Facilitation of accurate and effective radiation therapy using fentanyl pectin nasal spray (FPNS) to reduce incidental breakthrough pain due to procedure positioning.

Purpose: To provide effective and accurate radiotherapy (RT) for advanced cancer patients who experience breakthrough pain (BP) due to positioning manoeuvres, through the use of FPNS. Secondary endpoints were the dose and time required to achieve a 50% numeric rating scale (NRS) reduction and conduction of a pharmacoeconomic analysis.

Patients And Methods: Twenty-seven advanced cancer patients with moderate-severe BP associated with routine radiotherapy procedures and manoeuvres were selected to receive FPNS.

Hemoptysis due to pulmonary pseudosequestration secondary to gastro-pulmonary fistula after a revisional bariatric operation.

We report the case of a patient with a history of a complicated revisional bariatric operation who developed a lung pseudosequestration secondary to a gastro-pulmonary fistula. As the patient presented with recurrent hemoptysis, she was initially submitted to embolization of the aberrant vessels and later to a definite operation, which consisted on a diversion of the gastric fistula into a Roux-en-Y intestinal loop. It is an exceptional case about late complications of bariatric surgery, and it underlines the importance of discarding these complications even when the clinical manifestations affect another anatomic region different from the operated abdomen.

A registry of the aetiology and costs of neuropathic pain in pain clinics : results of the registry of aetiologies and costs (REC) in neuropathic pain disorders study.

Objective: The aim of this study was to determine health resource consumption and costs in patients with neuropathic pain managed in pain clinics in Spain.

Methods: This was a retrospective, cross-sectional study performed in 2004 in 18 pain clinics across Spain. Consecutive neuropathic pain patients were recruited between April and December 2004.

Z-Beamlet: a multikilojoule, terawatt-class laser system.

A large-aperture (30-cm) kilojoule-class Nd:glass laser system known as Z-Beamlet has been constructed to perform x-ray radiography of high-energy-density science experiments conducted on the Z facility at Sandia National Laboratories, Albuquerque, New Mexico. The laser, operating with typical pulse durations from 0.3 to 1.

Thymus zygis subsp. Gracilis: watering level effect on phytomass production and essential oil quality.

Thymus zygis subsp. gracilis (chemotype thymol) was evaluated on the basis of its phytomass production and essential oil quality. Three different watering levels were assayed to achieve 63, 44, and 30% of the local potential evapotranspiration (Eto).

[Do generic drugs help control expenditure on hypertension? Apropos of a case].

Objective: In this article we analyze the influence of generic drugs on pharmaceutical expenditure on hypertension from the payer's perspective (the public health service), by examining the most widely used drugs: angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARBs).

Methods: Based on billing data to the public health service from all the pharmacies in the Health Area of Malaga, we studied the utilization (containers and cost) of ACEi (generic drugs ACEi+G and brand name) and ARBs (brand name only) (subgroup C09 ATC index) from 1999 to 2002. The mean price (weighted according to sales) and the percentage of deviation of prescriptions from one group of drugs to another was also studied.