT?
[Pt] Publication type:CASE REPORTS
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:In-Process

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[PMID]: 29099512
[Au] Autor:Fink LE; Morris GW; Mansfield LA
[Ad] Address:Memorial Family Medicine Residency, South Bend, IN, USA. Email: laura.fink@saintalphonsus.org.
[Ti] Title:Hip pain · difficulty walking · tenderness along the anteromedial thigh and groin · Dx?
[So] Source:J Fam Pract;66(11):691-693, 2017 Nov.
[Is] ISSN:1533-7294
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:A 14-year-old Caucasian boy presented to our clinic with a complaint of left anterior hip pain. The patient had been running during a flag football match when he suddenly developed a sharp, stabbing pain in his left hip. He said he felt a "pop" in his left groin while his left foot was planted and he was cutting to the right. The patient said this was followed by worsening pain with ambulation and hip flexion. The patient had considerable difficulty walking into the exam room. On physical examination, he had significant tenderness to palpation along the anteromedial thigh and groin. The patient's strength was 1/5 with left hip flexion. There was apparent muscle firing, but no significant leg movement. He had full passive range of motion and there was no soft-tissue swelling, erythema, or other integumentary changes.
[Pt] Publication type:CASE REPORTS
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:In-Process

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[PMID]: 29099415
[Au] Autor:Fuzier R; Serres I; Bourrel R; Palmaro A; Lapeyre-Mestre M
[Ad] Address:From the *Département d'Anesthésie, Institut Claudius Regaud, Université de Toulouse, UMR INSERM 1027; †Université de Toulouse, UMR INSERM 1027, Pharmacoépidémiologie, Centre d'Investigation Clinique 1436, CHU; and ‡Caisse Nationale d'Assurance Maladie des Travailleurs Salariés, Echelon Régional, Toulouse, France.
[Ti] Title:Analgesic Drug Prescription After Carpal Tunnel Surgery: A Pharmacoepidemiological Study Investigating Postoperative Pain.
[So] Source:Reg Anesth Pain Med;, 2017 Nov 02.
[Is] ISSN:1532-8651
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND AND OBJECTIVES: Carpal tunnel syndrome is a frequent cause of neuropathic pain of the upper limb. Surgery is often proposed in second-line treatment, leading to an expected decrease in analgesic drug consumption. The main objective of this study was to investigate the variations in analgesic drug prescriptions, with a special focus on constant or increasing prescription patterns, before and after surgery for carpal tunnel syndrome. METHODS: We designed a retrospective cohort study of French beneficiaries from the health insurance system in Midi-Pyrénées area. All patients undergoing carpel tunnel surgery during a specified period were identified and included. Definition of increased or constant prescription of analgesics was based on the comparison of the accumulated defined daily doses received by months and a difference between early preoperative (2 months before) and late postoperative period (2-12 months after surgery) superior to a -3.5 margin. We performed 4 multivariate logistic regression models to identify factors associated with increased or constant analgesic drug prescription patterns (for all analgesics, opioid, antineuropathic, nonopioid drugs). RESULTS: Among the 3665 patients included, 3255 (89%) received at least 1 analgesic drug during the late postoperative period (39% [n = 1426] for opioids and 15% [n = 563] for antineuropathic drugs). Prescription of analgesic, opioid, or antineuropathic drugs was maintained or increased in the late postoperative period in 11%, 5%, and 3% of the population, respectively. High levels of preoperative pain and female sex were associated with an increase in opioid use, whereas inpatient surgery (vs ambulatory surgery), high levels of preoperative pain, and psychiatric disorders were found to be associated with an increase in antineuropathic drug use. CONCLUSIONS: This study revealed that approximately 3% to 5% of patients undergoing carpal tunnel surgery had persistent and even increased use of opioid or antineuropathic drugs more than 2 months after surgery, in relation with possible chronic postoperative pain. Considering the incidence of carpal tunnel syndrome, the risks associated with persistent opioid use in this population should be further monitored.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher
[do] DOI:10.1097/AAP.0000000000000685

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[PMID]: 29099414
[Au] Autor:Sanderson BJ; Doane MA
[Ad] Address:From the *Department of Anesthesia, Westmead Hospital, Westmead; and †Department of Anaesthesia, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
[Ti] Title:Transversus Abdominis Plane Catheters for Analgesia Following Abdominal Surgery in Adults.
[So] Source:Reg Anesth Pain Med;, 2017 Nov 02.
[Is] ISSN:1532-8651
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Transversus abdominis plane (TAP) catheters are increasingly being used as an opioid-sparing analgesic technique following abdominal surgery. The aim of this systematic review is to evaluate the efficacy and safety of TAP catheters for postoperative analgesia following abdominal surgery in adults. The authors searched electronic databases and relevant reference lists for randomized controlled trials published between inception and January 2017. Twelve randomized controlled trials were identified, comprising 661 participants, with several trials showing either an equivalence or superiority in analgesia compared with the alternative modality. Because of the extremely heterogeneous nature of the studies, a specific consensus regarding their results, or the ability to construct a meta-analysis, is unviable. Although there are promising indications for the benefit of TAP catheter techniques, extrapolation/comparison of results and application to patient care will be better elucidated when there is more standardization of TAP catheter techniques and the methodology for measuring efficacy.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher
[do] DOI:10.1097/AAP.0000000000000681

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[PMID]: 29099406
[Au] Autor:Azevedo da Silva R; de Azevedo Cardoso T; Campos Mondin T; Neumann Reyes A; de Lima Bach S; Dias de Mattos Souza L; Jansen K
[Ad] Address:Department of Health and Behavior, Catholic University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
[Ti] Title:Is Narrative Cognitive Therapy as Effective as Cognitive Behavior Therapy in the Treatment for Depression in Young Adults?
[So] Source:J Nerv Ment Dis;, 2017 Nov 03.
[Is] ISSN:1539-736X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:This study aimed to compare the effectiveness of narrative cognitive therapy (NCT) and cognitive behavior therapy (CBT) in the improvement of perception of quality of life in young adults with depression at 12-month follow-up. This was a randomized clinical trial conducted using seven sessions of NCT or CBT. Quality of life was measured using the Medical Outcomes Survey Short-Form General Health Survey. The sample included 97 patients. Considering only completers to be samples, CBT was more effective than NCT for improvement of physical functioning (p = 0.031), vitality (p = 0.013), and mental health (p = 0.002) at 12-month follow-up. However, in the intention-to-treat analysis, we found no difference between groups. Regardless of model, we found a significant improvement in all domains from baseline to postintervention and 6- and 12-month follow-ups, except for the bodily pain domain. In conclusion, both models were effective in the improvement of perception of quality of life.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:Publisher
[do] DOI:10.1097/NMD.0000000000000758

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[PMID]: 29099383
[Au] Autor:Ozkan TA; Koprulu S; Karakose A; Dillioglugil O; Cevik I
[Ad] Address:Department of Urology. Kocaeli Derince Training and Research Hospital. Kocaeli. Turkey.
[Ti] Title:¿Disminuye el Alprazolam la ansiedad y el dolor durante la cistoscopia flexible ambulatoria? Does using alprazolam during outpatient flexible cystoscopy decrease anxiety and pain?
[So] Source:Arch Esp Urol;70(9):800-805, 2017 Nov.
[Is] ISSN:0004-0614
[Cp] Country of publication:Spain
[La] Language:eng
[Ab] Abstract:OBJECTIVES: To evaluate the effect of pre-operative alprazolam medication on anxiety and pain in flexible cystoscopy for bladder cancer follow-up. METHODS: A total of 86 male patients who had flexible cystoscopy for bladder cancer follow-up at 6th and 9th months were included in the study. A visual analog scale (VAS) pain score and the State-Trait Anxiety Inventory (STAI) were used. The 6th (VAS-1)and 9th (VAS-2) month pain scores and 6th month STAI score (STAI-1) and, 9th month STAI score before (STAI-2a) and after alprazolam (0.5 mg) intake (STAI-2b) were compared. RESULTS: The mean age was 66.49±12.45 years. Patients were grouped by age≤65 (Group-1) and age≥66 (Group-2). Mean VAS score for VAS-1 and VAS-2 were 2.66±0.96 and 2.44±1.05, respectively (p=0.007). The mean VAS-1 and VAS-2 scores in Group 1 were 3.0±1.05 and 2.73±1.18, respectively (p=0.009). The mean VAS-1 and VAS-2 scores in Group 2 were 2.36±0.77 and 2.17±0.86 respectively (p=0.031). The differences between mean anxiety scores were all statistically significant. All STAI (1, 2a, and 2b) and VAS (1 and 2) scores in Group-1 were statistically significantly higher than Group-2. Increasing STAI score is associated with a statistically significant increase in the VAS scores in the 0.50 and 0.75 quantiles (p=0.021 and p=0.039, respectively). CONCLUSIONS: Using alprazolam before flexible cystoscopy reduces both anxiety (STAI-1 vs STAI-2b) and pain (VAS-1 vs VAS-2). Previous cystoscopy experience reduces anxiety (STAI-2a vs. STAI-2b). Elderly patients have less anxiety and pain scores than younger patients in flexible cystoscopy.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:In-Data-Review

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[PMID]: 29099380
[Au] Autor:Alcaraz A; Martínez-Piñeiro L; Rodríguez A; Rubio J; Borque Á; Burgos J; Carballido J; Cózar JM; Crespo I; Esquena S; Gómez-Veiga F; López D; Miñana B; Morote J; Ribal MJ; Solsona E; Suárez JF; Unda M
[Ad] Address:Hospital Clínic. Universitat de Barcelona. Barcelona. España.
[Ti] Title:Consenso sobre el manejo del cáncer de próstata resistente a la castración avanzado en España. [Consensus on castration-resistant prostate cancer management in Spain.]
[So] Source:Arch Esp Urol;70(9):777-791, 2017 Nov.
[Is] ISSN:0004-0614
[Cp] Country of publication:Spain
[La] Language:spa
[Ab] Abstract:OBJECTIVES: To move towards a more standardized approach in clinical practice to manage patients with castration-resistant prostate cancer (CRPC) in Spain. METHODS: A panel of 18 Spanish experts in Urology with expertise managing CRPC followed a modified Delphi process with two rounds and a final face-to-face consensus meeting. The panel considered a total of 106 clinical questions divided into the following 6 sections: definition of CRPC, diagnosis of metastases by imaging techniques, symptoms of CRPC, progression of CRPC, M0 and M1 management and therapeutic sequencing. RESULTS: A bone scan (BS) is recommended at diagnosis, at the onset of bone pain, and depending on PSA levels, but it is not sensitive enough to confirm or exclude bone metastases if there is bone pain. Whole-body MRI and axial MRI are more sensitive than BS and plain X-rays, but more expensive, so they have to be used in certain situations. There is CRPC progression when there is radiologic, clinical or confirmed PSA progression. Flare phenomenon appears in treatment with taxanes and abiraterone. It was agreed that in M0 CRPC patients no drug treatment is currently recommended, although in M1 CRPC patients the first-line therapy would be mainly enzalutamide/abiraterone and/or docetaxel, depending on the symptom burden. CONCLUSION: After the consensus, we provide a series of recommendations for Spanish physicians treating CRPC to address the disease characteristics,how to tailor patient management decisions, the use of imaging techniques, and how to handle disease progression appropriately to improve patients' quality of life.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:In-Data-Review

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[PMID]: 29099371
[Au] Autor:Weinberg MA; Segelnick SL; Insler JS
[Ti] Title:Abuse potential of gabapentin in dentistry.
[So] Source:Gen Dent;65(6):73-75, 2017 Nov-Dec.
[Is] ISSN:0363-6771
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Gabapentin is an anticonvulsant drug widely prescribed for various ailments, including orofacial pain. It was once thought to have no potential for abuse; however, the last decade has seen a dramatic rise in the nonmedical use of gabapentin, particularly among opioid-dependent patients. Gabapentin is sedating and interacts with other sedating medications such as opioids, which can lead to impairment and accidents and may raise the risk of overdose. Dentists must be aware of the potential for abuse of gabapentin and weigh its benefits against its risks when prescribing the drug.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:In-Process

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[PMID]: 29099362
[Au] Autor:Gaddey HL
[Ti] Title:Oral manifestations of systemic disease.
[So] Source:Gen Dent;65(6):23-29, 2017 Nov-Dec.
[Is] ISSN:0363-6771
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:On examination, the oral cavity may exhibit manifestations of underlying systemic disease and serve as an indicator of overall health. Systemic diseases with oral findings include autoimmune, hematologic, endocrine, and neoplastic processes. Autoimmune disease may manifest as oral ulcerations, changes in the salivary and parotid glands, and changes in the tongue. Patients with hematologic illnesses may present with gingival bleeding or tongue changes such as glossitis, depending on the etiology. Oral changes associated with endocrine illness are variable and depend on the underlying condition. Neoplastic changes include metastatic lesions to the bony and soft tissues of the oral cavity. Patients with chronic diseases such as gastroesophageal reflux and eating disorders may present with dental erosions that cause oral pain or halitosis. In the pediatric population, oral changes can be related to rare cancers, such as Langerhans cell histiocytosis, or infectious etiologies, such as Kawasaki disease. In both adults and pediatric patients, poor oral health has been linked to poorer health outcomes overall. Thorough history taking and physical examination by dentists may aid in determining the underlying etiology of oral changes and allow for earlier intervention by medical colleagues.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:In-Process

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[PMID]: 29099358
[Au] Autor:Spencer CJ
[Ti] Title:Dental procedures and neuropathic pain.
[So] Source:Gen Dent;65(6):10-13, 2017 Nov-Dec.
[Is] ISSN:0363-6771
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171103
[Lr] Last revision date:171103
[St] Status:In-Data-Review


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