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| http://dx.doi.org/10.4103/ija.IJA_522_20 | DOI Listing |
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Limb-saving emergent procedural sedation and joint reduction via telehealth.
J Telemed Telecare
January 2025
Retrieval Services Queensland, Townsville, Queensland, Australia.
In this case report, we describe the performance of procedural sedation and emergent joint reduction via remote telehealth leadership for a patient with an acutely limb-threatening injury. The patient was a 33-year-old man who presented to a small rural hospital with a fracture dislocation of his ankle complicated by severe pain refractory to opiate analgesia and neurovascular compromise, including absent peripheral pulses and sensory changes. Due to aviation and resource limitation factors, immediate retrieval was not possible.
View Article and Find Full Text PDFImpact of epidural analgesia on outcomes of vaginal birth after cesarean delivery.
Arch Gynecol Obstet
January 2025
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Primary Objective: To assess the association between Epidural Analgesia (EA) during Vaginal Birth After Cesarean (VBAC) and delivery mode (spontaneous or instrumental vaginal delivery). Secondary objectives include maternal and neonatal outcomes.
Methods: In this retrospective population-based cohort study, all women who underwent a VBAC with and without EA, between the years 1996-2016 at the Soroka University Medical Center (SUMC) were included.
Involvement of a central amygdaloid nucleus-lateral habenular nucleus pathway in the processing of formalin-induced pain.
Neuroscience
January 2025
Department of Anatomy, Histology and Embryology, K. K. Leung Brain Research Centre, The Fourth Military Medical University, Xi'an 710032, China; Innovation Researh Institute, Xijing Hopsital, Air Force Medical University, Xi'an 710032, China. Electronic address:
The central amygdaloid nucleus (CeA) and the lateral habenular nucleus (LHb) are essential nuclei playing modulatory roles in encoding noxious stimuli. Their interaction has recently been demonstrated in chronic pain-induced depression. However, little is known about the CeA-LHb pathway in a formalin-induced pain model.
View Article and Find Full Text PDFDevelopment and Validation of Machine Learning Models for Risk Prediction of Postpartum Stress Urinary Incontinence: A Prospective Observational Study.
Int Urogynecol J
January 2025
School of Nursing, Binzhou Medical University, Bincheng District, No. 522, Huanghe Third Road, Binzhou, Shandong, China.
Introduction And Hypothesis: This study aims to develop a postpartum stress urinary incontinence (PPSUI) risk prediction model based on an updated definition of PPSUI, using machine learning algorithms. The goal is to identify the best model for early clinical screening to improve screening accuracy and optimize clinical management strategies.
Methods: This prospective study collected data from 1208 postpartum women, with the dataset randomly divided into training and testing sets (8:2).
Enhancing Perinatal Safety with the Advancement of Obstetric Anesthesia in Japan.
Womens Health Rep (New Rochelle)
January 2025
Department of Anesthesia, National Center for Child Health and Development, Tokyo, Japan.
Japan is one of the most developed countries in the world, and perinatal care is safe, with low maternal and neonatal mortality rates. However, as birthrate declines, advanced maternal age and the number of cesarean deliveries increases, efforts must be made to maintain safety in the future. The characteristic of the delivery facilities is "many small clinics," and half of all facilities have fewer than 500 deliveries per year.
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