No published studies exist that document pain-related knowledge, attitudes, or educational needs of clinical staff in a rehabilitation hospital; the purpose of this study was to obtain such information to aid in the development of an institutional pain care improvement project. A survey regarding knowledge and attitudes about pain and perceived areas of educational need was administered to all staff with inpatient care responsibilities. Results show that rehabilitation hospital staff hold generally progressive attitudes toward the treatment of pain but with a substantial degree of ambivalence about the use of opioids in the treatment of pain. Staff rate their own lack of education about pain management as one of the chief barriers to effective pain management, and a large percentage report feeling uncomfortable with various technical aspects of pain care. We discuss the implications of this survey for understanding and improving pain care in rehabilitation settings.
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http://dx.doi.org/10.1097/00002060-200301000-00011 | DOI Listing |
J Evid Based Med
January 2025
Department of Orthorpedics and Sports Medicine, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China.
Topical nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat sports injuries, but evidence-based medical guidance for their standardized and rational use is lacking. This guideline working group identified clinically important issues, obtained the full opinions of patients and clinical staff, and discussed them with the expert group. Based on evidence from the literature, the "clinical practice guidelines for topical NSAIDs in the treatment of sports injuries" were formulated following the methods and principles of international guidelines.
View Article and Find Full Text PDFHum Brain Mapp
January 2025
Center for MR Research, University Children's Hospital Zurich, Zurich, Switzerland.
The human brain connectome is characterized by the duality of highly modular structure and efficient integration, supporting information processing. Newborns with congenital heart disease (CHD), prematurity, or spina bifida aperta (SBA) constitute a population at risk for altered brain development and developmental delay (DD). We hypothesize that, independent of etiology, alterations of connectomic organization reflect neural circuitry impairments in cognitive DD.
View Article and Find Full Text PDFJ Womens Health (Larchmt)
January 2025
Department of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
The attrition of health care professionals from institutions has historically been high, with reports of higher rates in women than men. High attrition jeopardizes the institution's financial stability, quality of patient care, and scholarly contributions to advancing health care. The disproportionate loss of women reduces the diversity of perspectives and skills needed to meet patient needs.
View Article and Find Full Text PDFIn total joint arthroplasty, periprosthetic joint infection (PJI) can be devastating. Corticosteroid injections (CSIs) are commonly administered for temporary pain relief in the setting of various conditions. Therefore, the current systematic review aims to evaluate whether CSIs administered prior to total shoulder arthroplasty (TSA) are a risk factor for PJI and revision surgery.
View Article and Find Full Text PDFCureus
December 2024
Ophthalmology, Sankara Eye Hospital, Anand, IND.
This study details two cases of traumatic cataracts with a history of blunt trauma. Both presented with progressive vision loss, mydriasis, and zonular dialysis. The surgical intervention involved complete cataractous lens removal, anterior vitrectomy, iris cerclage with 10-0 prolene sutures, and retropupillary iris-claw lens fixation.
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