Acute compartment syndrome of the lower limb and the effect of postoperative analgesia on diagnosis.

Acute compartment syndrome can cause significant disability if not treated early, but the diagnosis is challenging. This systematic review examines whether modern acute pain management techniques contribute to delayed diagnosis. A total of 28 case reports and case series were identified which referred to the influence of analgesic technique on the diagnosis of compartment syndrome, of which 23 discussed epidural analgesia.

Economic cost of difficult calvings in the United Kingdom dairy herd.

Information on the losses associated with lower milk production and reproductive performance, as well as information from a survey of uk dairy herds using beef semen was used to estimate the economic importance of calving difficulties in uk dairy herds. The survey covered information on cow and calf mortality, cow culling and the need for veterinary assistance, the incidences of which were related to the degree of calving difficulty experienced. The total cost of a slightly difficult calving was estimated to be approximately 110 pounds, and of a seriously difficult calving between 350 pounds and 400 pounds, depending on assumptions of the veterinary costs.

Evidence-based care for low back pain in workers eligible for compensation.

Background: Although guidelines for the management of low back pain have been promoted, few studies have assessed their effectiveness. One previous study did not include patients with workers' compensation claims.

Aim: To assess the efficacy of evidence-based care for acute low back pain in patients eligible for workers' compensation.

Safety, efficacy, and cost effectiveness of evidence-based guidelines for the management of acute low back pain in primary care.

Study Design: A case-control study involving parallel benchmarking audits was conducted.

Objective: To compare the safety, efficacy, and cost effectiveness of evidence-based medical care and usual care for acute low back pain.

Summary Of Background Data: Although several sets of guidelines have been promoted for the management of acute low back pain, there is no evidence that following guidelines results in better outcomes.