Could we use the comfort score instead of the numeric rating pain score? A proof of concept pilot study.

Introduction: Asking patients about pain in the Emergency Department (ED) when deriving a pain score may aggravate perception of pain due to the nocebo-effect. A strategy for diminishing this nocebo-effect is cognitive reframing. Cognitive reframing of the frequently used pain score (PS) in the ED could theoretically be obtained by using the comfort score (CS).

Pseudoaneurysm after pertrochanteric femur fracture: a case report.

Vascular injury as a consequence of dislocated bone fragments after hip fractures is a rare complication. We report a case of a 78-year-old male who developed a pseudoaneurysm of the profunda femoris artery during rehabilitation after intramedullary fixation for a pertrochanteric hip fracture. As this procedure was minimally invasive, open reposition and fixation of the dislocated lesser trochanter were not performed.

The value of pre-operative computed tomography scanning for the assessment of lymph node status in patients with colon cancer.

Aim: Our aim was to determine the value of a pre-operative computed tomography (CT) scan for the assessment of lymph node status in patients diagnosed with colon cancer by comparing radiological N-stage to histopathological N-stage.

Patients And Methods: We performed a retrospective cohort study at the Sint Lucas Andreas Hospital in Amsterdam, the Netherlands. Between 2008 and 2010, two radiologists independently reviewed all pre-operative CT scans of patients diagnosed with colon cancer.

Lomustine and prednisone as a first-line treatment for dogs with multicentric lymphoma: 17 cases (2004-2005).

Objective: To assess response rate, median duration of response, adverse effects, and prognostic factors associated with concurrent administration of lomustine and prednisone as a first-line treatment for dogs with multicentric lymphoma.

Design: Retrospective case series.

Animals: 17 dogs.

Thrombolysis as initial treatment of peripheral native artery and bypass graft occlusions in a general community hospital.

Large series with long-term follow-up of thrombolytic therapy in the treatment of lower limb arterial occlusion from a single, general, non-university hospital are absent. We studied retrospectively the results of 129 consecutive patients who underwent thrombolysis with intraarterial urokinase as initial treatment for lower limb native artery or bypass graft occlusions. The mean age of patients was 71 years; 55% of the patients were male, and preexisting peripheral arterial disease was present in 47%.

Genetic parameters of health disorders, and relationships with 305-day milk yield and conformation traits of registered Holstein cows.

A total of 4368 first lactation records for Holstein cows from 30 herds was used to estimate genetic parameters for yield, conformation traits, and the binary coded disease traits of udder edema, milk fever, retained placenta, metritis, displaced abomasum, ketosis, cystic ovary, mastitis, and lameness. Data on health, parentage, and yield came from an on-farm program for record keeping and management. Test day production data were obtained from British Columbia DHI.