Pain in dementia

Increasing life expectancy of the world’s population is accompanied by increasing number of elderly patients with dementia. According to various studies, the prevalence of pain syndrome in elderly patients with dementia ranges from 35.3% to 63.5%. The review represents data on the epidemiology, clinical manifestations, methods of diagnosis and treatment of pain syndrome in patients with dementia. Medicinal and non-pharmacological methods of pain relief are discussed.

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Lecture theme usovershenstvoniya in reflexology "Diagnosis and treatment of pain syndrome in traditional Chinese medicine"

East European Journal of Neurology ◽

10.33444/2411-5797.2017.1(13).30-33 ◽

2017 ◽

pp. 30-33

Author(s):

V. Kononov ◽

G. Chupryna ◽

N. Svyrydova ◽

T. Parnikoza ◽

O. Mykytei

Keyword(s):

Chinese Medicine ◽

Pain Relief ◽

Traditional Chinese Medicine ◽

Postgraduate Education ◽

Pain Syndrome ◽

Practical Experience ◽

Diagnosis And Treatment ◽

National Medical ◽

Medical Academy ◽

Mechanisms Of Development

The article considers the main methods of diagnosis and treatment of pain syndrome (BS) in accordance with traditional Chinese medicine, which are used in a lecture course theme usovershenstvoniya in reflexology. Mechanisms of development of the BS associated with the failure of "vital substances" forms premorbid background for the development of BS. Excessive emotions depressive and negative also create additional conditions for the development of BS. This article describes the clinical features of the BS manifestations and treatment tactics depending on the depth of localization of lesions and the BS. Recommended special acupuncture technique for pain relief can extend the theme of the lecture course at the Department of Neurology and Reflexology, Shupyk National Medical Academy of Postgraduate Education based on the analysis of data in the literature and practical experience in acupuncture.

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Current international guidelines for the diagnosis and treatment of acute pancreatitis in children

Pediatrician (St Petersburg) ◽

10.17816/ped10479-87 ◽

2019 ◽

Vol 10 (4) ◽

pp. 79-87

Author(s):

Aelita A. Kamalova ◽

Ilmira M. Urazmanova ◽

Ramilya F. Khayretdinova ◽

Asilya N. Badretdinova

Keyword(s):

Acute Pancreatitis ◽

Magnetic Resonance ◽

Imaging Techniques ◽

Screening Method ◽

Clinical Manifestations ◽

Pain Syndrome ◽

Current Data ◽

Diagnosis And Treatment ◽

Pancreatic Ducts ◽

Instrumental Methods

The article presents current data on the etiology, diagnosis and treatment of acute pancreatitis in children. Over the past 10-15 years, the incidence of pancreatitis has increased and is 3.6-13.3 cases per 100,000 children. According to the results of an international study INSPPIRE a group of researchers involving in to the study of pediatric pancreatitis gave a definition of acute, acute recurrent and chronic pancreatitis and developed clinical guidelines for the management of this pathology in children. Acute pancreatitis is a polyetiological disease, the causes of which may be abnormalities in the development of the pancreatobiliary system, drugs, injuries, infections, systemic diseases. Diagnosis is based on clinical manifestations and laboratory and instrumental data. Clinically acute pancreatitis is manifested by abdominal, dyspeptic and asthenic syndromes. Particular attention is paid to the timely diagnosis of pancreatitis in children with unexplained abdominal pain syndrome. In such cases, it is mandatory to determine the level of amylase and lipase. Transabdominal ultrasound is the screening method among instrumental methods. Computed tomography and magnetic resonance imaging are necessary imaging techniques for suspected pancreatic necrosis. Magnetic resonance cholangiopancreatography, in turn, plays an important role in the diagnosis of anomalies and lesions of the biliary and pancreatic ducts. There are modern classification, diagnostic criteria of acute pancreatitis, laboratory and instrumental methods of the diagnosis and approaches to the treatment in children in the article.

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Selection of a topical preparation in the basic treatment of chronic hemorrhoids

Ambulatory surgery hospital-replacing technologies ◽

10.21518/1995-1477-2020-3-4-80-88 ◽

2021 ◽

pp. 80-88

Author(s):

A. Ya. Ilkanich ◽

K. Z. Zubailov ◽

S. S. Kurbanov ◽

A. A. Aysanov ◽

Yu. S. Voronin ◽

...

Keyword(s):

Clinical Manifestations ◽

Pain Syndrome ◽

Main Group ◽

Control Group ◽

Topical Drugs ◽

Comparison Groups ◽

Group A ◽

Prevalence Of Pain ◽

Main Components ◽

Rectal Suppositories

Introduction. The vast majority of recommendations for conservative treatment of patients with chronic hemorrhoids contain recommendations for the use of systemic drugs with venotonic and angioprotective properties and the use of topical drugs to treat and prevent exacerbation of the disease. The action of the main components of the topical drugs used is aimed at controlling local inflammation, implemented through various mechanisms. The choice of a drug is mainly subjective.Aim of the study. Comparative clinical evaluation of the effectiveness of topical drugs for the treatment of chronic hemorrhoids.Materials and methods. There are two treatment schemes that are distinguished by the type of the drug that is used. The main group includes patients in treatment of whom a combined preparation based on lidocaine and fluocortolone in the form of rectal suppositories manufactured by Bayer (221 (50.6%) patients) was used. In the control group – a combined preparation on the basis of tribenoside and lidocaine in the form of rectal suppositories by Recordati company (216 (49,4%) people). The rate of suppositories administration and duration of their use was 21 days. Clinical efficacy was estimated by the rate of regression of the main clinical manifestations of the disease: bleeding, pain syndrome, discomfort.Results and discussion. By the 14th day of treatment with Bayer preparation, bleeding as the main sign of disease exacerbation persisted in 15.2% (5) of the main patients against 26.7% (8) of the control group patients. Positive effect was obtained in the majority of patients with the initial prevalence of pain syndrome. On the 14th day the pain remained in 17.0% (8) patients of the main group against 27.9% (12) of the control group. Sense of discomfort was preserved in 10% (4) of the main group patients against 15.8% (6) of the control group patients. Regression of combined clinical manifestations of the disease in the comparison groups showed the fastest elimination of inflammation in the main group in 79.4% of patients against 73.0% in the control group on the 14th day of treatment.Conclusions. Thus, the use of Bayer preparation allowed ensuring the regression of the main clinical manifestations of the disease in a shorter time. This drug can be recommended for use in complex treatment of chronic hemorrhoids in everyday clinical practice.

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Chronic Knee Pain

10.1093/med/9780190271787.003.0010 ◽

2018 ◽

Author(s):

Randy L. Calisoff ◽

David R. Walega

Keyword(s):

Knee Pain ◽

Clinical Symptoms ◽

Treatment Options ◽

Clinical Manifestations ◽

Pain Syndrome ◽

The United States ◽

Diagnosis And Treatment ◽

Osteoarthritis Of The Knee ◽

Chronic Knee Pain ◽

History Of

Chronic knee pain affects 27 million people in the United States and is a leading cause of disability. Seventy percent of the population 65 years or older will have knee pain with radiographic evidence of osteoarthritis, and 12% will have clinical symptoms of osteoarthritis. Chronic knee pain after total knee replacement ranges from 10% to 20%. Patellofemoral pain syndrome (PFPS) refers to anterior knee pain exacerbated with knee joint loading activities (squatting, kneeling, prolonged sitting, ascending/descending stairs). PFPS is a clinical diagnosis, and treatment is directed toward pain alleviation and restoration of proper biomechanics. Pes anserine syndrome is common in runners, athletes, and individuals with osteoarthritis of the knee. Other risk factors include: female sex and a history of diabetes mellitus, obesity, or arthritis. Knowledge of the common knee pain etiologies, as well as key clinical manifestations, physical exam findings, differential diagnosis, and treatment options for each is important for pain specialists.

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Cancer pain management

Orvosi Hetilap ◽

10.1556/oh.2014.29808 ◽

2014 ◽

Vol 155 (3) ◽

pp. 93-99

Author(s):

Péter Heigl

Keyword(s):

Quality Of Life ◽

Pain Management ◽

Pain Relief ◽

Life Expectancy ◽

Cancer Pain ◽

Cancer Pain Management ◽

Medical Activity ◽

Short Summary ◽

Adequate Quality

Pain is a significant and alarming symptom of cancer seriously affecting the activity and quality of life of patients. Recent research proved that inadequate analgesia shortens life expectancy. Therefore, pain relief is not only a possibility but a professional, ethical and moral commitment to relieve patients from suffering, as well as ensure their adequate quality of life and human dignity. Proper pain relief can be achieved with medical therapy in most of the cases and the pharmacological alternatives are available in Hungary. Yet medical activity regarding pain relief is far from the desired. This paper gives a short summary of the guidelines on medical pain management focusing particularly on the use of opioids. Orv. Hetil., 2014, 155(3), 93–99.

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Optimization of diagnostic system of hand diseases in employees working under combined effects of vibration and physical overloads

Russian Journal of Occupational Health and Industrial Ecology ◽

10.31089/1026-9428-2019-59-11-950-955 ◽

2019 ◽

pp. 950-955

Author(s):

M. M. Poroshina ◽

E. M. Vlasova ◽

A. Ya. Perevalov

Keyword(s):

Working Conditions ◽

Comparison Group ◽

Clinical Manifestations ◽

Diagnostic System ◽

Pain Syndrome ◽

Observation Group ◽

Combined Effects ◽

X Rays ◽

Industrial Enterprises ◽

Special Assessment

The results of research carried out by theFederalScientificCenterfor Medical and Preventive Technologies of Public Health Risk Management Technologies for the period 2013–2018 showed that diseases associated with the combined effects of vibration and physical overload, employees of hazardous industries develop with experience of 15 years or more. The risk group is women older than 35 years and men older than 40 years. Pathology at the stage of detailed clinical manifestations is characterized by persistent pain syndrome, and, as a consequence, a decrease in the ability to work of workers.The aim of the study was to optimize the system of diagnosis of hand diseases in workers of industrial enterprises engaged in labor activities under the combined effects of vibration and physical overload, for the development of primary prevention programs.The observation group consisted of 32 employees aged 39.3±4.3 years, with an experience of 17.4±4.3 years; the comparison group consisted of 30 employees whose working conditions are not related to the studied factors; the average age was 40.6±3.4 years, experience was 19.1±3.1 years. The examination included analysis of the results of a special assessment of working conditions; assessment of neurological status; functional tests; laboratory studies (assessment of inflammation), hand dynamometry, stimulation electroneuromyography; x-rays of the hands and wrist joints, ultrasound examination of the hands.More than half of the surveyed persons of the observation group and 3/4 of the workers of the comparison group did not make complaints. Indicators of dynamometry of workers in both groups corresponded to physiological norm (p>0.05). Analysis of the results of dynamometer with data from previous years of PMO showed a decrease in strength of muscles of the hand leading hands on 2je,0–16. 7% and from 83.3% of the employees of the monitoring group and in 44.4% of the comparison group (p<0.05), in 50 % of the cases there was a decrease in the percentage of changes in the hand force variation (HFV) in the observation group, and in 38.9% of the cases the indicators remained unchanged. According to ultrasound of the hands, signs of tendinopathy were established in 85% of the employees of the observation group in the absence of persons with similar changes in the comparison group.In order to optimize the diagnosis of diseases of the hand in industrial workers who carry out their work under the combined effects of vibration and physical overload, in the case of a decrease in the rate of carpal dynamometry by 5% or more during the year, it is recommended to conduct ultrasound of the tendon-ligamentous apparatus of the hand, which will allow timely identification of early signs of tendinopathy.

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Clinical manifestations, diagnosis and treatment of HIV infection of stage 4 (severely symptomatic stage) in the practice of a health professional

Terapevt (General Physician) ◽

10.33920/med-12-2005-04 ◽

2020 ◽

pp. 27-34

Author(s):

A. Nikitina ◽

A. Rusanova ◽

A. Zhilenkova

Keyword(s):

Hiv Infection ◽

Health Professional ◽

Clinical Picture ◽

Clinical Manifestations ◽

Significant Problem ◽

Diagnosis And Treatment ◽

Modern World ◽

Infected People ◽

Stage 4 ◽

Future Practice

HIV infection is a significant problem in the modern world, because there are more and more infected people every year. This article will consider: the clinical picture, diagnosis and treatment of this disease in different countries. Based on these data, the following conclusions will be made to help doctors in their future practice correctly approach the diagnosis and treatment of patients with this disease.

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