Pain medicine : the official journal of the American Academy of Pain Medicine
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Comparative Study
Exploration of the relationship between disability perception, preference for death over disability, and suicidality in patients with acute and chronic pain.
Passive, active, and historical suicidality are associated with preference for death over disability. ⋯ Preference for death over disability is associated with passive and active suicide ideation and historical suicidality in patients with chronic pain.
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The objective of this study was to assess outcomes and safety of consecutive neurolytic celiac plexus block (NCPB) technique. ⋯ The consecutive NCPB technique can provide analgesia and the alleviation of the secondary undesirable effects of analgesic drugs resulting from the decrease of morphine consumption in patients with upper abdominal malignancies. In the subject group, the reliability of its analgesic effect is high, with lower rate of severe complications.
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With the ageing of the world's population, any health problem which adversely affects quality of life in older persons becomes increasingly salient. Persistent pain is one of the most prevalent health conditions faced by adults of advanced age, and is recognized as a major concern for this segment of the population. ⋯ Improved knowledge for both health professionals and patients, addressing the current research gaps and expansion of age-appropriate pain management services will be required to better meet the needs of our rapidly ageing population.
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Recent studies have shown that CYP2D6 acts at critical steps for endogenous morphine biosynthesis. The present study assessed the contribution of CYP2D6 genetic polymorphisms, smoking, and other factors on acute severe postoperative pain (linear analog pain scores ≥8). ⋯ This study demonstrated that female patients possessing the PM genotype of CYP2D6 and patients who smoke had a higher incidence of acute severe postoperative pain.