scholarly journals Regenerative Pain Medicine, the New Era of Interventional Pain Management, Restart Now!

2021 ◽  
Vol 2 (2) ◽  
pp. 63-64
Author(s):  
Mirza Koeshardiandi ◽  

Musculoskeletal conditions become the leading contributor of the total years lived disability (YLD) by causing 21.3% of the YLDs, after mental and behavioral problems. Several musculoskeletal conditions give a disproportional impact on low back pain, one of the leading causes of disability. Lateral epicondylitis with a prevalence of 1-2%, commonly suffered by adults in their 30-65 years old. Epicondylitis was also suffered by a small population of athletes, such as professional tennis players (10% of epicondylitis population). The severe repetitive injuries that affect the individual daily activity also increase the daily health care cost. Osteoarthritis and tendinopathy often become the cause of pain and musculoskeletal disability. However, the etiology of pain in osteoarthritis is multifactorial. The incidence of osteoarthritis reaches 6% in 30 years old population and increases due to aging. Degenerative disease, the reduction of function or structure of the tissue or organ due to aging, encourages the pain specialist to perform a reliable pain management/therapy. Prolotherapy, especially dextrose prolotherapy, has become a promising technique by providing a safe degenerative therapy, easy to performed, and highly available in health facilities. Nowadays, it is necessary to pay more attention to causative-based treatment strategies than symptom-based treatment. A multidisciplinary team is also needed to provide appropriate treatment.

2020 ◽  
Vol 1 (2) ◽  
pp. 103
Author(s):  
Markus Nanang Irawan ◽  
Sri Widyawati

<pre><span>Individuals autism often have non-adaptive behavioral problems because of their barriers in communication and social interaction. The problem of non-adaptive behavior is often a nuisance to others because its appearance is not appropriate and not in accordance with the environment, age, and expectations of responsibility. One case of non-adaptive behavior that arises is the behavior while in a vehicle where the individual shows the behavior of singing loudly, knocking windows, pinching the driver, even holding the steering wheel. Based on these problems, this study aims to reduce non-adaptive behavior while in a vehicle. Participant is an adult autism. The research method is experiment by giving Social Stories to participants before riding the vehicle then recording to the possibility appearance of non adaptive behavior. The results of graph analysis showed a decrease in non adaptive behavior of adult autism adults while in a vehicle. This study became one of the important studies because it tries to understand the dynamics of behavior problems of individual autisme in adulthood.<strong></strong></span></pre><pre><span> </span></pre>


2020 ◽  
Vol 11 (1) ◽  
pp. 10
Author(s):  
Sonia Mangialavori ◽  
Michele Giannotti ◽  
Marco Cacioppo ◽  
Federico Spelzini ◽  
Franco Baldoni

Previous studies documented gender-related differences in the expression of Perinatal Affective Disorders. However, little attention has been paid to screening the male population during the perinatal period. This study was based on three aims: (1) to investigate the mental health of expectant fathers based on their levels of depression, anxiety, addiction, anger attacks/hostility, and somatization, identifying psychological profiles; (2) to analyze the association between these profiles and the individual variable of perceived stress; (3) and to examine the association between these profiles and the couple’s variable of marital adjustment. A total of 350 Italian expectant fathers in the last trimester of pregnancy were asked to fill in questionnaires concerning perceived stress, dyadic adjustment, psychiatric symptomatology, and depression. Three different clusters were found: “psychologically healthy men” (68%) with low levels of symptoms on all the scales; “men at risk of externalized behavioral problems” (17.1%), characterized by one or more addictive or risky behaviors and moderate levels of scales scores; and “men experiencing psychological distress” (14.9%), with the highest scores on all the scales. A significant association emerged among the perceived stress, marital adjustment, and cluster membership. These results highlight the importance of screening fathers in perinatal health services, which are still predominantly mother-centered, and underscore the necessity to create tailored and personalized interventions.


Author(s):  
Tanuka Datta ◽  
Andrew J. Lee ◽  
Rachel Cain ◽  
Melissa McCarey ◽  
David J. Whellan

AbstractObesity is a growing worldwide epidemic with significant economic burden that carries with it impacts on every physiologic system including the cardiovascular system. Specifically, the risk of heart failure has been shown to increase dramatically in obese individuals. The purpose of this review is to provide background on the individual burdens of heart failure and obesity, followed by exploring proposed physiologic mechanisms that interconnect these conditions, and furthermore introduce treatment strategies for weight loss focusing on bariatric surgery. Review of the existing literature on patients with obesity and heart failure who have undergone bariatric surgery is presented, compared, and contrasted.


When the oscillating electric spark is examined in a rapidly rotating mirror, the successive oscillations render themselves evident in the image as a series of lumnious curved streamers which emanate from the poles and extend towards the centre of the spark gap. These streamers were first observed by Feddersen in 1862, but the work of Schuster and Hemsalech in 1900 may be said to have opened up a new era in the subject. These workers threw the image of the spark on the slit of a spectroscope, and photographed the resulting spectrum on a film which was maintained in rapid rotation in a direction at right angles to that of the incident light. In their photographs they found that the air lines extended straight across from pole to pole, but that the metal lines were represented by curved bands drawn out in the centre of the spark gap. There is a close relation between these bands and the streamers seen in the unanalysed inductive spark. Schuster and Hemsalech carried out their experiments with the smallest possible inductance in series with the spark, and thus made the period of the oscillations so small that the drawing out on the film was insufficient to separate the individual oscillations from each other. Thus their curved lines represent a composite structure, consisting of all the streamers due to the successive oscillations superposed on each other. It follows from their results that the light of the streamers in the spark is entirely produced by the glowing of the metallic vapour of the electrodes, and that, while the luminosity of the air is practically instantaneous in its occurrence, that due to the metal vapour occurs in the centre of the spark gap an appreciable time later than near the poles. The actual process which goes on in the spark and gives rise to this delay in the arrival of the metallic vapour at the centre of the gap is not yet thoroughly understood. Schuster and Hemsalech make the natural supposition that it is due to the fact that the metal of the electrode is vaporised and rendered incandescent by the heat of the spark, and that the vapour takes an appreciable time to diffuse from the electrodes to the centre of the gap. The exception which has been taken to this view has arisen in part from the difficulty of observing the Doppler effect on the metallic lines which should be a concomitant of the diffusion of the vapour from the poles, and in part from the extraordinary results which the authors themselves obtained in some metals for the velocity of the diffusion corresponding to the different lines. In the case of bismuth and, in a less degree, of cadmium the different metallic lines could be divided into groups of different curvatures which indicated different velocities of diffusion towards the centre of the gap. As regards the former matter, there does not seem to be involved any real difficulty to the explanation, as Dr. Schuster has himself recently shown. The curious effect of the different curvatures of the lines of the same element has, however, always remained more or less of a difficulty in the way of a complete acceptance of their view. Schuster and Hemsalech themselves refer to the possibility in the case of bismuth that the metal may be a compound, and that the two kinds of molecules give rise to the differently curved lines. Other explanations have been made by different writers, but it cannot be said that any explanation adequately supported by experiment has been forthcoming. In view of this incompleteness in our knowledge of the constitution of the streamers it seemed to me that further observations with a rotating mirror would possibly be of value, and the investigations recorded below succeed, I think, in throwing a clearer light on the nature of the streamers, and on certain other phenomena which are characteristic of the spark.


2002 ◽  
Vol 30 (4) ◽  
pp. 553-570 ◽  
Author(s):  
Melissa Feinberg

On 28 October 1918, a group of Czech nationalists stood on the steps of the Obecni Dům (Municipal House) in Prague and proclaimed their independence from the Austro-Hungarian Monarchy, allying themselves with the new state of Czechoslovakia. Their declaration marked the beginning of a new era in the Czech lands, one in which Czechs, as the majority nation, hoped to redefine the terms of political discourse. The new Czechoslovak Republic, its Czech supporters declared, would be the antithesis of the Habsburg regime. In the place of a multinational Monarchy, they would erect a democratic nation-state. The second half of this political vision was complicated by the fact that the new Czechoslovakia actually contained many ethnic groups, but Czechs still tended to imagine their new Republic as the political expression of the Czech nation. At the same time, this “Czech-centered” politics also emphasized the democratic basis of the new country. Czechoslovakia, Czech leaders said, would be a state governed by its people and dedicated to protecting their rights and freedoms as individuals. A political culture that rested on both ethnic nationalism and democratic values obviously contained some internal tensions: the need to protect the interests of one specific nation and the duty to protect the individual rights of all citizens could rub uncomfortably against each other. Yet, at that moment in 1918, most Czechs failed to register this potential for ideological conflict, instead seeing an essential link between democratic politics and the good of the Czech nation. For many Czechs, democracy itself was a need of the nation, a political structure crucial to Czech national self-realization. This idea came from one prominent conception of Czech nationhood that had captured the public imagination in the fall of 1918. According to this strain of Czech national ideology, the Czech nation had a sort of democratic character. This meant that only an egalitarian, democratic government would suit a “Czech” state. So, paradoxically, a universal language of rights and freedoms was the key to building a truly national Czechoslovak Republic. It was with a state that emphasized equality and personal freedom that the Czechs would fulfill their national destiny.


2021 ◽  
Author(s):  
Karen Rodham

Although there has been a drive toward pain self-management, self-management has not yet in my opinion been successfully defined or evaluated and neither has it been consistently translated from idea to practice. In this perspective article, I identify gaps in our approach to pain management and argue that even though we know life context plays a huge role in influencing our health, by and large we fail to take this into account. I argue for a shift in focus away from the ‘self’ and explore how we might be able to do this within the constraints of our tired and over-stretched health system.


Hematology ◽  
2007 ◽  
Vol 2007 (1) ◽  
pp. 304-310 ◽  
Author(s):  
Rafael Fonseca

AbstractIt is clear that the clinical heterogeneity of multiple myeloma (MM) is dictated, in large part, by disease biology, predominantly genetics.1 As novel therapeutics have emerged, and augmented our treatment armamentarium against the disease, it is increasingly important to introduce a risk-adapted approach for the optimal management of patients.2 The selection of ideal candidates for high-dose chemotherapy with stem cell support (HDT) and maintenance will undoubtedly have to include baseline knowledge of the genetic nature of the individual. The limited duration of responses after HDT for patients with t(4;14)(p16;q32), t(14;16)(q32;q23) and 17p13 deletions highlight the need to develop a risk-adapted treatment strategy.3–5 Novel ways of determining outcome such as the use of gene expression profiling have demonstrated differentiating capabilities not previously observed.6 Likewise, the order of introduction of novel therapeutic agents (during induction and in the relapsing patient) will be potentially directed by similar information. As we have previously stated, MM is not only multiple but also “many.”7 Accordingly, treatment strategies will be tailored based on risk determination, genetic composition and host features.


2018 ◽  
Vol 87 (1) ◽  
pp. 14-15
Author(s):  
Sandra Botros

Dr Earl Russell (1920-2008) was a Canadian anesthetist and pain specialist who spent the majority of his career as a Western University faculty member and a pain physician in Southwestern Ontario. Dr Russell obtained his medical degree at Western, graduating in the class of 1950, and went on to serve in the Korean War as a medical officer. It was in Korea that he began developing a keen interest in pain medicine, using self-taught anesthesia skills to help soldiers suffering from frostbite. He returned to Canada and focused the rest of his career on the practice and advancement of pain medicine, and endowed the Earl Russell Chair in Pain Management in order to fund future research and education in the field. This article highlights the importance of his contributions to the field, in particular through his creation of the Earl Russell Chair, and how this led to the first Pain Medicine residency program in Canada at Western University.


2021 ◽  
Vol 29 (03) ◽  
pp. 126-131
Author(s):  
Okasha Anjum ◽  
Hajra Ameer Shaikh ◽  
Nida Waheed ◽  
Syeda Wajeeha Raza Zaidi

Efficacy Of Robot-assisted Physiotherapy For Pain Management In Neurological Disorders-A Systematic Review Abstract Background: Neurological disorders (ND) are ranked as the leading cause of death and disability around the globe and the escalating burden summons the advancements in the treatment strategies hence this systematic review aimed to fill the knowledge gap regarding the efficacy of robot-assisted physiotherapy (RAPT) for pain management in ND. Methodology: Scientific trials were sought by an extensive search via electronic databases mainly PubMed, PEDro, and Scopus. Randomized controlled trials published from the year 2014 to April 2021, evaluating the potential effects of RAPT for pain management in ND were included in the review. The quality appraisal of the RCTs was analyzed via Cochrane tool for assessing risk of bias. Results: The Majority of the trials reported the effectiveness of RAPT using PARO robot, Armeo spring, Gloreha robot, and robotic Lokomat gait training system in significantly improving pain of ND such as stroke, dementia, phantom syndrome, and spinal cord injuries. Conclusions: Large body of evidence suggested RAPT as a potential solution in improving pain of various ND however further rigorous trials are necessary to draw conclusive recommendations. Keywords: Neurological disorders, pain, physiotherapy management, rehabilitation, robot-assisted physiotherapy, robotics


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