Publicación: Abstract online. Accesible: http://www.abstracts2view.com/iasp/index.php
Conoce al Observatorio del Dolor: http://observatoriodeldolor.com/
Síguenos en Twitter: https://twitter.com/observadolor
Crimson Publishers - Assessing Pain Using Morbid Motion Monitor System in the...CrimsonpublishersMedical
Assessing Pain Using Morbid Motion Monitor System in the Pain Management of Nurse Practitioner by Mohammad Reza Dawoudi* in Research in Medical & Engineering Sciences
Postoperative recovery after mandibular third molar surgery. By Dr. Akhila Damodar { dr.akhila.n@gmail.com }
This study sought to evaluate postoperative recovery after mandibular third molar surgery, with and without the use of sutures.
Scrambler Therapy May Relieve Chronic Neuropathic Pain More Effectively Than Guideline-Based Drug Management: Results of a Pilot, Randomized, Controlled Trial
Crimson Publishers - Assessing Pain Using Morbid Motion Monitor System in the...CrimsonpublishersMedical
Assessing Pain Using Morbid Motion Monitor System in the Pain Management of Nurse Practitioner by Mohammad Reza Dawoudi* in Research in Medical & Engineering Sciences
Postoperative recovery after mandibular third molar surgery. By Dr. Akhila Damodar { dr.akhila.n@gmail.com }
This study sought to evaluate postoperative recovery after mandibular third molar surgery, with and without the use of sutures.
Scrambler Therapy May Relieve Chronic Neuropathic Pain More Effectively Than Guideline-Based Drug Management: Results of a Pilot, Randomized, Controlled Trial
Artigo (4) importante para a preparação para o curso de dor lombar crônica. "Características sensoriais da dor lombar crônica inespecífica: uma investigação de subgrupos."
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Austin Publishing Group- Case report of external compression in stevens johns...Austin Publishing Group
Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) form a spectrum of severe mucocutaneous reactions, characterized by epidermal detachment and necrosis. Though disease mortality and morbidity are high, treatment remains mostly of supportive measures with varying efficacy.
EWMA 2013 - Ep533 - A RANDOMIZED STUDY ON EFFICACY ON 2 OVERLAYS IN PRESSURE ...EWMA
Ricci E., Cassino R.*, Ippolito A.*.
Chirurgia 2, ferite difficili, Casa di Cura San Luca, Pecetto Torinese.
* Vulnera centro vulnologico italiano, Torino
This poster was prepared by Fabricia while on her "sandwich" year from University in Brazil - she came to work with us at the Oliver Zangwill Centre, worked hard at writing several papers, and prepared several posters and talks for presentation.
Dry Needling involves insertion of very thin needles into ‘myofascial trigger points’ to deactivate and help resolve trigger points, and thus, pain. This technique has been proven to bring relief, not only for pain, but also in patients of fibromyalgia.
Factors related to cognitive impairment in fibromyalgia, neuropathic and musc...Observatoriodolor
Poster about Factors related to cognitive impairment in fibromyalgia, neuropathic and musculoskeletal pain patients. 16th World Congress on Pain - IASP
PAIN & AGING SECTIONOriginal Research ArticleAutonomic.docxbunyansaturnina
PAIN & AGING SECTION
Original Research Article
Autonomic, Behavioral, and Subjective Pain
Responses in Alzheimer’s Disease
Paul A. Beach, PhD,*
,†
Jonathan T. Huck, BS,
†
Melodie M. Miranda, MD,‡
and Andrea C. Bozoki, MD
†,§
*Michigan State University College of Osteopathic
Medicine, DO/PhD Training Program, East Lansing,
Michigan, USA;
†
Michigan State University Neuro-
science Program, East Lansing, Michigan, USA;
‡
Michigan State University College of Human Medi-
cine, East Lansing, Michigan, USA;
§
Michigan State
University Department of Neurology and Ophthalmol-
ogy, East Lansing, Michigan, USA
Reprint requests to: Paul A. Beach, PhD, Michigan
State University Department of Neurology and Oph-
thalmology, B-444 Clinical Center, 788 Service Road,
East Lansing, MI 48824, USA. Tel: 517-432-9277;
Fax: 517-432-9414; E-mail: [email protected]
Conflict of interest: The authors declare no conflicts of
interest.
Abstract
Objective. To compare autonomic, behavioral, and
subjective pain responses of patients with Alzhei-
mer’s disease (AD) to those of healthy seniors (HS).
As few studies have examined patients with severe
Alzheimer’s disease (sAD), we emphasized inclusion
of these patients together with mild/moderate Alzhei-
mer’s disease (mAD) patients to characterize pain
responses potentially affected by disease severity.
Design. A controlled cross-sectional study involv-
ing repeated measures behavioral pain testing.
Setting. An outpatient clinical setting and local
nursing facilities.
Subjects. Community dwelling HS controls (N 5 33)
and individuals with chart-confirmed diagnoses of
AD (N 5 38, Diagnostic and Statistical Manual-IV
criteria).
Methods. HS and AD groups were compared in their
responses to repeated applications of five pressure
intensities (1–5 kg) on the distal forearm. Auto-
nomic responses (heart rate [HR]), pain behaviors
(vocal, facial, and bodily as scored by the Pain
Assessment in Advanced Dementia [PAINAD]
scale), and subjective pain ratings (Faces Pain
Scale-Revised) were measured.
Results. HR responses to pressure stimuli were dif-
ferentially affected based on AD severity: sAD
patients had generally decreased HR reactivity com-
pared with other groups (P < 0.01). In contrast, pain
behaviors were increased in AD regardless of sever-
ity (P < 0.001), compared with HS, for all but the low-
est pressure intensity. Increased behaviors
occurred in all measured domains of the PAINAD
(P < 0.005). While sAD were unreliable subjective
reporters, mAD patients (N 5 17) rated low level
pressures as more painful than HS (P < 0.01).
Conclusion. These findings provide behavioral and
subjective-report evidence of increased acute pain
sensitivity in AD, which should be taken into con-
sideration with respect to pain management across
the spectrum of AD severity.
Key Words. Alzheimer’s Disease; Dementia;
Elderly; Behavior; Acute Pain
Introduction
Reliable detection and treatment of pain in elderly per-
sons wi.
Artigo (4) importante para a preparação para o curso de dor lombar crônica. "Características sensoriais da dor lombar crônica inespecífica: uma investigação de subgrupos."
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Austin Publishing Group- Case report of external compression in stevens johns...Austin Publishing Group
Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) form a spectrum of severe mucocutaneous reactions, characterized by epidermal detachment and necrosis. Though disease mortality and morbidity are high, treatment remains mostly of supportive measures with varying efficacy.
EWMA 2013 - Ep533 - A RANDOMIZED STUDY ON EFFICACY ON 2 OVERLAYS IN PRESSURE ...EWMA
Ricci E., Cassino R.*, Ippolito A.*.
Chirurgia 2, ferite difficili, Casa di Cura San Luca, Pecetto Torinese.
* Vulnera centro vulnologico italiano, Torino
This poster was prepared by Fabricia while on her "sandwich" year from University in Brazil - she came to work with us at the Oliver Zangwill Centre, worked hard at writing several papers, and prepared several posters and talks for presentation.
Dry Needling involves insertion of very thin needles into ‘myofascial trigger points’ to deactivate and help resolve trigger points, and thus, pain. This technique has been proven to bring relief, not only for pain, but also in patients of fibromyalgia.
Factors related to cognitive impairment in fibromyalgia, neuropathic and musc...Observatoriodolor
Poster about Factors related to cognitive impairment in fibromyalgia, neuropathic and musculoskeletal pain patients. 16th World Congress on Pain - IASP
PAIN & AGING SECTIONOriginal Research ArticleAutonomic.docxbunyansaturnina
PAIN & AGING SECTION
Original Research Article
Autonomic, Behavioral, and Subjective Pain
Responses in Alzheimer’s Disease
Paul A. Beach, PhD,*
,†
Jonathan T. Huck, BS,
†
Melodie M. Miranda, MD,‡
and Andrea C. Bozoki, MD
†,§
*Michigan State University College of Osteopathic
Medicine, DO/PhD Training Program, East Lansing,
Michigan, USA;
†
Michigan State University Neuro-
science Program, East Lansing, Michigan, USA;
‡
Michigan State University College of Human Medi-
cine, East Lansing, Michigan, USA;
§
Michigan State
University Department of Neurology and Ophthalmol-
ogy, East Lansing, Michigan, USA
Reprint requests to: Paul A. Beach, PhD, Michigan
State University Department of Neurology and Oph-
thalmology, B-444 Clinical Center, 788 Service Road,
East Lansing, MI 48824, USA. Tel: 517-432-9277;
Fax: 517-432-9414; E-mail: [email protected]
Conflict of interest: The authors declare no conflicts of
interest.
Abstract
Objective. To compare autonomic, behavioral, and
subjective pain responses of patients with Alzhei-
mer’s disease (AD) to those of healthy seniors (HS).
As few studies have examined patients with severe
Alzheimer’s disease (sAD), we emphasized inclusion
of these patients together with mild/moderate Alzhei-
mer’s disease (mAD) patients to characterize pain
responses potentially affected by disease severity.
Design. A controlled cross-sectional study involv-
ing repeated measures behavioral pain testing.
Setting. An outpatient clinical setting and local
nursing facilities.
Subjects. Community dwelling HS controls (N 5 33)
and individuals with chart-confirmed diagnoses of
AD (N 5 38, Diagnostic and Statistical Manual-IV
criteria).
Methods. HS and AD groups were compared in their
responses to repeated applications of five pressure
intensities (1–5 kg) on the distal forearm. Auto-
nomic responses (heart rate [HR]), pain behaviors
(vocal, facial, and bodily as scored by the Pain
Assessment in Advanced Dementia [PAINAD]
scale), and subjective pain ratings (Faces Pain
Scale-Revised) were measured.
Results. HR responses to pressure stimuli were dif-
ferentially affected based on AD severity: sAD
patients had generally decreased HR reactivity com-
pared with other groups (P < 0.01). In contrast, pain
behaviors were increased in AD regardless of sever-
ity (P < 0.001), compared with HS, for all but the low-
est pressure intensity. Increased behaviors
occurred in all measured domains of the PAINAD
(P < 0.005). While sAD were unreliable subjective
reporters, mAD patients (N 5 17) rated low level
pressures as more painful than HS (P < 0.01).
Conclusion. These findings provide behavioral and
subjective-report evidence of increased acute pain
sensitivity in AD, which should be taken into con-
sideration with respect to pain management across
the spectrum of AD severity.
Key Words. Alzheimer’s Disease; Dementia;
Elderly; Behavior; Acute Pain
Introduction
Reliable detection and treatment of pain in elderly per-
sons wi.
Ponencia invitada en la V Jornada de Fisioterapia en Geriatría, Barcelona 2015.
"Pain management in the elderly". Invited speaker at V Jornada de Fisioterapia en Geriatría, Barcelona 2015.
IOSR Journal of Pharmacy (IOSRPHR), www.iosrphr.org, call for paper, research...iosrphr_editor
IOSR Journal of Pharmacy (IOSRPHR), www.iosrphr.org, call for paper, research paper publishing, where to publish research paper, journal publishing, how to publish research paper, Call for research paper, international journal, publishing a paper, call for paper 2012, journal of pharmacy, how to get a research paper published, publishing a paper, publishing of journal, research and review articles, Pharmacy journal, International Journal of Pharmacy, hard copy of journal, hard copy of certificates, online Submission, where to publish research paper, journal publishing, international journal, publishing a paper
An Internet questionnaire to predict the presence or absence of organic patho...Nelson Hendler
The Pain Validity Test, developed by a team of physicians from Johns Hopkins Hospital, is available over the Internet, at www.MarylandClinicalDiagnostics.com. The test can predict, with 95% accuracy, which patient will have abnormalities on medical tersting, i.e. who has a valid complaint of pain. The test takes only 5 minutes to set up a patient, 15 minutes for a patient to take the test, and results are available immediately after completion. The test has been admitted as evidence in court cases in over 30 cases in 8 states.
Austin Journal of Sleep Disorders is an open access, peer review Journal publishing original research & review articles in all fields of sleep disorders. Austin Journal of Sleep Disorders provides a new platform for researchers, scientists, scholars and academicians to publish and find recent advances in treatment of sleep disorders.
Austin Journal of Sleep Disorders is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials), Clinical Images.
Austin Journal of Sleep Disorders supports the scientific modernization and enrichment of research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Abnormal changes in cortical activity in women with migraine bet.docxdaniahendric
Abnormal changes in cortical activity in women with migraine between episodes
subject
Migraine group: 21 female migraine patients (mean age: 34.6 + 6.7 years), all with right hand, ranged from 1 year to 22 years.
Healthy control group: 10 females (mean age: 30.2 + 4.3 years), all of whom were right-handed, and their education degree matched that of the migraine group
task
Flip board
Is generated by
Direct(version 9; Microsoft Inc., Redmond, WA, USA)Brain X, The white board is made up of black and white children and yellow dots at the center , The brightness of the white checkerboard is
80cd/m², The flip frequency is
1HZ,( There is a 600ms interval between the two stimuli and the duration of the stimulus is 400ms ), The image was projected by a projector about 32cm from the subject's nasal roots , Participants' perspectives and board into 30 °.
The standard set
Criteria for inclusion of migraine patients:
(1) According to the international classification of headache diseases edition 2 (ICHD).II) criteria for the diagnosis of unthreatened migraine and confirmed by neurologists
(2) Exclusion of other neurological diseases;
(3) The patient had no history of visual system and eye diseases
(4) Patients with the disease were not treated with migraine preventive drugs within 1 week before the test.
(5) No migraine occurred 72 hours before, on the day of and 24 hours after MEG examination
Inclusion criteria of healthy control group:
(1) No history of visual system-related diseases;
(2) No history of neuropsychiatric disorders
;
(3) His first-degree relatives had no history of migraine
。
Exclusion criteria for both groups:
Patients with metal implants (severely interfering with the brain magnetogram signal);
A history of other major neurological or psychiatric disorders ;
A history of extensive developmental disorders
;
A history of clinically significant systemic diseases
Cannot stay still during MEG recording and MR/scan
Don't move;
;
Subjects with claustrophobia or during pregnancy
DATA analysis ----No 1Morphology
(waveform):VEFII Is the most stable of visual evoked potential composition, therefore, the main observation indexes for this experiment, the incubation period the VEFII approximately 2.5 -100 hz frequency (latency) is relatively more clearly and wave (Amplitude) interference factors, and can reflect the strength of the temporary only, reason is not included in the result analysis.
Result:
Result --waveform
The composition of VEF II was longer in the migraine group than in the healthy control group (HC)
122±3.02ms VS 118±3.78ms(p<0.05)
trigger
Sensor level analysis
(Time–frequency analysis)
1.By Morlet continuous wavelet(CWT)polarity contour maps can be showed to Study the spatial characteristics of visual evoked potential
2. Measuring the energy characteristics of the visually induced magnetic field VEF: select the most representative channel and calculate the absolute wave energy of the VEF measured by its root- ...
Poster wfnr 2013 validation of dex r cópiaAndrew Bateman
Self-assessment of executive functions among people with Bipolar Disorder: This was a poster prepared by Fabricia Loschiavo who was visiting scholar at OZC last academic year. The poster was presented at the WFNR meeting in Maastricht. Unfortunately Fabricia couldn't attend, but I was pleased to represent her work on this. Pasted here and linked to the storify record of that inspiring conference:http://storify.com/ozcboss/wfnr-neuropsychological-rehab-sig-maastricht-2013/
Effect of Structured Progressive Exercise Protocol on Management of Chronic C...ijtsrd
INTRODUCTION Neck pain is a common degenerative condition which is associated with poor posture and advanced age related to wear and tear. It is the one of the causes of dysfunction, like low back pain. Neck pain is one of the most common conditions for referral management by a physical therapist. The most commonly intervention for the management of neck pain are exercise and rest followed by analgesics. Despite the prevalence of neck pain, there is a lack of evidence for commonly used rehabilitation interventions. OBJECTIVE To find out the effect of structured progressive exercise protocol for patients suffering from chronic cervical spine pain. METHODOLOGY A quantitative experimental research approach with pre test post test control group design was conducted in CIRS, Bhubaneswar, Odisha. The sample comprised of 60 patients suffering from chronic cervical spine pain. The samples were purposively selected and conveniently assigned to 30 in each experimental and control group. The background data were taken through structured interview schedule. Followed by assessment of cervical pain through structured pain assessment proforma, visual analog scale and the neck disability index. The data were analysed by descriptive and inferential statistics in terms of frequency, percentage, mean, median, and “t” test. RESULTS The significant findings of the study were that, the mean post test Pain as well as NDI scores were significantly lower than the mean pre test scores of the experimental group and control group. Mean post test mean 3.3 , SD 1.93 of level of cervical pain were significantly reduced than the pretest mean 4.8 , SD 1.27 as evident from the‘t’ test was 3.70. df, 28 at 0.05 level of significance. Similarly, the post test mean 5.48 and SD 0.62 of neck disability index in cervical pain were significantly reduced than the pretest mean 7.11 and SD 0.28 as evident from the‘t’ test was 3.01at df, 28 differed significantly at 0.05 level of significance. CONCLUSION Findings of the study revealed that structured exercise protocol would be very helpful in alleviating chronic cervical spine pain and found to be more effective in experimental group than the control group. Punyashloka Nayak | Debajani Nayak "Effect of Structured Progressive Exercise Protocol on Management of Chronic Cervical Spine Pain" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6 , October 2020, URL: https://www.ijtsrd.com/papers/ijtsrd33332.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/33332/effect-of-structured-progressive-exercise-protocol-on-management-of-chronic-cervical-spine-pain/punyashloka-nayak
Associated Factors of Stroke Severity Among Young Adult Stroke Patients in Malaysia from National Neurology Registry 2014 - 2018
Presentation Slides by Ms Fara Waheda Jusoh, presented on the 14th National Conference for Clinical Research (NCCR) 2021 Dr Wu Lien Teh Youth Investigator Awards (YIA) on 19th August 2021
Following are the links for this presentation on Zenodo Repository:
Presentation Slides: https://zenodo.org/record/5348488
E-Poster: https://zenodo.org/record/5348580
CARACTERIZACIÓN SENSORIAL DEL DOLOR CRÓNICO DE TIPO NEUROPÁTICO EN PACIENTES ...Observatoriodolor
Introducción:
El Síndrome de Dolor Regional Complejo (SDRC) es una enfermedad no muy bien definida que se asocia con la presencia de ansiedad o estados depresivos y trastornos cognitivos.
Objetivos:
Caracterizar sensorialmente el dolor en pacientes con SDRC y su relación con depresión y ansiedad. Comparar los resultados entre pacientes con SDRC y con síndrome ciático (SC).
Material y Método:
Estudio transversal en 32 pacientes con diagnóstico de SDRC o SC seguidos en las Unidades del Dolor de los Hospitales Universitarios Puerta del Mar y La Princesa. Se recogió información sociodemográfica y se administraron los cuestionarios DN4, SF-12, HADS y BPI. Se realizó un análisis descriptivo y de la asociación de ansiedad y/o depresión y las diferencias por grupo diagnóstico mediante pruebas chi-cuadrado y t-Student.
Resultados:
17 pacientes padecían SDRC y 15 SC. 59% y 53%, respectivamente, fueron mujeres. Los pacientes con SC fueron mayores (56.8 vs 39.5 años). La intensidad del dolor fue similar en ambos grupos (SDRC:7.69;SC:8;p=0.77). Todos los pacientes con SDRC tuvieron una puntuación en DN4 superior a 3, lo que los clasifica como pacientes con DN. La media en DN4 fue de 5.7 vs. 3.47 en el grupo de SC. Se observaron diferencias fenotípicas entre ambos grupos. Las puntuaciones en el Componente Físico (31 en SDRC vs. 28.1 en SC) y mental (39.2 vs. 44) de la calidad de vida fue baja y similar en ambos grupos. La frecuencia de ansiedad (47% en SDRC vs. 33% en SC) y depresión (35.3% vs 20%) fue mayor en pacientes con SDRC. Las medias en el HADS de ansiedad y depresión fueron mayores en los pacientes con mayor puntuación en la escala DN4.
Conclusiones:
Todos los pacientes con SDRC cumplían con los criterios de DN, con diferencias tanto en intensidad como en el fenotipo frente al grupo con SC. La ansiedad y la depresión fueron más frecuentes en pacientes con SDRC y en aquellos con un mayor perfil neuropático.
EFECTO DE LA FUNCIÓN COGNITIVA Y LAS ALTERACIONES DEL SUEÑO SOBRE LA PRESENCI...Observatoriodolor
Introducción:
Existe una relación bidireccional entre las Alteraciones del Sueño (AS) y el Dolor Crónico (DC), que se ve afectada por los trastornos del humor. El DC altera el procesamiento normal del sistema nervioso, pudiendo ocasionar déficits en la función cognitiva (FC). No está claro si todos estos aspectos podrían variar y asociarse de manera diferente según los distintos tipos de DC, como Dolor Neuropático (DNP), Musculoesquelético (DMSC) y Fibromialgia (FM).
Objetivos:
Analizar la FC, las AS y presencia de ansiedad y/o depresión (A/D) en pacientes con DNP, DMSC y FM, y compararla con un grupo de sujetos sin dolor. Conocer el efecto de la FC y las AS sobre la presencia de A/D en dichos pacientes.
Material y Método:
Se incluyeron 254 pacientes (18-60 años) que sufrían DC de al menos 3 meses de duración (criterio IASP), con diagnóstico confirmado de DNP o DMSC (criterios clínicos), o FM (criterio ACR). Se incluyó un grupo de 72 sujetos sin dolor (GSD), apareados por edad y sexo con los casos. Se evaluó la FC con las escalas MMSE y TYM, la presencia de A/D mediante escala HADS, las AS mediante el índice 9 de la escala MOS (I-9), e intensidad del dolor mediante EVA. Se llevaron a cabo análisis descriptivos y multivariantes (regresión logística) para analizar el efecto de la FC y las AS sobre la presencia de A/D en pacientes con DC.
Resultados:
40.9% de los pacientes tenían DNP, 39% DMSK y 20.1% FM. Los pacientes con DC obtuvieron peores puntuaciones que el GSD en las escalas de A/D, AS y FC. La presencia de depresión se asoció a mayor riesgo de ansiedad en DN (OR=1.247), DMSC (OR=1.308) y FB (OR=1.15). Peor FC se asoció a mayor riesgo de depresión en DNP (OR=0.879), DMSC (OR=0.838) y FB (OR=0.829). Peores puntuaciones I-9 se asociaron a mayor riesgo de depresión en FM (OR=1.054), y de ansiedad en DNP (OR=1.028) y DMSC (OR=1.035). La presencia de ansiedad se asoció a mayor riesgo de depresión en DNP (OR=1.23) y DMSC (OR=1.483).
Conclusiones:
La presencia de A/D, las AS y de la FC son más frecuentes en pacientes con DC, especialmente FM. Las AS y una peor FC son los factores con mayor impacto sobre la presencia de A/D en pacientes con DC, por encima de otras variables propias del dolor como la intensidad o duración. Estas relaciones son distintas dependiendo del tipo de dolor.
Palabras clave:
Ansiedad; Depresión; Sueño; Función cognitiva; Dolor crónico.
Agradecimientos:
A la Cátedra Externa del Dolor Fundación Grünenthal-Universidad de Cádiz. Los autores declaran que este trabajo no incurre en ningún conflicto de intereses.
Percepción y actitud de los médicos rehabilitadores españoles hacia el pacien...Observatoriodolor
Poster sobre la percepción y actitud de los médicos rehabilitadores españoles hacia el paciente con Dolor
Crónico para el XXV Congreso de la Asociación Andaluza del Dolor
Beliefs, opinions, and attitudes towards the use of opioids. A nationwide stu...Observatoriodolor
Poster about Beliefs, opinions, and attitudes towards the use of opioids. A nationwide study in the Spanish general population.16th World Congress on Pain - IASP
Factores relacionados con la calidad de vida en pacientes con dolor crónico. ...Observatoriodolor
Poster sobre los Factores relacionados con la calidad de vida en pacientes con dolor crónico. diferencias entre pacientes con dolor neuropático, musculoesquelético y fibromialgia. Para la XXXIV Reunión Científica de la SEE. XI Congresso de Associação Portuguesa de Epidemiologia
Impacto de los síntomas somáticos y dolor medidos mediante la escala SSI-28 (...Observatoriodolor
Impacto de los síntomas somáticos y dolor medidos mediante la escala SSI-28 (Somatic Symptom Inventory) en la Calidad de Vida Relacionada con la Salud en pacientes con depresión.
Creencias, opiniones y actitudes de la población general hacia el uso de opiá...Observatoriodolor
Creencias, opiniones y actitudes de la población general hacia el uso de opiáceos en el tratamiento del dolor: Resultados preliminares de una encuesta nacional.
Infografía realizada por el Observatorio del Dolor.
Conoce al Observatorio del Dolor: http://observatoriodeldolor.com/
Síguenos en Twitter: https://twitter.com/observadolor
Test Your Memory (TYM): a new tool to evaluate the cognitive function in chro...Observatoriodolor
Publicación: Abstract Book of the 15th World Congress on Pain; 2014.p.62.
Conoce al Observatorio del Dolor: http://observatoriodeldolor.com/
Síguenos en Twitter: https://twitter.com/observadolor
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Cognitive Impairment and Associated Factors in Patients with Chronic Pain. Preliminary results.
1. 0
1
2
3
4
5
6
7
8
9
10
Average intensity from VAS scale: 6.46 (SD: 2.118)
COGNITIVE IMPAIRMENT AND ASSOCIATED FACTORS IN
PATIENTS WITH CHRONIC PAIN. PRELIMINARY RESULTS Ojeda B1,2, Dueñas M1,2, Salazar A1,2, Torres LM2,4, Sánchez-Magro I3, Failde I1,2 1 Department of Preventive Medicine and Public Health, University of Cádiz, Spain, 2External Chair of Pain Grünenthal Fundation-University of Cádiz,
3Medical Department-Grünenthal Fundation, 4University Hospital “Puerta del Mar”, Cádiz, Spain.
Methods
Abstract
Objectives
Results
Conclusions
References
1.
Povedano, M., J. Gascón, R. Gálvez, M. Ruiz & J. Rejas (2007) Cognitive Function Impairment in Patients with Neuropathic Pain Under Standard Conditions of Care. Journal of Pain and Symptom Management, 33, 78-89.
2.
Rodríguez-Andreu, J., R. Ibáñez-Bosch, A. Portero-Vázquez, X. Masramón, J. Rejas & R. Gálvez (2009) Cognitive impairment in patients with Fibromyalgia syndrome as assessed by the mini-mental state examination. BMC Musculoskeletal Disorders, 10: 162.
To compare cognitive function in patients with chronic pain and patients suffering from non painful processes. To identify those variables linked to cognitive impairment in patients with chronic pain.
In addition to a sensory phenomenon, chronic pain presents other dimensions such as the affective-emotional or cognitive. In patients with chronic pain, the normal functioning of these dimensions is disturbed, leading to depression and cognitive impairment in many cases. The evaluation and management of these problems, which often occur in parallel, must be taken into account in order to achieve a comprehensive approach to patients with chronic pain.
MMSE results were lower in those patients with chronic pain included in the research than those in controls. These marks are more related to some factors such as depression and education studies than to pain peculiarities. Identification and right treatment of depression in patients with pain is a factor to take into account in order to control their cognitive function.
Cross-sectional study in 213 patients with different chronic pain characteristics, treated at the pain unit of a University Hospital (cases); and 29 patients treated in a medical centre due to non painful conditions (controls). The Spanish version of MiniMentalState (MMS) was used for cognitive evaluation. Depression and anxiety were assessed by the Hospital Anxiety and Depression scale (HADs). The MOS Sleep scale and the Visual Analogue Scale (VAS) were undertaken to valuate sleep characteristics and pain intensity, respectively. Sociodemographic and clinic information was collected through a structured questionnaire. Two-dimensional analyses were carried out with the objective of finding out differences between cases and controls. A linear regression model was used to identify variables associated with the MMS score in patients with pain.
Printed by
Cases (n=213)
Controls (n=29)
p
Male
Female
38.0
62.0
37.9
62.1
0.581a
Age (mean (SD))
47.31 (8.71)
42.10 (10.27)
0.008b
No studies
Primary studies
Secondary studies
Professional training
University studies
11.3
39.0
15.5
27.2
7.0
13.8
41.4
24.1
20.7
0
0.266c
a Chi square, b U-Mann Whitney, c H Kruskal Wallis
Time duration (months) (mean (SD))
106.6 (98.001)
59.6%, ≥ 8 years under pain
44,6
40,8
14,6
Neuropathic pain
Musculoskeletal pain
Fibromyalgia
Fig 2. Pain intensity and duration
Neuropathic pain (n=95)
Musculoskeletal pain (n=87)
Fibromyalgia (n=31)
pa
Anxiety (n=171)
49.3
47.1
71.4
0.078
Depression (n=178)
33.8
31.5
56.0
0.076
aChi square
38,5
19,7
41,8
86,2
3,4
10,3
0
20
40
60
80
100
120
No axiety (≤7)
Uncertain (8-10)
Anxiety (≥11)
53,5
16,4
30
93,1
6,9
0
0
20
40
60
80
100
120
No depression (≤7)
Uncertain (8-10)
Depression (≥11)
Cases
Controls
HAD Anxiety
HAD Depression
Fig 1. Pain types (N=213).
Variables
B (SE)
t
p-value
95% CI
Constant
25.636 (0.47)
54.54
<0.001
(24.71; 26.53)
Studies
No studies*
Primary education
Secondary education
Professional training
University studies
1.654 (0.48)
1.879 (0.57)
2.177 (0.50)
2.309 (0.69)
3.42
3.31
4.31
3.32
0.001
0.001
<0.001
0.001
(0.70; 2.61)
(0.76; 2.99)
(1.18; 3.17)
(0.94; 3.68)
Depression
No depression*
Uncertain
Depression
-0.580 (0.40)
-1.304 (0.33)
-1.45
-3.92
0.150
<0.001
(-1.37; 0.211)
(-1.96; -0.65)
Adjusted R2 = 0.178; df = 206
*Reference Category
Dependent variable: score on the MMSE
Table 1. Descriptive data.
Table 3. Variables associated to the cognitive status on chronic pain patients (N=213).
Fig 3. Frequency of depression and anxiety: Cases/Controls.
Table 2. Frequency of depression and anxiety: Pain Types.
Fig 4. Mean score of MMSE
3. Söderfjell, S., B. O. Molander, H. Johansson, M. Barnekow-Bergkvist & L. G. Nilsson (2006) Musculoskeletal pain complaints and performance on cognitive tasks over the adult life span. Scandinavian Journal of Psychology, 47, 349-359.
26,84
29,69
24
25
26
27
28
29
30
Cases (n=213)
Controls (n=29)
26,84
27
26,39
24
25
26
27
28
29
30
Neuropatic Pain (n=95)
Musculoskeletal Pain (n=87)
Fibromyalgia (n=31)