Articles: cations.
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The aim of this study was to evaluate the role of fluorescence imaging (FI) using an intraoperative injection of free indocyanine green (ICG) in the detection of peritoneal metastases (PM) due to colorectal cancer (CRC). ⋯ This pilot study demonstrates that non-mucinous PM of CRC can be visualized intraoperatively using ICG-FI. Furthermore, ICG-FI findings resulted in modification of the planned surgery in 29% of patients.This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0.
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The main question to ask himself when preparing to write an article is "why publish a scientific paper?" First of all to publish an own article qualifies his author - or authors - as "scientist". Because the surgery is a mixture of art and knowledge, which coexist and interreact mutually increasing each other, scientific publications are the world where ideas are shared. Secondly, to an academic career is essential to be Author of scientific publications; but also for those who follow an hospital career or simply exercise the surgical profession in other contexts it represents the opportunity to communicate their experience and give a personal contribution to the knowledge of the art. ⋯ For psychological reasons it is difficult for someone to cheer the professional success of a not related fellow, and therefore it is advisable to refrain from this type of publication, which is a waste of time not very profitable, both to the one's reputation and for the likely rejection by the most accredited scientific journals. The publication of a case report must follow the same rules set for a "genuine article", with the difference that in the introduction has to be immediately highlighted the particularity of the experience, possibly framing it in common knowledge. The presentation of the clinical and strategic aspects is the result of a careful reflection on the surgical experience lived, because its exposure has to be very different from an extemporaneous oral presentation, which is by nature open to a free immediate confrontation in oral discussions that follow.
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Background. National data from Canada and the United States identify women to be at greater risk than men for the misuse of prescription opioid medications. Various sex- and gender-based factors and patient and physician practices may affect women's use and misuse of prescription opioid drugs. ⋯ The majority of the literature is descriptive, with few studies that evaluate approaches and interventions to respond to the issue of chronic pain, trauma, and misuse of prescription opioids among women, particularly vulnerable subgroups of women. Conclusions. Trauma-informed and women-centred approaches that address women's vulnerabilities and complex needs require further attention.
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Randomized Controlled Trial
Effectiveness of High Intensity Laser Therapy for Reduction of Pain in Knee Osteoarthritis.
Introduction. Osteoarthritis is the most common type of arthritis. It is the main cause of chronic musculoskeletal pain and disability among the elderly population. ⋯ Conclusion. The results after seven days of treatment show more intensive and cumulative effect after the application of high intensity laser therapy in comparison to sham laser. This is the reason why HILT can be a method of choice in the treatment of gonarthrosis.
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Despite promising initiatives to advance the practice of pain management in Middle Eastern countries, their pain care lags behind developed countries. The objectives of this study are to evaluate physicians' assessment of their own competency in pain management, to assess physicians' practice related to pain management, and to identify physician-related barriers to effective pain control. A cross-sectional survey was conducted in 3 teaching medical centers in Lebanon targeting the above-mentioned outcomes and assessing the impact of physicians' years in practice on the studied end-points. ⋯ Physicians were more likely to consult with another physician (65%) rather than a pharmacist (12%) when treating patients with pain. Fear of adverse effects of analgesics was the most commonly reported barrier (45%) to pain control among physicians from different career stages. Based on these survey findings, national pain management and practice policies are needed to optimize this area of deficiency in patient care.